在密集表型的EHR队列中与自发和指示早产的关联
medRxiv : the preprint server for health sciences
|December 11, 2023
概括
像1型糖尿病这样的孕产妇诊断显著增加了早产 (PTB) 的风险,尤其是指定的PTB. 自发性PTB的原因尚不清楚,强调需要单独分析以了解PTB异质性.
科学领域:
- 围产科和孕产妇医学
- 生殖健康和流行病学
- 临床信息学和健康数据科学
背景情况:
- 过早分娩 (PTB) 是导致婴儿死亡的主要原因,其复杂的,往往未知的生物途径.
- 区分自发性和医疗指示性PTB对于理解风险因素至关重要.
- 以前的研究受到了数据可用性和分类挑战的限制.
研究的目的:
- 为了确定与早产相关的孕产前诊断.
- 调查自发性和指示性PTBs之间的风险因素关联的差异.
- 为了利用EHR数据对PTB病理生理学的新见解.
主要方法:
- 对来自10,643个出生的EHR数据进行了后勤回归分析.
- 孕产妇诊断 (ICD-9/10代码) 和PTB之间的量化关联.
- 对母亲的年龄和社会经济因素进行控制.
主要成果:
- 18种孕产妇疾病与PTB有着强烈的关联 (FDR<0.05).
- 已知关联 (高血压,糖尿病) 和不太确定的 (心脏,肝脏疾病) 被确定.
- 1型糖尿病显示出最强的关联 (aOR=7);关联主要是由指示的PTB驱动的,而不是自发的PTB.
结论:
- 结合自发性和指示性PTBs掩盖了重要的病因差异.
- 未来的研究应该专注于自发性PTB,以发现新的途径并了解其异质性.
- 这种方法可以帮助确定有针对性的干预措施的风险人群.
相关概念视频
Background and Environment Affect Phenotype
6.5K
Although the genetic makeup of an organism plays a major role in determining the phenotype, there are also several environmental factors, such as temperature, oxygen availability, presence of mutagens, that can alter an organism’s phenotype.
An example of how genetic background affects phenotype can be seen in horses. The Extension gene in horses is responsible for their coat color. A wild-type gene (EE) produces black pigment in the coat, while a mutant gene (ee) produces red pigment. A...
An example of how genetic background affects phenotype can be seen in horses. The Extension gene in horses is responsible for their coat color. A wild-type gene (EE) produces black pigment in the coat, while a mutant gene (ee) produces red pigment. A...
6.5K
Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
Teratogenicity
2.5K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
2.5K
Genome-wide Association Studies-GWAS
13.5K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.5K


