Eregie C O
Department of Paediatrics Specialist Hospital, Yola, Adamawa State, Nigeria.
West Afr J Med. 1994 Apr-Jun;13(2):121-3.
A total of 508 infants were examined at three hospitals in Nigeria to evaluate the relative accuracy of maturity determination using 6 abbreviated and simplified methods in an African population. For each infant, total maturity scores were computed for each of the 6 methods and correlated with gestational age by simple regression analysis to construct regression lines of gestational age on total maturity score. The regression line for the 6 methods were used to determine the maturity of a prospective cohort of 262 infants and to evaluate accuracy of maturity determination with the Dubowitz methods as gold standard. Three simplified methods had comparable accuracy with the Dubowitz scoring system. This probably implies that simplified methods, developed from local populations, may not be universally applicable and reliable. Indeed, the method with the highest accuracy in this study was developed originally from an African population.
在尼日利亚的三家医院对508名婴儿进行了检查，以评估在非洲人群中使用6种简化方法确定成熟度的相对准确性。对每名婴儿，计算了6种方法中每种方法的总成熟度评分，并通过简单回归分析将其与胎龄相关联，以构建胎龄对总成熟度评分的回归线。使用这6种方法的回归线来确定262名婴儿的前瞻性队列的成熟度，并以杜博维茨方法作为金标准评估成熟度确定的准确性。三种简化方法与杜博维茨评分系统具有相当的准确性。这可能意味着，从当地人群开发的简化方法可能并非普遍适用和可靠。实际上，本研究中准确性最高的方法最初是从非洲人群开发的。
