确定妊娠糖尿病和妊娠高血压障碍综合风险预测工具的预测变量:修改后的Delphi研究
Stephanie Cowan1, Sarah Lang1, Rebecca Goldstein1,2
1Monash Centre for Health Research and Implementation, School of Clinical Sciences, Monash University, Mulgrave, VIC 3170, Australia.
Healthcare (Basel, Switzerland)
|July 13, 2024
概括
这项研究确定了15个关键变量来预测怀孕早期心脏代谢风险,包括母亲因素和病史. 这些预测因素将成为早期查妊娠糖尿病和妊娠高血压疾病的复合工具.
科学领域:
- 产科和妇科 产科和妇科
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
背景情况:
- 怀孕期间心脏代谢风险,包括妊娠期糖尿病和妊娠高血压疾病,需要及早识别才能进行有效的干预.
- 一个复合风险预测工具,用于第一季度的风险可以系统地识别处于风险的妇女.
研究的目的:
- 识别和选择预测变量为一个复合心脏代谢风险预测工具用于怀孕的第一季度.
- 开发一种用于早期查和干预妊娠糖尿病和/或妊娠高血压疾病的工具.
主要方法:
- 一项两轮修改的在线Delphi研究,涉及多学科专家 (n=31).
- 一个系统的文献审查,以产生初始预测变量.
- 在线调查和会议以评估变量的临床重要性,可行性和可接受性.
主要成果:
- 考虑了24个变量,最终选择了15个用于预测工具.
- 选择的变量包括母亲人口统计学,怀孕前史,产科史,生化和血液动力学测量.
- 最后的15个变量是基于证据,临床相关,并定期收集.
结论:
- 选择的15个变量将为开发早期怀孕的复合心脏代谢风险预测工具提供信息.
- 该工具旨在促进对风险增加的妇女的系统识别和早期干预.
- 专注于例行收集的数据增强了该工具在临床环境中的实际应用性.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.3K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.3K
Pathophysiology of Diabetes
917
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
917
Diabetes: Symptoms, Diagnosis, and Complications
521
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
521
Diabetes Mellitus: Overview and Type I Subtype
2.5K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.5K
Genome-wide Association Studies-GWAS
13.3K
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...
13.3K
Multiple Regression
3.0K
Multiple regression assesses a linear relationship between one response or dependent variable and two or more independent variables. It has many practical applications.
Farmers can use multiple regression to determine the crop yield based on more than one factor, such as water availability, fertilizer, soil properties, etc. Here, the crop yield is the response or dependent variable as it depends on the other independent variables. The analysis requires the construction of a scatter plot...
Farmers can use multiple regression to determine the crop yield based on more than one factor, such as water availability, fertilizer, soil properties, etc. Here, the crop yield is the response or dependent variable as it depends on the other independent variables. The analysis requires the construction of a scatter plot...
3.0K


