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  • 29 -6 (56) 2023 — Safarov Z.F., Sharipov A.M. — COMPARATIVE ANALYSIS OF THE EFFECTIVENESS OF THE GCS AND FOUR SCALES ON STATISTICAL QUALITY INDICATORS OF EVIDENCE-BASED MEDICINE

29 -6 (56) 2023 — Safarov Z.F., Sharipov A.M. — COMPARATIVE ANALYSIS OF THE EFFECTIVENESS OF THE GCS AND FOUR SCALES ON STATISTICAL QUALITY INDICATORS OF EVIDENCE-BASED MEDICINE

COMPARATIVE ANALYSIS OF THE EFFECTIVENESS OF THE GCS AND FOUR SCALES ON STATISTICAL QUALITY INDICATORS OF EVIDENCE-BASED MEDICINE

Safarov Z.F., Tashkent Pediatric Medical Institute

Sharipov A.M., Tashkent Pediatric Medical Institute

Rasulov A.A., Tashkent Pediatric Medical Institute National Children’s Medical Center

Alimov A.A., Tashkent Pediatric Medical Institute National Children’s Medical Center

Usmanov R.R. Tashkent Pediatric Medical Institute National Children’s Medical Center

Resume

The aim of the study: to scientifically substantiate the effectiveness of the process of providing pre-medical medical care to assess the level of silence in emergency cases in children according to the GCS and FOUR scales.

Methods: The level of impaired consciousness of children, assessed on the GCS scale, was assessed retrospectively using the FOUR scale. The obtained results were statistically analyzed in a descriptive way in Microsoft Excel 2019 and IBM SPSS Statistics 23 programs, and a comparative analysis of the indicators of both scales was carried out.

The results of the study: the average value and standard error on the GCS scale were 12.7 ± 0.05 points, and on the FOUR scale – 12.3 ± 0.06 points. Data on the sensitivity (Se) and specificity (Sp) of the results were analyzed, they were 0.79 and 0.94 on the GCS scale, respectively, and 0.76 and 0.93 on the FOUR scale. The GCS scale represented a high indicator of analytical accuracy (the average value was 0.87). The completeness (recall) of the GCC and FOUR scales was analyzed, according to the GCS scale, the indicator was slightly higher than that of the FOUR scales (0.79 and 0.76, respectively). The average harmonic values (F-measure) of the GCS and FOUR scales were determined, slightly higher values (0.79 and 0.76, respectively) were obtained on the GCS scale in accordance with the above statistical indicators. When determining the risk factor on the TSS and FOUR scales, the indicators were 12.7 and 10.16, respectively.

Conclusion: when assessing silence disturbance and predicting outcomes, almost all statistical indicators of the GCS scale (with the exception of AUROC, but this indicator is also almost the same as that of the GCS scale) exceed the statistical indicators of the FOUR scale, but given the simplicity of using the four scale in practice, this scale can easily compete with the GCS scale.

First page

176

Last page

182

For citation: Safarov Z.F., Sharipov A.M., Rasulov A.A., Alimov A.A., Usmanov R.R. – COMPARATIVE ANALYSIS OF THE EFFECTIVENESS OF THE GCS AND FOUR SCALES ON STATISTICAL QUALITY INDICATORS OF EVIDENCE-BASED MEDICINE //New Day in Medicine 2023 6(56); 176-182 https://newdaymedicine.com/index.php/2023/06/15/l-153/

LIST OF REFERENCES:

  1. А.А. Литвин, А.Л. Калинин, Н.М. Тризна Использование данных доказательной медицины в клинической практике (сообщение 3 — диагностические исследования) Проблемы здоровья и экологии. (2008) 4(18).
  2. Гринхальх, Т. Основы доказательной медицины / Т. Гринхальх пер. с англ. — М.: ГЭОТАР-Медиа, (2006) 240.
  3. Женило В.М., Бычков А.А., Литвинова В.Н. Объективизация тяжести состояния пациентов.  Методические рекомендации. – РостГМУ (2003) 12-25.
  4. Власов В.В. Введение в доказательную медицину / В.В. Власов. — М. МедиаСфера, (2001) 392.
  5. Шок. Перевод с нем. / Под ред. Г. Риккера. – М.:Медицина, (1987) 223-226.
  6. Флетчер Р. Клиническая эпидемиология. Основы доказательной медицины / Р. Флетчер, С. Флетчер, Э. Вагнер пер. с англ. — М.: МедиаСфера, (1998) 352.
  7. Ковалев А. А. Логистическая регрессия и ROC-анализ / Методическое пособие, (2021) 37.
  8. Stephan C, Wesseling S, Schink T, Jung K. Comparison of eight computer programs for receiver!operating characteristic analysis. Clin. Chem. (2003) 49(3):433-439.
  9. Stephan C, Wesseling S, Schink T, Jung K. Comparison of eight computer programs for receiver!operating characteristic analysis. Clin. Chem. (2003) 49(3):433-439.
  10. Fawcett T. ROC Graphs: Notes and Practical Considerations for Researchers. Kluwer Acad. Publ. (2004) 38.
  11. Janota J., Stranak Z., Statecna B. Characterization of multiple organ dysfunction syndrome in very low birthweight infants: a new sequential scoring system Shock. (2001) 15(5):348-352.

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