External validation of calculator for cesarean delivery during induction of labor
Rattachement africain : us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: To validate a published risk calculator to predict cesarean delivery (CD) among singletons undergoing induction of labor. METHODS: Our retrospective cohort study included singletons undergoing induction of labor. A predicted CD score was calculated for each individual based on a previously developed calculator. External validation of the calculator was assessed by the discriminative power of the model by using the area under the receiver operating characteristic curve, and by a calibration curve. The score was categorized as less than 10%, 10% to less than 30%, and 30% or greater. The primary outcome was CD. The secondary outcomes were a composite maternal adverse outcome (CMAO) and composite neonatal adverse outcome (CNAO). Multivariable Poisson regression models with robust error variance were used to estimate the association; adjusted relative risks with 95% confidence interval (CI) were calculated. RESULTS: Among 548 women, 159 (29%) had CD. The area under the curve was 0.77 (95% CI 0.73-0.81), and the calibration curve and its 95% confidence band demonstrated good calibration. The likelihood of having a CD was higher in those with a score from 10% to less than 30% (adjusted relative risk [aRR] 2.65, 95% CI 1.58-4.45) and 30% or greater (aRR 5.73, 95% CI 3.55-9.25). The risk of CMAO was higher in those with a score between 10% and less than 30% (aRR 1.64, 95% CI 1.08-2.48) and 30% or greater (aRR 1.81, 95% CI 1.20-2.73). The risk of CNAO was similar across groups. CONCLUSIONS: The previously developed prediction model demonstrated good external validity in our cohort. Our analyses suggest that a higher predicted CD score was associated with an increased likelihood of CD and CMAO.
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
- External validation of calculator for cesarean delivery during induction of labor
- Date Crossref
- 27/08/2025
- 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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The University of Texas Health Science Center at Houston pays non établi dans la noticeUniversité ou école supérieure
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University of California San Diego Department of Obstetrics Gynecology and Reproductive Sciences pays non établi dans la noticeUniversité ou école supérieure
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Louisiana State University Department of Obstetrics and Gynecology pays non établi dans la noticeUniversité ou école supérieure
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University Medical Center New Orleans pays non établi dans la noticeÉtablissement de santé
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Louisiana State University Health Sciences Center New Orleans pays non établi dans la noticeÉtablissement de santé
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Baylor College of Medicine Division of Maternal Fetal Medicine pays non établi dans la noticeUniversité ou école supérieure
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Christiana Care Health System pays non établi dans la noticeÉtablissement de santé
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Christiana Hospital pays non établi dans la noticeÉtablissement de santé
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Department of Obstetrics and Gynecology University of Houston Health Science Center at Houston Houston TX USA Division of Maternal Fetal Medicine pays non établi dans la noticeUniversité ou école supérieure
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Delaware Center of Maternal‐Fetal Medicine of ChristianaCare Newark DE USA pays non établi dans la noticeInstitution
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Delaware Center of Maternal-Fetal Medicine of ChristianaCare pays non établi dans la noticeInstitution
The University of Texas Health Science Center at Houston, Department of Obstetrics Gynecology and Reproductive Sciences — University of California San Diego et Department of Obstetrics and Gynecology — Louisiana State University, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.