Assessing for prenatal risk factors associated with infant neurologic morbidity using a multivariate analysis.

Assessing for prenatal risk factors associated with infant neurologic morbidity using a multivariate analysis.
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DOI:
10.1038/s41372-023-01820-3
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发表时间:
2023-12
影响因子:
2.9
通讯作者:
Jelliffe-Pawlowski, Laura
Jelliffe-Pawlowski, Laura
中科院分区:
医学3区
文献类型:
--
作者:
Jain, Samhita;Oltman, Scott;Rogers, Elizabeth;Ryckman, Kelli;Petersen, Mark;Baer, Rebecca J.;Rand, Larry;Piao, Xianhua;Jelliffe-Pawlowski, Laura

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描述母体免疫激活(MIA)孕妇的生化和人口统计学特征,并确定与后代神经系统发病相关的产前特征。这是一项回顾性队列研究,研究对象为2009年至2010年在加州出生的602对母婴。采用多变量logistic回归建立MIA脆弱性特征,包括妊娠中期生化标志物和产妇人口统计学特征,并检查其与婴儿神经系统发病率的关系。在602对母婴中,80名母亲和61名婴儿分别被诊断为MIA和神经系统疾病。我们的模型,包括两个人口统计学和七个生化特征,确定母亲与MIA具有良好的性能(AUC:0.814; 95%CI:0.7-0.8)。三种人口统计学标志物和五种炎症标志物共同识别了80%患有神经系统疾病的婴儿(AUC:0.802,95%CI:0.7-0.8)。炎症环境中的母亲与预先存在的风险因素,如肥胖,贫困,早产使后代更容易患神经系统疾病。
To characterize the biochemical and demographic profiles of pregnant people with maternal immune activation (MIA) and identify the prenatal characteristics associated with neurologic morbidity in offspring. This was a retrospective cohort study of 602 mother-infant dyads with births between 2009 and 2010 in California. Multivariable logistic regression was used to build a MIA vulnerability profile including mid-pregnancy biochemical markers and maternal demographic characteristics, and its relationship with infant neurologic morbidity was examined. Of the 602 mother-infant dyads, 80 mothers and 61 infants had diagnoses suggestive of MIA and neurologic morbidity, respectively. Our model, including two demographic and seven biochemical characteristics, identified mothers with MIA with good performance (AUC:0.814; 95% CI:0.7–0.8). Three demographic and five inflammatory markers together identified 80% of infants with neurological morbidity (AUC:0.802, 95% CI:0.7–0.8). Inflammatory environment in mothers with pre-existing risk factors like obesity, poverty, and prematurity renders offspring more susceptible to neurologic morbidities.
DOI: 10.1016/j.jpeds.2021.04.069
发表时间: 2021-10-23
影响因子: 5.1
作者:
Jain, Samhita;Baer, Rebecca J.;Piao, Xianhua H.
通讯作者: Piao, Xianhua H.
DOI: 10.1111/1471-0528.13495
发表时间: 2015-10
期刊: BJOG : an international journal of obstetrics and gynaecology
影响因子: --
作者:
Jelliffe-Pawlowski LL;Baer RJ;Blumenfeld YJ;Ryckman KK;O'Brodovich HM;Gould JB;Druzin ML;El-Sayed YY;Lyell DJ;Stevenson DK;Shaw GM;Currier RJ
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发表时间: 2013-10
影响因子: 4.9
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DOI: 10.1126/science.aag3194
发表时间: 2016-08-19
期刊: Science (New York, N.Y.)
影响因子: --
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Estes ML;McAllister AK
通讯作者: McAllister AK
DOI: 10.1186/2040-2392-2-13
发表时间: 2011-08-02
期刊: Molecular autism
影响因子: 6.2
作者:
Goines PE;Croen LA;Braunschweig D;Yoshida CK;Grether J;Hansen R;Kharrazi M;Ashwood P;Van de Water J
通讯作者: Van de Water J