Document Detail


Combination of fetal Doppler velocimetric resistance values predict acidemic growth-restricted neonates.
MedLine Citation:
PMID:  16870888     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study was undertaken to determine the efficacy of combination Doppler velocimetric resistance values of the umbilical artery and ductus venosus in predicting growth-restricted neonates with acidemia. METHODS: This retrospective case-control study included 61 gravidas complicated by intrauterine growth restriction with acidemia and 65 control pregnancies. The Doppler velocimetric resistance values obtained from the growth-restricted and control fetuses were in turn compared with the median values derived from another 192 normal pregnancies to adjust the biometric bias due to gestational age. RESULTS: Based on the pulsatility index of the umbilical artery and pulsatility index for the vein of the ductus venosus, the areas under the receiver operating characteristic curves were 0.7992 and 0.6749, respectively, for predicting growth-restricted neonates with acidemia. With a combination of the pulsatility indices of the umbilical artery and the pulsatility indices for the vein of the ductus venosus, the predictive accuracy of the growth-restricted neonates with acidemia increased, with sensitivity of 0.79 and specificity of 0.79 and an area under the receiver operating characteristic curve of 0.8441. CONCLUSIONS: Compared with single-vessel assessment, combining the pulsatility indices of the umbilical artery and the pulsatility indices for the vein of the ductus venosus provides the greatest accuracy in predicting growth-restricted neonates with acidemia.
Authors:
Jeng Hsiu Hung; Chong Yau Fu; Jamie Hung
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine     Volume:  25     ISSN:  0278-4297     ISO Abbreviation:  J Ultrasound Med     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-27     Completed Date:  2006-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8211547     Medline TA:  J Ultrasound Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  957-62     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei 112, Taiwan. jhhung@vghtpe.gov.tw
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MeSH Terms
Descriptor/Qualifier:
Acidosis / blood,  physiopathology*
Adult
Case-Control Studies
Female
Fetal Growth Retardation / physiopathology,  ultrasonography*
Humans
Infant, Newborn
Predictive Value of Tests
Pregnancy
ROC Curve
Retrospective Studies
Ultrasonography, Doppler
Ultrasonography, Prenatal / methods*
Umbilical Arteries / physiopathology*
Umbilical Veins / physiopathology*
Vascular Resistance

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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