怀孕期间维生素D变化的影响对母亲不良事件的发展:随机森林分析
Nasrin Borumandnia1,2, Maryam Rostami3, Atefeh Talebi4
1Urology and Nephrology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC pregnancy and childbirth
|February 10, 2024
概括
怀孕期间母亲的维生素D水平显著影响不良事件. 监测和治疗维生素D缺乏可能有助于预防这些风险.
科学领域:
- 产科和妇科 产科和妇科
- 营养科学 营养科学
- 公共卫生 公共卫生
背景情况:
- 母亲的维生素D缺乏与不良妊娠结果有关.
- 关于维生素D补充对这些结果的影响的证据仍然是不确定的.
研究的目的:
- 评估怀孕期间母亲维生素D变化对母亲不良事件 (MAE) 的影响.
- 评估MAE随机森林模型的预测性能.
主要方法:
- 使用403个MAE病例和403个对照的病例控制设计进行二次分析.
- 随机森林 (RF) 分析以确定维生素D变化对MAE的影响.
- 使用AUC,灵敏度和特异性的RF模型性能评估.
主要成果:
- 持续缺乏或维生素D状况恶化的女性经历了更多的MAE.
- 射频模型在预测MAE方面表现中等至高 (AUC0.74) .
- 缩血压,腹缩血压和维生素D的变化是MAE的关键预测因素.
结论:
- 怀孕期间母亲维生素D状况的变化显著影响MAE.
- 监测和治疗维生素D缺乏症可能是MAE的预防策略.
- 开发的RF模型显示了预测MAE风险的前景.
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