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Prediction of Low Birth Weight Delivery by Maternal Status and Its Validation: Decision Curve Analysis

BACKGROUND: In this study, we evaluated assessed elements connected with low birth weight (LBW) and used decision curve analysis (DCA) to define a scale to anticipate the probability of having a LBW newborn child. METHODS: This hospital-based case–control study was led in Arak Hospital in Iran. The...

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Autores principales: Rejali, Mehri, Mansourian, Marjan, Babaei, Zohre, Eshrati, Babak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553248/
https://www.ncbi.nlm.nih.gov/pubmed/28928911
http://dx.doi.org/10.4103/ijpvm.IJPVM_146_16
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author Rejali, Mehri
Mansourian, Marjan
Babaei, Zohre
Eshrati, Babak
author_facet Rejali, Mehri
Mansourian, Marjan
Babaei, Zohre
Eshrati, Babak
author_sort Rejali, Mehri
collection PubMed
description BACKGROUND: In this study, we evaluated assessed elements connected with low birth weight (LBW) and used decision curve analysis (DCA) to define a scale to anticipate the probability of having a LBW newborn child. METHODS: This hospital-based case–control study was led in Arak Hospital in Iran. The study included 470 mothers with LBW neonate and 470 mothers with natural neonates. Information were gathered by meeting moms utilizing preplanned organized questionnaire and from hospital records. The estimated probabilities of detecting LBW were calculated using the logistic regression and DCA to quantify the clinical consequences and its validation. RESULTS: Factors significantly associated with LBW were premature membrane rupture (odds ratio [OR] = 3.18 [1.882–5.384]), former LBW infants (OR = 2.99 [1.510–5.932]), premature pain (OR = 2.70 [1.659–4.415]), hypertension in pregnancy (OR = 2.39 [1.429–4.019]), last trimester of pregnancy bleeding (OR = 2.58 [1.018–6.583]), mother age >30 (OR = 2.17 [1.350–3.498]). However, with DCA, the prediction model made on these 15 variables has a net benefit (NB) of 0.3110 is best predictive with the highest NB. NB has simple clinical interpretation and utilizing the model is what might as well be called a procedure that distinguished what might as well be called 31.1 LBW per 100 cases with no superfluous recognize. CONCLUSIONS: It is conceivable to foresee LBW utilizing a prediction model show in light of noteworthy hazard components connected with LBW. The majority of the hazard elements for LBW are preventable, and moms can be alluded amid early pregnancy to a middle which is furnished with facilities for administration of high hazard pregnancy and LBW infant.
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spelling pubmed-55532482017-09-19 Prediction of Low Birth Weight Delivery by Maternal Status and Its Validation: Decision Curve Analysis Rejali, Mehri Mansourian, Marjan Babaei, Zohre Eshrati, Babak Int J Prev Med Original Article BACKGROUND: In this study, we evaluated assessed elements connected with low birth weight (LBW) and used decision curve analysis (DCA) to define a scale to anticipate the probability of having a LBW newborn child. METHODS: This hospital-based case–control study was led in Arak Hospital in Iran. The study included 470 mothers with LBW neonate and 470 mothers with natural neonates. Information were gathered by meeting moms utilizing preplanned organized questionnaire and from hospital records. The estimated probabilities of detecting LBW were calculated using the logistic regression and DCA to quantify the clinical consequences and its validation. RESULTS: Factors significantly associated with LBW were premature membrane rupture (odds ratio [OR] = 3.18 [1.882–5.384]), former LBW infants (OR = 2.99 [1.510–5.932]), premature pain (OR = 2.70 [1.659–4.415]), hypertension in pregnancy (OR = 2.39 [1.429–4.019]), last trimester of pregnancy bleeding (OR = 2.58 [1.018–6.583]), mother age >30 (OR = 2.17 [1.350–3.498]). However, with DCA, the prediction model made on these 15 variables has a net benefit (NB) of 0.3110 is best predictive with the highest NB. NB has simple clinical interpretation and utilizing the model is what might as well be called a procedure that distinguished what might as well be called 31.1 LBW per 100 cases with no superfluous recognize. CONCLUSIONS: It is conceivable to foresee LBW utilizing a prediction model show in light of noteworthy hazard components connected with LBW. The majority of the hazard elements for LBW are preventable, and moms can be alluded amid early pregnancy to a middle which is furnished with facilities for administration of high hazard pregnancy and LBW infant. Medknow Publications & Media Pvt Ltd 2017-07-25 /pmc/articles/PMC5553248/ /pubmed/28928911 http://dx.doi.org/10.4103/ijpvm.IJPVM_146_16 Text en Copyright: © 2017 International Journal of Preventive Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Rejali, Mehri
Mansourian, Marjan
Babaei, Zohre
Eshrati, Babak
Prediction of Low Birth Weight Delivery by Maternal Status and Its Validation: Decision Curve Analysis
title Prediction of Low Birth Weight Delivery by Maternal Status and Its Validation: Decision Curve Analysis
title_full Prediction of Low Birth Weight Delivery by Maternal Status and Its Validation: Decision Curve Analysis
title_fullStr Prediction of Low Birth Weight Delivery by Maternal Status and Its Validation: Decision Curve Analysis
title_full_unstemmed Prediction of Low Birth Weight Delivery by Maternal Status and Its Validation: Decision Curve Analysis
title_short Prediction of Low Birth Weight Delivery by Maternal Status and Its Validation: Decision Curve Analysis
title_sort prediction of low birth weight delivery by maternal status and its validation: decision curve analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553248/
https://www.ncbi.nlm.nih.gov/pubmed/28928911
http://dx.doi.org/10.4103/ijpvm.IJPVM_146_16
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