000149013 001__ 149013 000149013 005__ 20250130163245.0 000149013 0247_ $$2doi$$a10.1159/000500453 000149013 0248_ $$2sideral$$a111594 000149013 037__ $$aART-2020-111594 000149013 041__ $$aeng 000149013 100__ $$0(orcid)0000-0001-9585-0187$$aSavirón Cornudella, Ricardo$$uUniversidad de Zaragoza 000149013 245__ $$aDetection of adverse perinatal outcomes at term delivery using ultrasound estimated percentile weight at 35 weeks of gestation: Comparison of five fetal growth standards 000149013 260__ $$c2020 000149013 5060_ $$aAccess copy available to the general public$$fUnrestricted 000149013 5203_ $$aObjective: To assess the predictive ability of the ultrasound estimated percentile weight (EPW) at 35 weeks of pregnancy to predict adverse perinatal outcomes (APOs) at term delivery according to 5 fetal growth standards, including population, population-customized, and international references. 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 APOs according to: the customized and noncustomized (NC) Miguel Servet University Hospital (MSUH), the customized Figueras, the NC INTERGROWTH-21st, and the NC World Health Organization (WHO) international standards. APOs were defined as the occurrence of cesarean or instrumental delivery for nonreassuring fetal status, 5-min Apgar score < 7, arterial cord blood pH <7.10, or stillbirth. The predictive ability of EPW for APOs was analyzed using the area under the curve (AUC), and sensitivities were calculated for different false-positive rates (FPRs). Results: For a 10% FPR, detection rates for total APOs ranged between 12.7% with the customized MSUH (AUC 0.52; 95% CI 0.50–0.55) and 14.4% with the NC MSUH standard (AUC 0.55; 95% CI 0.53–0.57) for EPW by ultrasound; and from 22.0% with the customized MSUH standard (AUC 0.60; 95% CI 0.58–0.63) to 27.8% with the NC WHO (AUC 0.65; 95% CI 0.63–0.68) for EPW at delivery. Conclusions: The predictive capacity of the EPW for APOS is limited and similar, by both ultrasound and at delivery, for the 5 growth standards, without significant differences between customized and NC standards. 000149013 536__ $$9info:eu-repo/grantAgreement/ES/DGA/Modelos Estocásticos$$9info:eu-repo/grantAgreement/ES/MICINN/MTM2017-83812-P 000149013 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000149013 590__ $$a2.587$$b2020 000149013 591__ $$aOBSTETRICS & GYNECOLOGY$$b47 / 83 = 0.566$$c2020$$dQ3$$eT2 000149013 592__ $$a0.975$$b2020 000149013 593__ $$aEmbryology$$c2020$$dQ1 000149013 593__ $$aMedicine (miscellaneous)$$c2020$$dQ1 000149013 593__ $$aRadiology, Nuclear Medicine and Imaging$$c2020$$dQ1 000149013 593__ $$aPediatrics, Perinatology and Child Health$$c2020$$dQ1 000149013 593__ $$aObstetrics and Gynecology$$c2020$$dQ1 000149013 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000149013 700__ $$0(orcid)0000-0002-3007-302X$$aEsteban Escaño, Luis Mariano 000149013 700__ $$0(orcid)0000-0003-4720-8231$$aTajada Duaso, Mauricio$$uUniversidad de Zaragoza 000149013 700__ $$0(orcid)0000-0002-9048-121X$$aCastán Mateo, Sergio$$uUniversidad de Zaragoza 000149013 700__ $$aDieste Perez, Peña$$uUniversidad de Zaragoza 000149013 700__ $$aCotaina Gracia, Laura 000149013 700__ $$0(orcid)0000-0003-0691-0251$$aLerma Puertas, Diego$$uUniversidad de Zaragoza 000149013 700__ $$0(orcid)0000-0002-6474-2252$$aSanz Saiz, Gerardo$$uUniversidad de Zaragoza 000149013 700__ $$0(orcid)0000-0002-2801-416X$$aPérez López, Faustino 000149013 7102_ $$12007$$2265$$aUniversidad de Zaragoza$$bDpto. Métodos Estadísticos$$cÁrea Estadís. Investig. Opera. 000149013 7102_ $$11003$$2027$$aUniversidad de Zaragoza$$bDpto. Anatom.Histolog.Humanas$$cArea Anatom.Embriol.Humana 000149013 7102_ $$11013$$2645$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Obstetricia y Ginecología 000149013 773__ $$g47, 2 (2020), 104-114$$pFetal diagn. ther.$$tFetal Diagnosis and Therapy$$x1015-3837 000149013 8564_ $$s499254$$uhttps://zaguan.unizar.es/record/149013/files/texto_completo.pdf$$yVersión publicada 000149013 8564_ $$s2227272$$uhttps://zaguan.unizar.es/record/149013/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000149013 909CO $$ooai:zaguan.unizar.es:149013$$particulos$$pdriver 000149013 951__ $$a2025-01-30-16:31:08 000149013 980__ $$aARTICLE