Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart Applied

Objective Consensus around the ideal chart to classify preterm babies is scant. It is particularly relevant in small for gestational age (SGA) infants due to its clinical and therapeutic implications. The aim of the study was to compare Olsen, Intergrowth-21st, and Fenton growth charts, regarding th...

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Autores: Estan-Capell, J, Alarcon-Torres, B, Miro-Pedro, M, Martinez-Costa, C
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:INCLIVA
Repositorio:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
OAI Identifier:oai:incliva.fundanetsuite.com:p17273
Acceso en línea:https://incliva.portalinvestigacion.com/publicaciones/17273
Access Level:acceso abierto
Palabra clave:growth charts
birth weight
preterm infants
small for gestational age
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spelling Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart AppliedEstan-Capell, JAlarcon-Torres, BMiro-Pedro, MMartinez-Costa, Cgrowth chartsbirth weightpreterm infantssmall for gestational ageObjective Consensus around the ideal chart to classify preterm babies is scant. It is particularly relevant in small for gestational age (SGA) infants due to its clinical and therapeutic implications. The aim of the study was to compare Olsen, Intergrowth-21st, and Fenton growth charts, regarding the classification at birth and incidence of SGA preterm infants.Study Design Retrospective study of 529 preterm infants <= 32 weeks of gestational age. Birth weight Z -score was calculated applying the three growth charts and ponderal index (PI) was also estimated. Incidence of SGA (birth weight < 10th percentile) and clinical outcome were compared according to the chart used.Results Incidence of SGA was significantly higher ( p < 0.001) with Olsen (101 cases, 19.1%) compared with Intergrowth-21st (75 cases, 14.2%) and Fenton (53 cases, 10%). Differences were also found with PI of SGA preterm infants, as those infants classified by Olsen were mostly symmetric (PI > 10th percentile), while Fenton and Intergrowth-21st identified less symmetric SGA infants. Kappa concordance between Intergrowth-21st and Fenton was 0.805, Intergrowth-21st versus Olsen 0.824, and Fenton versus Olsen 0.641. No differences were observed on neonatal morbidities or mortality.Conclusion Significant differences were detected when classifying very preterm infants at birth according to the growth chart, mainly among symmetric SGA. Concordance between Fenton and Olsen was poor, but Intergrowth-21st showed high concordance with Fenton and Olsen. However, further research is needed to select the ideal chart. Variability in the population selected to create the curves and the accuracy dating the pregnancy are factors that may have explained differences.THIEME MEDICAL PUBL INC2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://incliva.portalinvestigacion.com/publicaciones/17273AMERICAN JOURNAL OF PERINATOLOGYISSN: 07351631ISSNe: 10988785reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVAinstname:INCLIVAInglésinfo:eu-repo/semantics/openAccessoai:incliva.fundanetsuite.com:p172732026-06-07T16:35:31Z
dc.title.none.fl_str_mv Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart Applied
title Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart Applied
spellingShingle Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart Applied
Estan-Capell, J
growth charts
birth weight
preterm infants
small for gestational age
title_short Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart Applied
title_full Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart Applied
title_fullStr Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart Applied
title_full_unstemmed Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart Applied
title_sort Differences When Classifying Small for Gestational Age Preterm Infants According to the Growth Chart Applied
dc.creator.none.fl_str_mv Estan-Capell, J
Alarcon-Torres, B
Miro-Pedro, M
Martinez-Costa, C
author Estan-Capell, J
author_facet Estan-Capell, J
Alarcon-Torres, B
Miro-Pedro, M
Martinez-Costa, C
author_role author
author2 Alarcon-Torres, B
Miro-Pedro, M
Martinez-Costa, C
author2_role author
author
author
dc.subject.none.fl_str_mv growth charts
birth weight
preterm infants
small for gestational age
topic growth charts
birth weight
preterm infants
small for gestational age
description Objective Consensus around the ideal chart to classify preterm babies is scant. It is particularly relevant in small for gestational age (SGA) infants due to its clinical and therapeutic implications. The aim of the study was to compare Olsen, Intergrowth-21st, and Fenton growth charts, regarding the classification at birth and incidence of SGA preterm infants.Study Design Retrospective study of 529 preterm infants <= 32 weeks of gestational age. Birth weight Z -score was calculated applying the three growth charts and ponderal index (PI) was also estimated. Incidence of SGA (birth weight < 10th percentile) and clinical outcome were compared according to the chart used.Results Incidence of SGA was significantly higher ( p < 0.001) with Olsen (101 cases, 19.1%) compared with Intergrowth-21st (75 cases, 14.2%) and Fenton (53 cases, 10%). Differences were also found with PI of SGA preterm infants, as those infants classified by Olsen were mostly symmetric (PI > 10th percentile), while Fenton and Intergrowth-21st identified less symmetric SGA infants. Kappa concordance between Intergrowth-21st and Fenton was 0.805, Intergrowth-21st versus Olsen 0.824, and Fenton versus Olsen 0.641. No differences were observed on neonatal morbidities or mortality.Conclusion Significant differences were detected when classifying very preterm infants at birth according to the growth chart, mainly among symmetric SGA. Concordance between Fenton and Olsen was poor, but Intergrowth-21st showed high concordance with Fenton and Olsen. However, further research is needed to select the ideal chart. Variability in the population selected to create the curves and the accuracy dating the pregnancy are factors that may have explained differences.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://incliva.portalinvestigacion.com/publicaciones/17273
url https://incliva.portalinvestigacion.com/publicaciones/17273
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv THIEME MEDICAL PUBL INC
publisher.none.fl_str_mv THIEME MEDICAL PUBL INC
dc.source.none.fl_str_mv AMERICAN JOURNAL OF PERINATOLOGY
ISSN: 07351631
ISSNe: 10988785
reponame:r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
instname:INCLIVA
instname_str INCLIVA
reponame_str r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
collection r-INCLIVA. Repositorio Institucional de Producción Científica de INCLIVA
repository.name.fl_str_mv
repository.mail.fl_str_mv
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