Predicting birth weight in fetuses with gastroschisis
| Autor: | Leslie A. Lusk, Mary N. Zaki, Melissa Liebowitz, Rashmi Rao, Rachael T. Overcash, Manuel Porto, Yen N. Truong |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Biometry Adolescent Birth weight Intrauterine growth restriction Gestational Age Ultrasonography Prenatal Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Birth Weight Humans Medicine 030212 general & internal medicine Retrospective Studies Gastroschisis Fetus Fetal Growth Retardation 030219 obstetrics & reproductive medicine Biparietal diameter business.industry Obstetrics Ultrasound Infant Newborn Reproducibility of Results Obstetrics and Gynecology Gestational age medicine.disease Fetal Weight Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of Perinatology. 38:122-126 |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/jp.2017.171 |
| Popis: | To determine the accuracy of commonly utilized ultrasound formulas for estimating birth weight (BW) in fetuses with gastroschisis. A retrospective review was conducted of all inborn pregnancies with gastroschisis within the five institutions of the University of California Fetal Consortium (UCfC) between 2007 and 2012. Infants delivered at ⩾28 weeks who had an ultrasound within 21 days before delivery were included. Prediction of BW was evaluated for each of the five ultrasound formulas: Hadlock 1 (abdominal circumference (AC), biparietal diameter (BPD), femur length (FL) and head circumference (HC)) and Hadlock 2 (AC, BPD and FL), Shepard (AC and BPD), Honarvar (FL) and Siemer (BPD, occipitofrontal diameter (OFD), and FL) using Pearson’s correlation, mean difference and percent error and Bland–Altman analysis. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) for the ultrasound diagnosis of intrauterine growth restriction (IUGR) were assessed. We identified 191 neonates born with gastroschisis within the UCfC, with 111 neonates meeting the inclusion criteria. The mean gestational age at delivery was 36.3±1.7 weeks and the mean BW was 2448±460 g. Hadlock (1) formula was found to have the best correlation (r=0.81), the lowest mean difference (8±306 g) and the lowest mean percent error (1.4±13%). The Honarvar and Siemer formulas performed significantly worse when compared with Hadlock 1, with a 13.7% (P |
| Databáze: | OpenAIRE |
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