Description

Ment et al developed a model for predicting the probability of early onset germinal matrix hemorrhage (GMH) and/or intraventricular hemorrhage (IVH) in a preterm infant. The authors are from Yale University, Brown University and the Maine Medical Center (Portland).


 

Patient selection: preterm infants weighing from 600 to 1250 grams

 

Parameters:

(1) birthweight in grams

(2) fetal body part at presentation

(3) delivery method

 

Parameter

Finding

Points

fetal presentation

vertex (head)

1

 

nonvertex

0

delivery method

cesarean section

0

 

vaginal delivery

1

 

where:

• The normative group (relative risk 1.0) was cesarean section delivery of 1100-1250 gram fetus with a non-vertex presentation. The probability for this group was 6%.

 

X =

= (0.666 * (points for delivery method)) + (0.783 * (points for fetal presentation)) - (0.0016 * ((body weight in grams) - 939.5)) - 2.394

 

probability for early onset hemorrhage =

= 1 / (1 + EXP((-1) * X))

 


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