AI-based analysis of fetal growth restriction in a prospective obstetric cohort quantifies compound risks for perinatal morbidity and mortality and identifies previously unrecognized high risk clinical scenarios
2024

AI Analysis of Fetal Growth Restriction and Risks

Sample size: 9558 publication Evidence: moderate

Author Information

Author(s): Zimmerman Raquel M., Hernandez Edgar J., Yandell Mark, Tristani-Firouzi Martin, Silver Robert M., Grobman William, Haas David, Saade George, Steller Jonathan, Blue Nathan R.

Hypothesis

Can a probabilistic graphical model improve understanding of perinatal morbidity risk in fetal growth restriction?

Conclusion

Probabilistic graphical models can identify significant risk factors in fetal growth restriction that are not recognized in current clinical guidelines.

Supporting Evidence

  • The model identified 16 key variables that influence perinatal morbidity risk.
  • AUC for the model was 0.83, indicating good performance in risk discrimination.
  • Certain fetal growth restriction scenarios showed nearly 10-fold differences in morbidity risk.

Takeaway

This study used AI to find out which pregnancies with fetal growth restriction are at higher risk for problems, helping doctors make better decisions.

Methodology

The study used data from 9,558 pregnancies to develop and validate a probabilistic graphical model to assess perinatal morbidity risk.

Potential Biases

Potential biases in data collection and selection of cohorts.

Limitations

The model may not account for all variables affecting perinatal outcomes.

Participant Demographics

Pregnancies delivered at ≥ 20 weeks.

Statistical Information

Confidence Interval

95% CI 0.79–0.87

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.21203/rs.3.rs-5126218

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