20. Comparison of Vesikari and Clark scales in evaluating the severity of acute rotavirus diarrhea
Main Article Content
Abstract
Acute diarrhea caused by rotavirus is a significant health issue in children. The Vesikari scoring system and the Clark scoring system are two commonly used tools to assess the severity of the disease. However, the correlation and validity of these two scoring systems have not been fully addressed. Through the analysis of 73 children with positive real-time PCR for rotavirus, a strong positive correlation was observed between the Vesikari score and the Clark score (r = 0.629, p < 0.001), and they were consistent in terms of age and gender characteristics. However, there was inconsistency in assessing the severity. The area under the ROC curve for the Vesikari score was 0.26, and for the Clark score, it was 0.37. Therefore, both the Vesikari and Clark scoring systems demonstrated poor classification ability and lack of agreement in evaluating the severity of acute rotavirus diarrhea. There is a need for a more accurate and appropriate scoring system in this regard.
Article Details
Keywords
acute diarrhea, rotavirus, Vesikari score, Clark score
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