Modelo multifactorial para la predicción del índice de líquido amniótico y su correlación con complicaciones maternas y fetales en mujeres embarazadas en Colombia
| datacite.rights | http://purl.org/coar/access_right/c_abf2 | spa |
| dc.contributor.author | Charanek Solano, Salua | |
| dc.contributor.author | Torres Guao, María | |
| dc.contributor.author | Pérez Tirado, Amiel | |
| dc.contributor.author | Parra Saavedra, Miguel | |
| dc.contributor.author | Díaz Pérez, Anderson | |
| dc.date.accessioned | 2024-01-29T16:36:08Z | |
| dc.date.available | 2024-01-29T16:36:08Z | |
| dc.date.issued | 2024 | |
| dc.description.abstract | Uno de los indicadores clave de la salud fetal es el Índice de Líquido Amniótico (ILA), el cual desempeña un papel vital en la protección y el desarrollo del feto, y su evaluación precisa es esencial para identificar posibles complicaciones durante el embarazo. Objetivo: Desarrollar un modelo de predicción multifactorial del ILA en gestantes colombianas. Metodología: Estudio observacional retrospectivo con un componente de modelado predictivo. Se analizaron 148 historias clínicas con datos del ILA en relación con el peso fetal, problemas maternos y fetales a lo largo del tiempo de gestación en semanas. Se aplicó un análisis de correlación de Pearson para evaluar las tendencias del ILA y un análisis de ANOVA para comparar las medias del ILA en función de la presencia de problemas maternos y fetales. Se llevó a cabo un análisis de efectos de interacción para evaluar la influencia conjunta de estos problemas en el ILA. Se generó un mapa de calor para visualizar el impacto de las variables predictoras para construir un modelo de clasificación CART®. Resultados: Los resultados mostraron que el ILA alto, moderado y bajo se ve influido significativamente por las complicaciones maternas y fetales. Se encontraron diferencias estadísticamente significativas en las medias, indicando una relación entre los problemas maternos y fetales con el ILA. Conclusión: El modelo predictivo multifactorial desarrollado en este estudio demostró una sólida capacidad para predecir el Índice de Líquido Amniótico (ILA) en gestantes colombianas como un estudio preliminar. | spa |
| dc.description.abstract | One of the critical indicators of fetal health is the Amniotic Fluid Index (AFI), which plays a vital role in the protection and development of the fetus, and its accurate assessment is essential to identify possible complications during pregnancy. Aim: Develop a multifactorial prediction model of ALI in Colombian pregnant women. Methodology: Retrospective observational study with a predictive modeling component. One hundred fortyeight medical records were analyzed with ILA data in relation to fetal weight and maternal and fetal problems throughout the gestation period in weeks. A Pearson correlation analysis was applied to evaluate ILA trends, and an ANOVA analysis was used to compare ILA means based on maternal and fetal problems. An interaction effects analysis was conducted to assess the joint influence of these problems on ILA. A heat map was generated to visualize the impact of the predictor variables to build a CART® classification model. Results: The results showed that high, moderate, and low ILA are significantly influenced by maternal and fetal complications. Statistically significant differences were found in the means, indicating a relationship between maternal and fetal problems with ILA. Conclusion: The multifactorial predictive model developed in this study demonstrated a solid ability to predict the Amniotic Fluid Index (AFI) in Colombian pregnant women as a preliminary study. | eng |
| dc.format.mimetype | spa | |
| dc.identifier.doi | 10.47307/GMC.2024.132.s1.15 | |
| dc.identifier.issn | 03674762 | |
| dc.identifier.issn | 27390012 (en línea) | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/13917 | |
| dc.identifier.url | https://academianacionaldemedicina.org/publicaciones/gm-volumen-132-suplemento-no-1-enero-2024/ | |
| dc.language.iso | spa | spa |
| dc.publisher | Facultad de Ciencias de la Salud | spa |
