149013 20250130163245.0 doi 10.1159/000500453 sideral 111594 ART-2020-111594 eng Savirón Cornudella, Ricardo Universidad de Zaragoza (orcid)0000-0001-9585-0187 Detection of adverse perinatal outcomes at term delivery using ultrasound estimated percentile weight at 35 weeks of gestation: Comparison of five fetal growth standards 2020 Access copy available to the general public Unrestricted Objective: 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. info:eu-repo/grantAgreement/ES/DGA/Modelos Estocásticos info:eu-repo/grantAgreement/ES/MICINN/MTM2017-83812-P info:eu-repo/semantics/openAccess All rights reserved http://www.europeana.eu/rights/rr-f/ 2.587 2020 OBSTETRICS & GYNECOLOGY 47 / 83 = 0.566 2020 Q3 T2 0.975 2020 Embryology 2020 Q1 Medicine (miscellaneous) 2020 Q1 Radiology, Nuclear Medicine and Imaging 2020 Q1 Pediatrics, Perinatology and Child Health 2020 Q1 Obstetrics and Gynecology 2020 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Esteban Escaño, Luis Mariano (orcid)0000-0002-3007-302X Tajada Duaso, Mauricio Universidad de Zaragoza (orcid)0000-0003-4720-8231 Castán Mateo, Sergio Universidad de Zaragoza (orcid)0000-0002-9048-121X Dieste Perez, Peña Universidad de Zaragoza Cotaina Gracia, Laura Lerma Puertas, Diego Universidad de Zaragoza (orcid)0000-0003-0691-0251 Sanz Saiz, Gerardo Universidad de Zaragoza (orcid)0000-0002-6474-2252 Pérez López, Faustino (orcid)0000-0002-2801-416X 2007 265 Universidad de Zaragoza Dpto. Métodos Estadísticos Área Estadís. Investig. Opera. 1003 027 Universidad de Zaragoza Dpto. Anatom.Histolog.Humanas Area Anatom.Embriol.Humana 1013 645 Universidad de Zaragoza Dpto. Cirugía Área Obstetricia y Ginecología 47, 2 (2020), 104-114 Fetal diagn. ther. Fetal Diagnosis and Therapy 1015-3837 499254 http://zaguan.unizar.es/record/149013/files/texto_completo.pdf Versión publicada 2227272 http://zaguan.unizar.es/record/149013/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:149013 articulos driver 2025-01-30-16:31:08 ARTICLE