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Stritzke A, Smyth J, Synnes A, Shah P, Lee S. Transfusion Associated Necrotizing Enterocolitis (Tanec) in Preterm Neonates. Paediatr Child Health 2011. [DOI: 10.1093/pch/16.suppl_a.37ab] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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377
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Teuffel O, Kuster SP, Hunger SP, Conter V, Hitzler J, Ethier MC, Shah PS, Beyene J, Sung L. Dexamethasone versus prednisone for induction therapy in childhood acute lymphoblastic leukemia: a systematic review and meta-analysis. Leukemia 2011; 25:1232-8. [PMID: 21527934 DOI: 10.1038/leu.2011.84] [Citation(s) in RCA: 62] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
This systematic review and meta-analysis compared the efficacy and toxicity of dexamethasone (DEX) versus prednisone (PRED) for induction therapy in childhood acute lymphoblastic leukemia (ALL). We searched biomedical literature databases and conference proceedings for randomized controlled trials comparing DEX and PRED during induction therapy for childhood ALL. A total of eight studies were eligible for inclusion in this meta-analysis. DEX, in comparison with PRED, reduced events (that is, death from any cause, refractory or relapsed leukemia, or second malignancy; risk ratio (RR) 0.80; 95% confidence interval (CI), 0.68-0.94) and central nervous system relapse (RR 0.53; 95% CI, 0.44-0.65), but did not alter bone marrow relapse (RR 0.90; 95% CI, 0.69-1.18) or overall mortality (RR 0.91; 95% CI, 0.76-1.09). Patients receiving DEX had a higher risk of mortality during induction (RR 2.31; 95% CI, 1.46-3.66), neuro-psychiatric adverse events (RR 4.55; 95% CI, 2.45-8.46) and myopathy (RR 7.05; 95% CI, 3.00-16.58). There was no statistically significant difference in the risk of osteonecrosis, sepsis, fungal infection, diabetes or pancreatitis. DEX in induction therapy for children with ALL is more efficacious than PRED. However, DEX is also associated with more toxicity, and currently it remains unclear whether short-term superiority of DEX will also result in better overall survival.
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Selvan S, Price E, Collins D, Williamson L, Lahiri M, Teng GG, Lau TC, Mak A, Vasoo S, Lateef A, Boey ML, Koh DR, Lim A, Abdelhamid A, Mooney J, Walker A, Barton G, Scott DG, Watts R, Griffin SJ, Scott DL, Steer S, Wallis D, McHugh N, Bukhari M, Kitas G, Shah P, Cox M, Nye A, Jones P, John H, Erb N, Bamji A, Fitzpatrick R, Keary IP, Ellis B, Steer S, Scott DL, Farooq U, Xiong G, Hsiang chuang L, Zhang G, Perry L, King J, Goh L, Orourke K, Laversuch C, Perry L, Cherry R, Cockcroft A, Hutchinson D, Fitzpatrick R, Buchan S, Marks JL, Hull RG, Fletcher M, Ledingham JM. Health services research, economics and outcomes research: 52. Reducing New-to-Follow-up Ratios: No More Easy Solutions. Rheumatology (Oxford) 2011. [DOI: 10.1093/rheumatology/ker040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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379
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Marshall L, Mundy J, Garrahy P, Hukins C, Christopher S, Wood A, Griffin R, Shah P. Institutional Experience with Surgical Pulmonary Embolectomy: A 10 Case Series. Heart Lung Circ 2011. [DOI: 10.1016/j.hlc.2010.11.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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380
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Pinto N, Haluska B, Mundy J, Wood A, Griffin R, Peters P, Shah P. Myocardial Revascularisation for Ischaemic Cardiomyopathy: Long-Term Survival and Its Predictors. Heart Lung Circ 2011. [DOI: 10.1016/j.hlc.2010.11.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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381
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Saha S, Shah P, Gibbs J, Collins J. Effect of total parenteral nutrition on the duration of haemofilter circuit. Crit Care 2011. [PMCID: PMC3061740 DOI: 10.1186/cc9530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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382
