A Predictive Model for SIVH risk in Preterm Infants and Targeted Indomethacin Therapy for Prevention.
Author Department
Pediatrics; Medicine
Document Type
Article, Peer-reviewed
Publication Date
9-2013
Abstract
Prophylactic indomethacin may decrease Severe Intraventricular Hemorrhage (SIVH). Our goal was to develop a predictive model for SIVH using parameters available by six hours of age. De-identified data for preterm infants born ≤ 34 weeks gestational age was abstracted from Vermont Oxford Network database. Using clinical variables available by 6 hrs of age the model was developed, and validated. Statistical methods were used to evaluate the ability of the model to discriminate infants with and without SIVH and, to compare observed and predicted risk. The model achieved excellent discrimination as indicated by ROC curve of 0·85. A good agreement was noted between observed and predicted risk (HLtest: p = 0·22). Application of the model to patients receiving indomethacin suggests a benefit at the highest risk levels. We have developed a valid predictive model for predicting SIVH as well as shown that exposure to indomethacin decreases the incidence of SIVH overall.
Recommended Citation
Singh R, Gorstein SV, Bednarek F, Chou JH, McGowan EC, Visintainer PF. A Predictive Model for SIVH risk in Preterm Infants and Targeted Indomethacin Therapy for Prevention. Sci Rep. 2013 Sep 2;3:2539.