000107326 001__ 107326
000107326 005__ 20240705134133.0
000107326 0247_ $$2doi$$a10.1159/000510020
000107326 0248_ $$2sideral$$a120322
000107326 037__ $$aART-2021-120322
000107326 041__ $$aeng
000107326 100__ $$0(orcid)0000-0001-9585-0187$$aSavirón-Cornudella, R.$$uUniversidad de Zaragoza
000107326 245__ $$aPrediction of large for gestational age by ultrasound at 35 weeks and impact of ultrasound-delivery interval: Comparison of 6 standards
000107326 260__ $$c2021
000107326 5060_ $$aAccess copy available to the general public$$fUnrestricted
000107326 5203_ $$aObjective: The aim of the study was to assess the predictive ability of the ultrasound estimated percentile weight (EPW) at 35 weeks to predict large for gestational age (LGA) at term delivery according to 6 growth standards, including population, population-customized, and international references. The secondary objectives were to determine its predictive ability to detect adverse perinatal outcomes (APOs) and whether the ultrasound-delivery interval influences the detection rate of LGA newborns.
Methods: This was a retrospective cohort study of 9, 585 singleton pregnancies. Maternal clinical characteristics, fetal ultrasound data obtained at 35 weeks, and pregnancy and perinatal outcomes were used to calculate EPWs to predict LGAs at delivery according to the customized and the non-customized (NC) Miguel Servet University Hospital (MSUH), the customized Figueras, the NC Fetal Medicine Foundation (FMF), the NC INTERGROWTH-21st, and the NC World Health Organization (WHO) standards.
Results: For a 10% false-positive rate, detection rates for total LGAs at delivery ranged from 31.2% with the WHO (area under the curve [AUC] 0.77; 95% confidence interval [CI], 0.76-0.79) to 56.5% with the FMF standard (AUC 0.85; 95% CI, 0.84-0.86). Detection rates and values of AUCs to predict LGAs by ultrasound-delivery interval (range 1-6 weeks) show higher detection rates as the interval decreases. APO detection rates ranged from 2.5% with the WHO to 12.6% with the Figueras standard.
Conclusion: The predictive ability of ultrasound estimated fetal weight at 35 weeks to detect LGA infants is significantly greater for FMF and MSUH NC standards. In contrast, the APO detection rate is significantly greater for customized standards. The shorter ultrasound-delivery interval relates to better prediction rates.
000107326 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000107326 590__ $$a2.208$$b2021
000107326 591__ $$aOBSTETRICS & GYNECOLOGY$$b66 / 85 = 0.776$$c2021$$dQ4$$eT3
000107326 594__ $$a4.2$$b2021
000107326 592__ $$a0.935$$b2021
000107326 593__ $$aEmbryology$$c2021$$dQ1
000107326 593__ $$aRadiology, Nuclear Medicine and Imaging$$c2021$$dQ1
000107326 593__ $$aPediatrics, Perinatology and Child Health$$c2021$$dQ1
000107326 593__ $$aMedicine (miscellaneous)$$c2021$$dQ1
000107326 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000107326 700__ $$0(orcid)0000-0002-3007-302X$$aEsteban, L.M.
000107326 700__ $$0(orcid)0000-0003-1415-146X$$aAznar-Gimeno, R.
000107326 700__ $$aDieste Pérez, P.$$uUniversidad de Zaragoza
000107326 700__ $$0(orcid)0000-0002-2801-416X$$aPérez-López, F.R.
000107326 700__ $$aCastán-Larraz, B.
000107326 700__ $$0(orcid)0000-0002-6474-2252$$aSanz, G.$$uUniversidad de Zaragoza
000107326 700__ $$0(orcid)0000-0003-4720-8231$$aTajada-Duaso, M.$$uUniversidad de Zaragoza
000107326 7102_ $$12007$$2265$$aUniversidad de Zaragoza$$bDpto. Métodos Estadísticos$$cÁrea Estadís. Investig. Opera.
000107326 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana
000107326 7102_ $$11013$$2645$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Obstetricia y Ginecología
000107326 773__ $$g48, 1 (2021), 15-23$$pFetal diagn. ther.$$tFetal Diagnosis and Therapy$$x1015-3837
000107326 85641 $$uhttps://pubmed.ncbi.nlm.nih.gov/32898848/$$zTexto completo de la revista
000107326 8564_ $$s403630$$uhttps://zaguan.unizar.es/record/107326/files/texto_completo.pdf$$yPostprint
000107326 8564_ $$s2302423$$uhttps://zaguan.unizar.es/record/107326/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint
000107326 909CO $$ooai:zaguan.unizar.es:107326$$particulos$$pdriver
000107326 951__ $$a2024-07-05-12:44:49
000107326 980__ $$aARTICLE