OP06.09: Does fetal growth predict low birthweight in suspected late fetal growth restriction?
Rattachement africain : it, nl, gb. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
To evaluate the prediction of low birth weight (BW) using longitudinal individual fetal growth measurement in suspected late fetal growth restriction (FGR). This is a secondary analysis from the multicentre observational study (TRUFFLE2) from April 2017 to July 2018.Women at 32–36 weeks with suspect of FGR (estimated fetal weight (EFW) p40) were monitored by 2-weekly biometry and Doppler assessment. Umbilico-cerebral ratio (UCR) ≥ 0.9 was classified as abnormal and categorised for gestational age (GA) (32-33, 34-36 or ≥ 37 weeks) at first abnormal value or never abnormal. Individual fetal growth was calculated by longitudinal regression using all available EFW measurements for each fetus with at least two measurements. The probability of BW < 1500g, < 2000g and < 2500g was calculated by logistic regression analysis using EFW MoM at inclusion and either UCR ≥ 0.9 GA categories, fetal growth (gr/week) or both as independent parameters. A Receiver Operating Characteristic (ROC) curve and area under the curve (AUC) were computed. 696 of 856 included women (17 infants with major congenital abnormality excluded) had two or more measurements of EFW. Table 1 shows AUC with 95% confidence limits and sensitivity at a specificity of 80%, calculated by ROC graph for UCR categories, fetal growth or both with EFW MoM at inclusion as additional independent parameter. Fetal growth and UCR categories were similarly effective but combining both did not improve prediction. AUC values were approximately 0.9 for BW below 1500-2000 g. Fetal growth calculated from repeated EFW measurements allows fairly reliable prediction of very low BW. Doppler evidence of cerebral redistribution does not improve prediction.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- OP06.09: Does fetal growth predict low birthweight in suspected late fetal growth restriction?
- Date Crossref
- 01/10/2021
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Trieste Department of Medical pays non établi dans la noticeUniversité ou école supérieure
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IRCCS Materno Infantile Burlo Garofolo pays non établi dans la noticeÉtablissement de santé
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Amsterdam University Medical Centers Department of Obstetrics and Gynecology pays non établi dans la noticeÉtablissement de santé
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Queen Charlotte's and Chelsea Hospital Department of Fetal Medicine pays non établi dans la noticeÉtablissement de santé
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Imperial College London Department of Fetal Medicine pays non établi dans la noticeUniversité ou école supérieure
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Unit of Fetal Medicine and Prenatal Diagnosis pays non établi dans la noticeInstitution
Department of Medical — University of Trieste, IRCCS Materno Infantile Burlo Garofolo et Department of Obstetrics and Gynecology — Amsterdam University Medical Centers, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.