Les courbes ajustées individuelles : une alternative aux courbes standards pour le dépistage échographique des anomalies de croissance : étude rétrospective à la Maternité Régionale Universitaire de Nancy

Abstract : INTRODUCTION: Prediction fetus suggests that abnormal growth in fetuses is an increasingly common major challenge in antenatal care. How do we set a reliable standard for identification? Jason Gardosi suggested adjusting individual reference curves. Our objective was to compare the standard curves to customised curves as a quality of screening of newborns risking perinatal complications. STUDY DESIGN: We have conducted a retrospective study involving 209 pregnant womenfolders (38-42 SA) at Academic Regional Maternity of Nancyfrom 1stJanuary to 31st December 2013. We have excluded all files in which external conditions may have affected the fetal growth.RESULTS: The customised curves had a better specificity in the short-term perinatal outcome as well as a better positive predictive value. Therefore, the probability of being sick when the fetus has a growth anomaly on its custom curve is much greater than the probability of getting sick when it is off limits to the reference standard curves. However, they don’t have the sensitivity and negative predictive value expected. DISCUSSION: Thus, the customised growth curves have their interest in the diagnosisof growth abnormalities. Nevertheless, their interest is less relevant than the standard curves for screening growth abnormalities.
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Master thesis
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http://docnum.univ-lorraine.fr/prive/BUMED_MESF_2015_COLIN_CAMILLE.pdf
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https://hal.univ-lorraine.fr/hal-01772402
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Submitted on : Friday, April 20, 2018 - 11:52:09 AM
Last modification on : Friday, April 20, 2018 - 11:52:09 AM

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Camille Colin. Les courbes ajustées individuelles : une alternative aux courbes standards pour le dépistage échographique des anomalies de croissance : étude rétrospective à la Maternité Régionale Universitaire de Nancy. Médecine humaine et pathologie. 2015. ⟨hal-01772402⟩

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