A predictive model of short cervix at 20-24 weeks using first-trimester cervical length measurement and maternal history
| dc.contributor.author | Souka, A. P. | en |
| dc.contributor.author | Papastefanou, I. | en |
| dc.contributor.author | Michalitsi, V. | en |
| dc.contributor.author | Papadopoulos, G. K. | en |
| dc.contributor.author | Kassanos, D. | en |
| dc.date.accessioned | 2015-11-24T19:39:43Z | |
| dc.date.available | 2015-11-24T19:39:43Z | |
| dc.identifier.issn | 1097-0223 | - |
| dc.identifier.uri | https://olympias.lib.uoi.gr/jspui/handle/123456789/24269 | |
| dc.rights | Default Licence | - |
| dc.subject | Adolescent | en |
| dc.subject | Adult | en |
| dc.subject | *Cervical Length Measurement | en |
| dc.subject | Cervix Uteri/*ultrasonography | en |
| dc.subject | Feasibility Studies | en |
| dc.subject | Female | en |
| dc.subject | Humans | en |
| dc.subject | Middle Aged | en |
| dc.subject | Models, Biological | en |
| dc.subject | Pregnancy | en |
| dc.subject | Pregnancy Complications/*ultrasonography | en |
| dc.subject | Pregnancy Trimester, First | en |
| dc.subject | Prospective Studies | en |
| dc.subject | Uterine Cervical Diseases/*ultrasonography | en |
| dc.subject | Young Adult | en |
| dc.title | A predictive model of short cervix at 20-24 weeks using first-trimester cervical length measurement and maternal history | en |
| heal.abstract | OBJECTIVES: To develop a model for the prediction of short cervix ( </= 15 mm) at 20-24 weeks by combining maternal history and transvaginal ultrasonographic measurement of cervical length at 11-14 weeks. To explore the value of an additional ultrasound examination of the cervix at about 17 weeks. METHODS: Longitudinal prospective study in 800 unselected pregnant women presenting for first-trimester ultrasound assessment by nuchal translucency and serum biochemistry. Cervical length was evaluated transvaginally between 11 weeks and 13 weeks and 6 days (cx1), at 16-19 weeks (cx2) and 20-24 weeks (cx3). Backward multiple logistic regression analysis with cx3 </= 15 mm as the dependent variable was used to identify the predictors of a short cervix at 20-24 weeks. RESULTS: Cx1 and history of preterm delivery were significant independent contributors of a short cervix at 20-24 weeks [area under the curve (AUC 0.808, p < 0.001, Model) 1]. Furthermore, the cx1/cx2 ratio was a significant independent predictor of a short cervix at 20-24 weeks (odds ratio = 58.325 p = 0.012). The addition of the cx1/cx2 ratio improved the model (AUC = 0.878, p < 0.001, Model 2). CONCLUSIONS: A short cervix at 20-24 weeks can be predicted at the 11-14 weeks scan. The addition of a cervical measurement at about 17 weeks can improve the prediction model. | en |
| heal.access | campus | - |
| heal.fullTextAvailability | TRUE | - |
| heal.identifier.primary | 10.1002/pd.2683 | - |
| heal.identifier.secondary | http://www.ncbi.nlm.nih.gov/pubmed/21268041 | - |
| heal.identifier.secondary | http://onlinelibrary.wiley.com/store/10.1002/pd.2683/asset/2683_ftp.pdf?v=1&t=h0utqihy&s=b58b32824669ce7c7811b50c7bbfa915885e122c | - |
| heal.journalName | Prenat Diagn | en |
| heal.journalType | peer-reviewed | - |
| heal.language | en | - |
| heal.publicationDate | 2011 | - |
| heal.recordProvider | Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής | el |
| heal.type | journalArticle | - |
| heal.type.el | Άρθρο Περιοδικού | el |
| heal.type.en | Journal article | en |
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