دورية أكاديمية
Longitudinal study of computerized cardiotocography in early fetal growth restriction
| العنوان: | Longitudinal study of computerized cardiotocography in early fetal growth restriction |
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| المؤلفون: | Wolf, H., Arabin, B., Lees, C. C., Oepkes, D., Prefumo, F., Thilaganathan, B., Todros, T., Visser, G. H. A., Bilardo, C. M., Derks, J. B., Diemert, A., Duvekot, J. J., Ferrazzi, E., Frusca, T., Hecher, K., Marlow, N., Martinelli, P., Ostermayer, E., Papageorghiou, A. T., Scheepers, H. C. J., Schlembach, D., Schneider, K. T. M., Valcamonico, A., van Wassenaer-Leemhuis, A., Ganzevoort, W., Aktas, Ayse, Borgione, Silvia, Brezinka, Christoph, Calvert, Sandra, Chaoui, Rabih, Cornette, Jerome M. J., Diehl, Thilo, van Eyck, Jim, Fratelli, Nicola, van Haastert, Inge-Lot, Johnson, Samantha, Lobmaier, Silvia, Lopriore, Enrico, Mansi, Giuseppina, Missfelder-Lobos, Hannah, Martelli, Paola, Maso, Gianpaolo, Maurer-Fellbaum, Ute, van Charante, Nico Mensing, De Tollenaer, Susanne Mulder, Moore, Tamanna, Napolitano, Raffaele, Oberto, Manuela, Ogge, Giovanna, van der Post, Joris, Preston, Lucy, Raimondi, Francesco, Reiss, Irwin K. M., Rigano, Serena, Schuit, Ewoud, Skabar, Aldo, Spaanderman, Marc, Weisglas–Kuperus, Nynke, Zimmermann, Andrea |
| المساهمون: | H. Wolf, B. Arabin, C.C. Lee, D. Oepke, F. Prefumo, B. Thilaganathan, T. Todro, G.H.A. Visser, C.M. Bilardo, J.B. Derk, A. Diemert, J.J. Duvekot, E. Ferrazzi, T. Frusca, K. Hecher, N. Marlow, P. Martinelli, E. Ostermayer, A.T. Papageorghiou, H.C.J. Scheeper, D. Schlembach, K.T.M. Schneider, A. Valcamonico, A. van Wassenaer-Leemhui, W. Ganzevoort, A. Akta, S. Borgione, C. Brezinka, S. Calvert, R. Chaoui, J.M.J. Cornette, T. Diehl, J. van Eyck, N. Fratelli, I. van Haastert, S. Johnson, S. Lobmaier, E. Lopriore, G. Mansi, H. Missfelder-Lobo, P. Martelli, G. Maso, U. Maurer-Fellbaum, N.M. van Charante, S.M. De Tollenaer, T. Moore, R. Napolitano, M. Oberto, G. Ogge, J. van der Post, L. Preston, F. Raimondi, I.K.M. Rei, S. Rigano, E. Schuit, A. Skabar, M. Spaanderman, N. Weisglas–kuperu, A. Zimmermann |
| بيانات النشر: | Wiley |
| سنة النشر: | 2017 |
| المجموعة: | The University of Milan: Archivio Istituzionale della Ricerca (AIR) |
| مصطلحات موضوعية: | cardiotocography, ductus venosu, fetal growth restriction, fetal monitoring, preterm, short-term variation, Adult, Child, Preschool, Female, Fetal Growth Retardation, Fetal Heart, Heart Rate, Fetal, Human, Infant, Newborn, Longitudinal Studie, Middle Cerebral Artery, Pregnancy, Pregnancy Outcome, Pulsatile Flow, Survival Analysi, Ultrasonography, Prenatal, Radiological and Ultrasound Technology, Reproductive Medicine, Radiology, Nuclear Medicine and Imaging, Obstetrics and Gynecology |
| الوصف: | Objectives: To explore whether, in early fetal growth restriction (FGR), the longitudinal pattern of fetal heart rate (FHR) short-term variation (STV) can be used to identify imminent fetal distress and whether abnormalities of FHR recordings are associated with 2-year infant outcome. Methods: The original TRUFFLE study assessed whether, in early FGR, delivery based on ductus venosus (DV) Doppler pulsatility index (PI), in combination with safety-net criteria of very low STV on cardiotocography (CTG) and/or recurrent FHR decelerations, could improve 2-year infant survival without neurological impairment in comparison with delivery based on CTG monitoring only. This was a secondary analysis of women who delivered before 32 weeks and had consecutive STV data recorded > 3 days before delivery and known infant outcome at 2 years of age. Women who received corticosteroids within 3 days of delivery were excluded. Individual regression line algorithms of all STV values, except the last one before delivery, were calculated. Life tables and Cox regression analysis were used to calculate the daily risk for low STV or very low STV and/or FHR decelerations (below DV group safety-net criteria) and to assess which parameters were associated with this risk. Furthermore, it was assessed whether STV pattern, last STV value or recurrent FHR decelerations were associated with 2-year infant outcome. Results: One hundred and forty-nine women from the original TRUFFLE study met the inclusion criteria. Using the individual STV regression lines, prediction of a last STV below the cut-off used by the CTG monitoring group had sensitivity of 42% and specificity of 91%. For each day after study inclusion, the median risk for low STV (CTG group cut-off) was 4% (interquartile range (IQR), 2–7%) and for very low STV and/or recurrent FHR decelerations (below DV group safety-net criteria) was 5% (IQR, 4–7%). Measures of STV pattern, fetal Doppler (arterial or venous), birth-weight multiples of the median and gestational age did not usefully ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/27484356; info:eu-repo/semantics/altIdentifier/wos/WOS:000404985500009; volume:50; issue:1; firstpage:71; lastpage:78; numberofpages:8; journal:ULTRASOUND IN OBSTETRICS & GYNECOLOGY; http://hdl.handle.net/2434/623921Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85021781575 |
| DOI: | 10.1002/uog.17215 |
| الإتاحة: | https://doi.org/10.1002/uog.17215Test http://hdl.handle.net/2434/623921Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.E17ED374 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1002/uog.17215 |
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