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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Main Authors: Mehri Rejali, Marjan Mansourian, Zohre Babaei, Babak Eshrati
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:International Journal of Preventive Medicine
Subjects:
Online Access:http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2017;volume=8;issue=1;spage=53;epage=53;aulast=Rejali
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author Mehri Rejali
Marjan Mansourian
Zohre Babaei
Babak Eshrati
author_facet Mehri Rejali
Marjan Mansourian
Zohre Babaei
Babak Eshrati
author_sort Mehri Rejali
collection DOAJ
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 doaj.art-c75ef9dc330d4849acb638c26fcb0bc02022-12-21T17:26:25ZengWolters Kluwer Medknow PublicationsInternational Journal of Preventive Medicine2008-78022008-82132017-01-0181535310.4103/ijpvm.IJPVM_146_16Prediction of low birth weight delivery by maternal status and its validation: Decision curve analysisMehri RejaliMarjan MansourianZohre BabaeiBabak EshratiBackground: 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.http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2017;volume=8;issue=1;spage=53;epage=53;aulast=RejaliDecision curve analysislow birth weightmaternal statusvalidation
spellingShingle Mehri Rejali
Marjan Mansourian
Zohre Babaei
Babak Eshrati
Prediction of low birth weight delivery by maternal status and its validation: Decision curve analysis
International Journal of Preventive Medicine
Decision curve analysis
low birth weight
maternal status
validation
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 Decision curve analysis
low birth weight
maternal status
validation
url http://www.ijpvmjournal.net/article.asp?issn=2008-7802;year=2017;volume=8;issue=1;spage=53;epage=53;aulast=Rejali
work_keys_str_mv AT mehrirejali predictionoflowbirthweightdeliverybymaternalstatusanditsvalidationdecisioncurveanalysis
AT marjanmansourian predictionoflowbirthweightdeliverybymaternalstatusanditsvalidationdecisioncurveanalysis
AT zohrebabaei predictionoflowbirthweightdeliverybymaternalstatusanditsvalidationdecisioncurveanalysis
AT babakeshrati predictionoflowbirthweightdeliverybymaternalstatusanditsvalidationdecisioncurveanalysis