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Alfaraj M, Pantazi S, O'Brien K, Chiu P, Gaiteiro R, Shah P, Bohn D, Ryan G. 422: Observed to expected lung: head circumference ratio & fetal lung volume in prediction of outcome in isolated fetal congenital diaphragmatic hernia (CDH) in a single centrey. Am J Obstet Gynecol 2011. [DOI: 10.1016/j.ajog.2010.10.441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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383
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Doucette TA, Kong LY, Yang Y, Wei J, Wang J, Fuller GN, Heimberger AB, Rao G, Ajewung N, Kamnasaran D, Katz AM, Amankulor N, Squatrito M, Hambardzumyan D, Holland EC, Poschl J, Lorenz A, Von Bueren A, Li S, Peraud A, Tonn JC, Herms J, Xiang M, Rutkowski S, Kretzschmar H, Schuller U, Studebaker A, Raffel C, Aoki Y, Hashizume R, Ozawa T, Gupta N, James CD, Navis AC, Hamans BC, Claes A, Heerschap A, Wesseling P, Jeuken JW, Leenders WP, Agudelo PA, Williams S, Nowicki MO, Johnson J, Li PK, Chiocca EA, Lannutti JJ, Lawler SE, Viapiano MS, Bergeron J, Aliaga A, Bedell B, Soderquist C, Sonabend A, Lei L, Crisman C, Yun JP, Sisti J, Castelli M, Bruce JN, Canoll P, Kirsch M, Stelling A, Salzer R, Krafft C, Schackert G, Steiner G, Balvers RK, van den Hengel SK, Wakimoto H, Hoeben RC, Leenstra S, Dirven CM, Lamfers ML, Sabha NS, Agnihotri S, Wolf A, von Deimling A, Croul S, Guha A, Trojahn US, Lenferink A, Bedell B, O'Connor-McCourt M, Wakimoto H, Kanai R, Curry WT, Yip S, Barnard ZR, Mohapatra G, Stemmer-Rachamimov AO, Martuza RL, Rabkin SD, Binder ZA, Salmasi V, Lim M, Weingart J, Brem H, Olivi A, Riggins GJ, Gallia GL, Rong Y, Zhang Z, Gang C, Tucker-Burden C, Van Meir E, Brat DJ, Balvers RK, Kloezeman JJ, Kleijn A, French PJ, Dirven CM, Leenstra S, Lamfers ML, Balvers RK, Kloezeman JJ, Spoor JK, Dirven CM, Lamfers ML, Leenstra S, Bazzoli E, Fomchenko EI, Schultz N, Brennan C, DeAngelis LM, Holland EC, Nimer SD, Squatrito M, Mohyeldin A, Hsu W, Shah SR, Adams H, Shah P, Katuri L, Kosztowski T, Loeb DM, Wolinsky JP, Gokaskan ZL, Quinones-Hinojosa A, Daphu IK, Immervoll H, Bjerkvig R, Thorsen F, Caretti V, Idema S, Zondervan I, Meijer DH, Lagerweij T, Barazas M, Vos W, Hamans B, van der Stoop P, Hulleman E, van der Valk P, Bugiani M, Wesseling P, Vandertop WP, Noske D, Kaspers GJ, Molthoff C, Wurdinger T, Chow LM, Endersby R, Zhu X, Rankin S, Qu C, Zhang J, Ellison DW, Baker SJ, Tabar V, LaFaille F, Studer L. Tumor Models (In Vivo/In Vitro). Neuro Oncol 2010. [DOI: 10.1093/neuonc/noq116.s20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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384
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Soylu H, Jefferies A, Diambomba Y, Windrim R, Shah PS. Rupture of membranes before the age of viability and birth after the age of viability: comparison of outcomes in a matched cohort study. J Perinatol 2010; 30:645-9. [PMID: 20220762 DOI: 10.1038/jp.2010.11] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
OBJECTIVE To compare composite adverse outcome rate of infants <32 weeks gestational age (GA) who were born after preterm premature rupture of membranes (PPROM) at previable gestation to those born without PPROM. STUDY DESIGN Retrospective review of prospective collected data for infants discharged between 2004 and 2007 was conducted. Cases were infants with >7 days of PPROM that occurred before 24 weeks. Matched cohort consisted of infants born without PPROM (matched for GA, sex and admission date). Composite adverse outcome was assessed considering death or any of the following three severe morbidities (severe neurological injury, severe retinopathy of prematurity or chronic lung disease). RESULT The 29 cases had higher mean severity of illness score compared with 74 matched infants. Mean duration of ROM was 45 vs 2 days and mean GA at the ROM was 21 vs 27 weeks, respectively. Logistic regression confirmed significantly higher risk of composite adverse outcome rates for cases (69 vs 47%; P=0.02, adjusted odds ratio 4.0, 95% CI 1.2, 13.6). CONCLUSION The survival rate for infants born at <32 weeks following PPROM at previable age has improved significantly; however, these infants had a higher rate of adverse composite neonatal outcome.
