沙特阿拉伯卡西姆某医院人群中的低出生体重和高出生体重：临床临界值分析

Low and High Birth Weight in a Hospital Population in Qassim, Saudi Arabia: An Analysis of Clinical Cutoff Values.

作者信息

Al Eed Ashwaq, Alsalamah Abdullrahman, Al-Nafeesah Abdullah, Al-Wutayd Osama, Alzain Rola Yousef, Adam Ishag

机构信息

Department of Pediatrics, College of Medicine, Qassim University, Buraydah 52571, Saudi Arabia.

Department of Pediatrics, King Saud Hospital, Unaizah 56437, Saudi Arabia.

出版信息

Children (Basel). 2024 Dec 4;11(12):1483. doi: 10.3390/children11121483.

DOI:10.3390/children11121483

PMID:39767912

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11674882/

Abstract

BACKGROUND

Establishing cutoff values for low birth weight (LBW) and high birth weight (HBW) is crucial for clinical practice. This study aimed to determine these values in Saudi Arabia.

METHOD

A retrospective study in 2022 analyzed the birth weights of 1605 neonates. The 10th and 90th percentiles were calculated to define LBW and HBW.

RESULTS

LBW was defined as <2450 g (10th percentile), with an incidence of 10.5%. HBW was >3650 g (90th percentile), with a prevalence of 10.3%. Comparing the WHO's LBW definition (<2500 g) revealed significant differences but high agreement (kappa = 0.962). HBW had a prevalence of 2.4% using a 4000 g cutoff, with low agreement (Kappa = 0.357).

CONCLUSIONS

This study suggests an LBW cutoff at 2450 g and an HBW cutoff at 3650 g in Saudi Arabia. A birth weight range of 2450-3650 g is considered normal, reducing unnecessary healthcare interventions.

摘要

背景

确定低出生体重（LBW）和高出生体重（HBW）的临界值对临床实践至关重要。本研究旨在确定沙特阿拉伯的这些值。

方法

2022年的一项回顾性研究分析了1605例新生儿的出生体重。计算第10和第90百分位数来定义LBW和HBW。

结果

LBW定义为<2450克（第10百分位数），发生率为10.5%。HBW为>3650克（第90百分位数），患病率为10.3%。将世界卫生组织的LBW定义（<2500克）进行比较，发现有显著差异但一致性较高（kappa = 0.962）。使用4000克的临界值时，HBW的患病率为2.4%，一致性较低（Kappa = 0.357）。