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苏丹某医院人群中低出生体重儿和巨大儿的临床界值分析。

Low and high birth weight in a hospital population in Sudan: An analysis of clinical cut-off values.

机构信息

Faculty of Medicine, University of Gezira, Wad Madani, Sudan.

Pediatrics Department, College of Medicine, Shaqra University, Shaqra, Kingdom of Saudi Arabia.

出版信息

Int J Gynaecol Obstet. 2021 Sep;154(3):427-430. doi: 10.1002/ijgo.13543. Epub 2021 Jan 18.

DOI:10.1002/ijgo.13543
PMID:33331007
Abstract

OBJECTIVE

To determine the cut-off values for low birth weight (LBW) and high birth weight (HBW) of Sudanese newborns.

METHODS

Data (maternal age, parity, birth weight, and gender of the newborn) from women (n = 2818) who delivered at Saad Abualila Hospital in Khartoum were retrieved from the medical files.

RESULTS

The cut-off for LBW (the 10th centile) was 2400 g and the 90th centile (HBW) was 3700 g. Out of 2818 newborns, 317 (11.2%) had birth weights below 2400 g. Using the WHO (traditional) cut-off of 2500 g, the prevalence of LBW was 14.3%. The difference between the two prevalences of LBW was statistically significant (P < 0.001). However, the agreement rate between the two was high (κ = 0.86). The cut-off to define HBW was 3700 g. In the study, 292 (10.4%) newborns had birth weights of at least 3700 g. Using the cut-off of 4000 g, the prevalence of HBW was 9.5%. The difference between the two prevalences of HBW was statistically significant (P < 0.001). However, the agreement rate between the two was low (κ = 0.06).

CONCLUSION

The cut-off values for low and high birth weight were 2400 and 3700 g, respectively.

摘要

目的

确定苏丹新生儿低出生体重(LBW)和高出生体重(HBW)的截断值。

方法

从喀土穆 Saad Abualila 医院的产妇病历中检索了 2818 名分娩妇女(n=2818)的资料(母亲年龄、产次、新生儿出生体重和性别)。

结果

LBW(第 10 百分位数)的截断值为 2400g,第 90 百分位数(HBW)为 3700g。在 2818 名新生儿中,有 317 名(11.2%)的出生体重低于 2400g。使用世界卫生组织(传统)的 2500g 截断值,LBW 的患病率为 14.3%。这两种 LBW 患病率之间的差异具有统计学意义(P<0.001)。然而,两者之间的一致性很高(κ=0.86)。定义 HBW 的截断值为 3700g。在这项研究中,有 292 名(10.4%)新生儿的出生体重至少为 3700g。使用 4000g 的截断值,HBW 的患病率为 9.5%。这两种 HBW 患病率之间的差异具有统计学意义(P<0.001)。然而,两者之间的一致性较低(κ=0.06)。

结论

低出生体重和高出生体重的截断值分别为 2400g 和 3700g。

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