| dc.publisher | Academia Nacional de Medicina | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | eng |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.source | Gaceta Médica de Caracas | spa |
| dc.source | Gac Méd Caracas | eng |
| dc.source | Vol. 132 (Suplmento 1), (2024) | |
| dc.subject | Embarazo | spa |
| dc.subject | Complicaciones | spa |
| dc.subject | Índice de líquido amniótico | spa |
| dc.subject | Modelo de predicción | spa |
| dc.subject | Atención prenatal | spa |
| dc.subject | Problemas maternos | spa |
| dc.subject | Problemas fetales | spa |
| dc.subject | Pregnancy | eng |
| dc.subject | Complications | eng |
| dc.subject | Amniotic fluid index | eng |
| dc.subject | Prediction model | eng |
| dc.subject | Prenatal care | eng |
| dc.subject | Maternal problems | eng |
| dc.subject | Fetal problems | eng |
| dc.title | Modelo multifactorial para la predicción del índice de líquido amniótico y su correlación con complicaciones maternas y fetales en mujeres embarazadas en Colombia | spa |
| dc.title.translated | Multifactorial model for the prediction of amniotic fluid index and its correlation with maternal and fetal complications in pregnant women in Colombia | eng |
| dc.type.driver | info:eu-repo/semantics/article | spa |
| dc.type.spa | Artículo científico | spa |
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| dcterms.references | Morris R, Meller C, Tamblyn J, Malin G, Riley R, Kilby M, et al. Association and prediction of amniotic fluid measurements for adverse pregnancy outcome: Systematic review and meta-analysis. BJOG: An International J Obstet Gynaecol. 2014;121(6):686- 699. | eng |
| dcterms.references | Voxman EG, Tran S, Wing DA. Low Amniotic Fluid Index as a Predictor of Adverse Perinatal Outcome. J Perinatol. 2002;22(4):282-285. | eng |
| dcterms.references | Bachhav AA, Waikar M. Low Amniotic Fluid Index at Term as a Predictor of Adverse Perinatal Outcome. J Obstet Gynecol India. 2014;64(2):120-123. | eng |
| dcterms.references | Youssef AA, Abdulla SA, Sayed EH, Salem HT, Abdelalim AM, Devoe LD. Superiority of amniotic fluid index over amniotic fluid pocket measurement for predicting bad fetal outcome. South Med J. 1993;86(4):426-429. | eng |
| dcterms.references | Rainford M, Adair R, Scialli AR, Ghidini A, Spong CY. Amniotic fluid index in the uncomplicated term pregnancy. Prediction of outcome. J Reprod Med. 2001;46(6):589-592. | |
| dcterms.references | Chauhan SP, Magann EF, Doherty DA, Ennen CS, Niederhauser A, Morrison JC. Prediction of small for gestational age newborns using ultrasound estimated and actual amniotic fluid volume: Published data revisited. Australian and New Zealand J Obstet Gynaecol. 2008;48(2):160-164. | eng |
| dcterms.references | Nabhan AF, Abdelmoula YA. Amniotic fluid index versus single deepest vertical pocket as a screening test for preventing adverse pregnancy outcome. Cochrane Database Syst Rev. 2008;2008(3):CD006593. | eng |
| dcterms.references | Hackmon R, Bornstein E, Ferber A, Horani J, Green CP, Divon MY. Combined analysis with amniotic fluid index and estimated fetal weight for prediction of severe macrosomia at birth. Am J Obstet Gynecol. 2007;196(4):333-e1. | eng |
| dcterms.references | Driggers RW, Holcroft CJ, Blakemore KJ, Graham EM. An amniotic fluid index≤ 5 cm within 7 days of delivery in the third trimester is not associated with decreasing umbilical arterial pH and base excess. J Perinatology. 2004;24(2):72-76. | eng |
| dcterms.references | Gratacós E. Medicina fetal. Ed. Médica Panamericana; 2007. Disponible en: https://books.google.es/books? hl=es&1r=&id=FVQx3av15f8C&oi=fnd&pg=PR7& dq=son+la+principal+fuente+d+producci%C3%B3n +de+orina+fetal,+mientras+que+la+degluci%C3%B 3n+fetal+representa+aproximadamente+la+mitad+de +la+cantidad+total+de+1%C3%ADquido+eliminado +durante+el+tercer+trimestre,+en+donde+se+puede+ observar+un+mayor+aumento+en+la+velocidad+y+ cantidad+de+degluci%C3%B3n+de+1%C3%ADqui do+en+comparaci%C3%B3n+con+la+micci%C3%B 3n&ots=s1yCEsYFsv&sig=sWAGmd21-huuVGbRB srXlzHo-Cw | eng |
| oaire.version | info:eu-repo/semantics/publishedVersion | spa |
| sb.programa | Especialización en Ginecología y Obstetricia | spa |
| sb.sede | Sede Barranquilla | spa |
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