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Fetal weight estimation by ultrasound: development of Indian population-based models
Ultrasonography ; : 50-57, 2019.
Artículo en Inglés | WPRIM | ID: wpr-731041
ABSTRACT

PURPOSE:

Existing ultrasound-based fetal weight estimation models have been shown to have high errors when used in the Indian population. Therefore, the primary objective of this study was to develop Indian population-based models for fetal weight estimation, and the secondary objective was to compare their performance against established models.

METHODS:

Retrospectively collected data from 173 cases were used in this study. The inclusion criteria were a live singleton pregnancy and an interval from the ultrasound scan to delivery of ≤7 days. Multiple stepwise regression (MSR) and lasso regression methods were used to derive fetal weight estimation models using a randomly selected training group (n=137) with cross-products of abdominal circumference (AC), biparietal diameter (BPD), head circumference (HC), and femur length (FL) as independent variables. In the validation group (n=36), the bootstrap method was used to compare the performance of the new models against 12 existing models.

RESULTS:

The equations for the best-fit models obtained using the MSR and lasso methods were as follows log₁₀(EFW)=2.7843700+0.0004197(HC×AC)+0.0008545(AC×FL) and log₁₀(EFW)=2.38 70211110+0.0074323216(HC)+0.0186555940(AC)+0.0013463735(BPD×FL)+0.0004519715 (HC×FL), respectively. In the training group, both models had very low systematic errors of 0.01% (±7.74%) and −0.03% (±7.70%), respectively. In the validation group, the performance of these models was found to be significantly better than that of the existing models.

CONCLUSION:

The models presented in this study were found to be superior to existing models of ultrasound-based fetal weight estimation in the Indian population. We recommend a thorough evaluation of these models in independent studies.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Análisis de Regresión / Estudios Retrospectivos / Modelos Estadísticos / Ultrasonografía Prenatal / Ultrasonografía / Peso Fetal / Fémur / Cabeza / India / Métodos Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Embarazo País/Región como asunto: Asia Idioma: Inglés Revista: Ultrasonography Año: 2019 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Análisis de Regresión / Estudios Retrospectivos / Modelos Estadísticos / Ultrasonografía Prenatal / Ultrasonografía / Peso Fetal / Fémur / Cabeza / India / Métodos Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Embarazo País/Región como asunto: Asia Idioma: Inglés Revista: Ultrasonography Año: 2019 Tipo del documento: Artículo