Determination of fetal heart rate reactivity from a single 20-min window of non-stress testing in compromised fetuses
dc.contributor.author | Park, Young-Sun | |
dc.contributor.author | Hoh, Jeong-Kyu | |
dc.contributor.author | Koh, Seung-Kwon | |
dc.contributor.author | Kim, Nam-Su | |
dc.contributor.author | Park, Moon-II | |
dc.date.accessioned | 2017-06-17T10:35:08Z | |
dc.date.available | 2017-06-17T10:35:08Z | |
dc.date.created | 2010-07-01 | |
dc.date.issued | 2009-01-26 | |
dc.identifier.issn | 1619-3997 | |
dc.identifier.uri | http://edoc.hu-berlin.de/18452/12791 | |
dc.description.abstract | Aims: To shorten the analysis time needed for non-stress testing (NST) without decreasing efficacy in compromised fetuses. Methods: We selected 80 cases with a 5-min Apgar score <7 as a study group and 259 cases with a 5-min Apgar score ≥9 as a control group. We applied four different criteria (A, B, C, and D) to each study and control group for the first 20-min window of NST data to evaluate reactivity. Criteria A, B, and C consisted of conventional reactivity criteria according to amplitude (15 or 10 beats per minute), duration (15 or 10 s) and weeks of gestation (≤31, ≥32), and criteria D combined criteria C with approximate entropy (ApEn). Results: The sensitivity of criteria D (91.25%) was greater than the other three criteria (P<0.0001). The specificities of criteria C (96.14%) and D (99.23%) were also higher than criteria A and B (P<0.0001). The positive and negative predictive value of criteria D were better than that of criteria C (97.33 vs. 83.87, P=0.0066) and (97.35 vs. 89.89, P=0.0004), respectively. Conclusion: Adding ApEn to the conventional criteria for reactivity shortened NST analysis time without decreasing efficacy, facilitating a decision of reactivity within a single 20-min NST window. | eng |
dc.language.iso | und | |
dc.publisher | Kooperation de Gruyter | |
dc.rights.uri | http://rightsstatements.org/vocab/InC/1.0/ | |
dc.title | Determination of fetal heart rate reactivity from a single 20-min window of non-stress testing in compromised fetuses | |
dc.type | article | |
dc.identifier.urn | urn:nbn:de:kobv:11-100153949 | |
dc.identifier.doi | http://dx.doi.org/10.18452/12139 | |
local.edoc.type-name | Zeitschriftenartikel | |
local.edoc.container-type | periodical | |
local.edoc.container-type-name | Zeitschrift | |
local.edoc.container-year | 2009 | |
dc.description.version | Peer Reviewed | |
dcterms.bibliographicCitation.doi | 10.1515/JPM.2009.072 | |
dcterms.bibliographicCitation.journaltitle | Journal of Perinatal Medicine | |
dcterms.bibliographicCitation.volume | 37 | |
dcterms.bibliographicCitation.issue | 4 | |
dcterms.bibliographicCitation.originalpublishername | de Gruyter | |
dcterms.bibliographicCitation.pagestart | 386 | |
dcterms.bibliographicCitation.pageend | 391 |