1
40
1
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
August 2021 List
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
August 2021 List
URL Address
<a href="http://doi.org/10.1111/aogs.14136" target="_blank" rel="noreferrer noopener">http://doi.org/10.1111/aogs.14136</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Antenatal prediction models for short- and medium-term outcomes in preterm infants
Publisher
An entity responsible for making the resource available
Acta Obstetricia et Gynecologica Scandinavica
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Subject
The topic of the resource
preterm birth; pregnancy complications; prediction model; antenatal counseling; neonatal outcomes
Creator
An entity primarily responsible for making the resource
Ushida T; Moriyama Y; Nakatochi M; Kobayashi Y; Imai K; Nakano-Kobayashi T; Nakamura N; Hayakawa M; Kajiyama H; Kotani T
Description
An account of the resource
Introduction: In extremely and very preterm infants, predicting individual risks for adverse outcomes antenatally is challenging but necessary for risk-stratified perinatal management and parents' participation in decision-making about treatment. Our aim was to develop and validate prediction models for short-term (neonatal period) and medium-term (3 years of age) outcomes based on antenatal maternal and fetal factors alone. Material(s) and Method(s): A population-based study was conducted on 31 157 neonates weighing <=1500 g and born between 22 and 31 weeks of gestation registered in the Neonatal Research Network of Japan during 2006-2015. Short-term outcomes were assessed in 31 157 infants and medium-term outcomes were assessed in 13 751 infants among the 31 157 infants. The clinical data were randomly divided into training and validation data sets in a ratio of 2:1. The prediction models were developed by factors selected using stepwise logistic regression from 12 antenatal maternal and fetal factors with the training data set. The number of factors incorporated into the model varied from 3 to 10, on the basis of each outcome. To evaluate predictive performance, the area under the receiver operating characteristics curve (AUROC) was calculated for each outcome with the validation data set. Result(s): Among short-term outcomes, AUROCs for in-hospital death, chronic lung disease, intraventricular hemorrhage (grade III or IV) and periventricular leukomalacia were 0.85 (95% CI 0.83-0.86), 0.80 (95% CI 0.79-0.81), 0.78 (95% CI 0.75-0.80), and 0.58 (95% CI 0.55-0.61), respectively. Among medium-term outcomes, AUROCs for cerebral palsy and developmental quotient of <70 at 3 years of age were 0.66 (95% CI 0.63-0.69) and 0.72 (95% CI 0.70-0.74), respectively. Conclusion(s): Although the predictive performance of these models varied for each outcome, their discriminative ability for in-hospital death, chronic lung disease, and intraventricular hemorrhage (grade III or IV) was relatively good. We provided a bedside prediction tool for calculating the likelihood of various infant complications for clinical use. To develop these prediction models would be valuable in each country, and these risk assessment tools could facilitate risk-stratified perinatal management and parents' shared understanding of their infants' subsequent risks. Copyright © 2021 Nordic Federation of Societies of Obstetrics and Gynecology (NFOG). Published by John Wiley & Sons Ltd
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1111/aogs.14136" target="_blank" rel="noreferrer noopener">10.1111/aogs.14136</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
Acta Obstetricia et Gynecologica Scandinavica
Antenatal Counseling
August 2021 List
Hayakawa M
Imai K
Kajiyama H
Kobayashi Y
Kotani T
Moriyama Y
Nakamura N
Nakano-Kobayashi T
Nakatochi M
neonatal outcomes
prediction model
Pregnancy Complications
preterm birth
Ushida T