Development and Validation of an Algorithm to Determine Spontaneous versus Provider-Initiated Preterm Birth in US Vital Records
Development and Validation of an Algorithm to Determine Spontaneous versus Provider-Initiated Preterm Birth in US Vital Records
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DOI：
10.1111/ppe.12267
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发表时间：
2016-03-01
影响因子：
2.8
通讯作者：
Buhimschi, Irina A.
中科院分区：
文献类型：
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作者：
Klebanoff, Mark;Yossef-Salameh, Lina;Buhimschi, Irina A.
背景：在早产的监测和病因学研究中，确定早产是自然发生的，还是通过引产或无产程或膜破裂的剖腹产发生的，是至关重要的，尽管这一信息没有明确包括在美国出生证明上。结合出生证明的几个字段的算法已经开发出来，以推断初始事件，但没有一个经过人工审查原始产科记录的验证。我们的目标是开发一种基于出生证明的算法来确定早产的开始，并通过人工审查原始记录来验证它。方法我们从2003年美国标准出生证明中开发了一种算法来确定自发性早产和指示性早产。该算法首先在80例早产儿(
BackgroundDetermining whether initiation of preterm birth was spontaneous, or through labour induction or caesarean without labour or membrane rupture is critical in surveillance and aetiological research on preterm birth, although this information is not explicitly included on the US Birth Certificate. Algorithms combining several fields from birth certificates have been developed to infer the initiating event, but none has been validated against manual review of original obstetric records. Our objective was to develop a birth certificate-based algorithm to determine initiation of preterm birth and validate it by manual review of original records.MethodsWe developed an algorithm from the 2003US Standard Birth Certificate to determine spontaneous vs. indicated preterm birth. The algorithm was first tested on obstetrical records from 80 preterm (