估计个体单独的早产风险:nomogram建立和独立验证
Ting Gao1,2, Tianwei Wang3, Wan Tang1
1Department of Neonatology, National Children's Medical Center/Children's Hospital of Fudan University, Shanghai, China.
Translational pediatrics
|August 14, 2023
概括
这项研究开发并验证了用于预测早产 (PTB) 风险的nomograms. 这些工具可以帮助临床医生识别高风险妊娠并个性化护理,以获得更好的结果.
科学领域:
- 生殖健康 生殖健康
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生物统计学 生物统计学
背景情况:
- 过早分娩 (PTB) 仍然是一个重大的全球健康挑战.
- 准确预测PTB风险对于及时干预至关重要.
- 现有的预测模型可能缺乏跨不同人群的概括性.
研究的目的:
- 开发和验证用于预测单独早产 (PTB) 风险的强大的名图.
- 为临床医生提供个性化的PTB风险评估工具.
- 改善早期识别和管理PTB.
主要方法:
- 使用国家生命统计系统 (NVSS) 数据库 (2016-2020) 进行的大规模队列研究.
- 多变量后勤回归分析以确定独立的PTB风险因素.
- 使用美国数据开发PTB预测名录,并与美国领土数据进行验证.
主要成果:
- 构建了四个名图来预测整体PTB,中度/晚期PTB,非常PTB和极端PTB.
- 培训组包括超过1600万个母婴对;验证组包括超过54,000对.
- 高血压性赤斑症和不孕症治疗成为PTB风险的主要贡献者.
结论:
- 经过验证的nomograms提供了一种可靠的方法来预测个性化的PTB概率.
- 这些工具可以帮助医生在早期PTB识别和个性化临床决策.
- 开发的诺姆图具有增强产科护理和改善新生儿结果的潜力.
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