التفاصيل البيبلوغرافية
| العنوان: |
Improving accuracy of outcome prediction for infants born extremely preterm using a digital tool: Translating 'NIC‐PREDICT' into clinical practice, the first steps. |
| المؤلفون: |
Boland, Rosemarie A., Cheong, Jeanie L.Y., Stewart, Michael J., Kane, Stefan C., Doyle, Lex W. |
| المصدر: |
Australian & New Zealand Journal of Obstetrics & Gynaecology; Aug2024, Vol. 64 Issue 4, p383-389, 7p |
| مصطلحات موضوعية: |
DIGITAL technology, RISK assessment, INFANT mortality, PREDICTION models, COMPUTER software, RESEARCH funding, QUESTIONNAIRES, RESEARCH evaluation, NEONATAL intensive care units, PREGNANCY outcomes, DESCRIPTIVE statistics, NEONATAL intensive care, SURVEYS, ATTITUDES of medical personnel, SURVIVAL analysis (Biometry) |
| مصطلحات جغرافية: |
VICTORIA |
| مستخلص: |
Background: Many clinicians overestimate mortality and disability rates in infants born extremely preterm. We developed a digital tool ('NIC‐PREDICT') that predicts infant mortality and survival with and without major disability in infants born 23–27 weeks' gestation. Aims: To determine if clinicians could use NIC‐PREDICT accurately, and if their perceptions of infant outcomes improved after its release in 2021. Materials and Methods: Midwives, nurses, obstetricians, neonatologists and paediatricians working in tertiary and non‐tertiary hospitals in Victoria were asked to use NIC‐PREDICT to estimate three mutually exclusive outcomes: (i) mortality; (ii) survival free of major disability; and (iii) survival with major disability for six different scenarios where a liveborn infant was offered survival‐focused care after birth. The proportions who completed the survey (responded to all six scenarios) and the proportions able to provide 100% accurate results for all scenarios were determined. Estimates of the three outcomes were compared with true rates. Results: A total of 85 clinicians responded: 70 (82%) completed the survey, with an overall accuracy of 76%. Overall, predictions of mortality were accurate (mean difference from true value 0.7% (95% confidence interval (CI) −0.7, 2.1) P = 0.33), as were predictions of survival without major disability (mean difference − 0.7 (95% CI –3.0, 1.7) P = 0.58). However, survival with major disability was overestimated by 4.9% ((95% CI 1.7, 8.0) P = 0.003). Conclusions: Most perinatal clinicians who responded used NIC‐PREDICT correctly to estimate expected outcomes in infants born extremely preterm who are offered intensive care. Undue pessimism about survival with major disability remains an ongoing concern. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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