Performance of the fullPIERS model in predicting adverse maternal outcomes in pre-eclampsia using patient data from the PIERS (Pre-eclampsia Integrated Estimate of RiSk) cohort, collected on admission

被引：30

作者：

Payne, B. ^{[1
,2
]}

Hodgson, S. ^{[1
]}

Hutcheon, J. A. ^{[1
,2
]}

Joseph, K. S. ^{[1
,2
,3
]}

Li, J. ^{[1
]}

Lee, T. ^{[1
]}

Magee, L. A. ^{[1
,2
,3
,4
]}

Qu, Z. ^{[1
]}

von Dadelszen, P. ^{[1
,2
,3
]}

机构：

[1] Univ British Columbia, Dept Obstet & Gynaecol, Vancouver, BC V5Z 1M9, Canada

[2] Univ British Columbia, CFRI Reprod & Hlth Pregnancy Cluster, Vancouver, BC V5Z 1M9, Canada

[3] Univ British Columbia, Sch Publ & Populat Hlth, Vancouver, BC V5Z 1M9, Canada

[4] Univ British Columbia, Dept Med, Vancouver, BC, Canada

来源：

BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY | 2013年 / 120卷 / 01期

关键词：

Patient care management; PIERS; pre-eclampsia; prognosis;

D O I：

10.1111/j.1471-0528.2012.03496.x

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The fullPIERS (Pre-eclampsia Integrated Estimate of RiSk) model is a promising tool for the prediction of adverse outcomes in pre-eclampsia, developed using the worst values for predictor variables measured within 48 hours of admission. We reassessed the performance of fullPIERS using predictor variables obtained within 6 and 24 hours of admission, and found that the stratification capacity, calibration ability, and classification accuracy of the model remained high. The fullPIERS model is accurate as a rule-in test for adverse maternal outcome, with a likelihood ratio of 14.8 (95% CI 9.124.1) or 17.5 (95% CI 11.726.3) based on 6- and 24-hour data, respectively, for the women identified to be at highest risk (predicted probability =30%).

引用

页码：113 / 118

页数：6

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