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閲覧数:52
ID 15825364
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本文 TohoJMed003001017.pdf
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タイトル Clinical Utility of Prenatal Head-to-Abdominal Circumference Ratio for Prediction of Small-for-Gestational-Age Birth: A Retrospective Study
別タイトル
著者
Takako, Toyama
Department of Pediatrics, Japan Community Health Care Organization Tokyo Kamata Medical Center,Department of Neonatology, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Kotaro, Hine
Department of Neonatology, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
Kenichi, Maruyama
Department of Clinical Laboratory, Toho University Omori Medical Center
[役割]Author
Yurika, Ishida
Department of Clinical Laboratory, Toho University Omori Medical Center
[役割]Author
Sachiko, Hirota
Department of Neonatology, School of Medicine, Faculty of Medicine, Toho University,Department of Education and Research Development, Toho University
[役割]Author
Hitoshi, Yoda
Department of Neonatology, School of Medicine, Faculty of Medicine, Toho University
[役割]Author
出版地 Tokyo
出版者 The Medical Society of Toho University
形態
上位タイトル
Toho Journal of Medicine (Toho Journal of Medicine). Vol.3, No.1  (2017. 3) ,p.17- 25
識別番号
ISSN
21891990
DOI
URI
JaLCDOI info:doi/10.14994/tohojmed.2016.026
抄録 Background: Head-to-abdominal circumference (HC/AC) ratio on prenatal ultrasonography is useful for diagnosis of intrauterine growth retardation. This study assessed the utility of an HC/AC ratio cut-off point for predicting small-for-gestational-age (SGA) birth. Methods: We retrospectively studied perinatal data from 177 neonates: 36 were classified as being SGA with systemic disease, 23 as SGA without systemic disease, 78 as appropriate-for-gestational-age (AGA) with systemic disease, and 40 as normal. Results: HC/AC ratio correlated with gestational age (r = -0.322, p = 0.024) in the normal group but not in the other groups (SGA with disease group, r = -0.116, p = 0.316; SGA without disease, r = -0.350, p = 0.085; AGA with disease, r = -0.121, p = 0.123). An HC/AC ratio cut-off value of 1.15 identified risk of SGA at birth (sensitivity, 70%; specificity, 65%; p < 0.0001). An HC/AC ratio greater than 1.15 on follow-up ultrasonography was associated with increased risk of SGA at birth (odds ratio, 8.727; 95% confidence interval, 2.987 ― 25.498; p < 0.001). Conclusions: Prenatal HC/AC ratio did not decrease in SGA neonates. HC/AC ratio predicted the incidence of SGA at birth, regardless of gestational age.
キーワード
estimated fetal weight
intrauterine growth retardation
head-to-abdominal circumference ratio
small-for-gestational-age
ultrasonography
NDC
注記 Original Article
言語
eng
資源タイプ TOHO University Scholarly Publication
ジャンル Journal Article
著者版フラグ publisher
アクセス条件 東邦大学医学会
Index
/ Public / Toho Journal of Medicine / Vol.3 / No.1(p.1-49)
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