Neutra R, Neff R
Br J Obstet Gynaecol. 1975 May;82(5):390-6. doi: 10.1111/j.1471-0528.1975.tb00654.x.
The ability of 15 variables to predict fetal death is examined among 173 eclamptic women admitted to the only public maternity hospital in Cali, Colombia, between 1st Janurary 1964 and 31st December 1970. In addition to low gestational age and retarded fetal growth, high systolic pressure and the unmarried status carried excess risk. Primiparae appeared to be of lower risk because their eclampsia tended to occur late in gestation and was characterized by less retarded fetal growth. Older women and women with a history of abortion appeared to be of higher risk because they tended to have higher systolic pressures. A discriminant function risk formula is presented which generated groups with a nine-fold difference in fetal death rates. This formula could be used to standardize for relevant non-therapeutic factors which meant vary between patient groups who had received different therapeutic regimens.
1964年1月1日至1970年12月31日期间,在哥伦比亚卡利市唯一一家公立妇产医院收治的173例子痫妇女中,研究了15个变量预测胎儿死亡的能力。除了孕周小和胎儿生长迟缓外,收缩压高和未婚状态也带来额外风险。初产妇风险似乎较低,因为她们的子痫往往发生在妊娠晚期,且其特点是胎儿生长迟缓较轻。年龄较大的妇女和有流产史的妇女风险似乎较高,因为她们往往收缩压较高。给出了一个判别函数风险公式,该公式生成的组胎儿死亡率相差9倍。这个公式可用于对相关非治疗因素进行标准化,这些因素在接受不同治疗方案的患者组之间可能有所不同。