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385
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Carbone R, Bottino G, Paredi P, Shah P, Meyer KC. Predictors of survival in idiopathic interstitial pneumonia. EUROPEAN REVIEW FOR MEDICAL AND PHARMACOLOGICAL SCIENCES 2010; 14:695-704. [PMID: 20707290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
AIM To evaluate the ability of newly identified clinical factors to predict prognosis and survival in idiopathic pulmonary fibrosis (IPF) and non-specific interstitial pneumonia (NSIP). METHODS Seventy-eight patients referred to the University of Genoa and the Regional Hospital of Aosta between January 1995 and December 2006 were evaluated prospectively. Fifty-nine patients were diagnosed with IPF and 19 with NSIP on the basis of surgical lung biopsy specimens. Gender, age at diagnosis, smoking, New York Heart Association class (NYHA), systolic pulmonary artery pressure (sPAP), Octreoscan uptake index (UI), and therapy were the chosen variables. Primary end-point was survival. RESULTS With the exception of gender and smoking history, all baseline patient characteristics correlated significantly with the diagnosis (IPF vs. NSIP). Median survival for the entire study group was 52.7 months. Univariate analysis showed poorer survival for the IPF group versus the NSIP group, and survival was significantly lower for older patients (p < 0.001). Multivariate analysis confirmed the negative prognostic effect of age (p < 0.001) on survival with a risk of death for older patients ( > OR =66 years old) being more than 4 times higher than that for younger patients (<58 yr.). NYHA class and pulmonary artery pressure were also significant predictors of survival, and all patients with a sPAP < OR = 35-mm Hg were alive at the end of the follow-up period. There was a good correlation between Octreoscan uptake index and the diagnosis. CONCLUSION Diagnosis (IPF vs. NSIP), NYHA class, sPAP, and especially age appear to represent important prognostic indicators in the two most prevalent forms of idiopathic pulmonary fibrosis (IPF and NSIP). Lower Octreoscan uptake values were found in all patients with IPF, suggesting that this test may have a role as a new predictor of survival for differentiating IPF from NSIP.
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386
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Shah P, Siddiqi MI. 3D-QSAR studies on triclosan derivatives as Plasmodium falciparum enoyl acyl carrier reductase inhibitors. SAR AND QSAR IN ENVIRONMENTAL RESEARCH 2010; 21:527-545. [PMID: 20818586 DOI: 10.1080/1062936x.2010.502297] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
3D-QSAR studies were carried out on a training set of 53 structurally highly diverse analogues of triclosan to investigate the correlation of the structural properties of triclosan derivatives with the inhibition of the activity of enoyl acyl carrier protein reductase in Plasmodium falciparum (PfENR) by employing Comparative Molecular Field Analysis (CoMFA) and Comparative Molecular Similarity Indices Analysis (CoMSIA). The crystal structure bound conformation of triclosan, was used as a template for aligning molecules. The probable binding mode conformations of other inhibitors were explored according to molecular docking and molecular mechanics poisson-boltzmann surface area (MM/PBSA) solvation free energy estimation methods using grid based linear Poisson-Boltzmann calculations. Predictive 3D-QSAR models, established using routine database alignment rule based on crystallographic-bound conformation of template molecule, produced statistically significant results with cross-validated r2 cv values of 0.64 and 0.54 and non-cross-validated r2 ncv values of 0.96 and 0.97 for CoMFA and CoMSIA models, respectively. The statistically significant models were validated by a test set of nine compounds with predictive r(2) values of 0.534 and 0.765 for CoMFA and CoMSIA respectively. Our QSAR model is able to successfully explain the geometric and electrostatic complementarities between ligands and receptor and provides useful guidelines to design novel triclosan derivatives as Plasmodium falciparum enoyl acyl carrier reductase inhibitors.
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387
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Lucid CE, Savani BN, Engelhardt BG, Shah P, Clifton C, Greenhut SL, Vaughan LA, Kassim A, Schuening F, Jagasia M. Extracorporeal photopheresis in patients with refractory bronchiolitis obliterans developing after allo-SCT. Bone Marrow Transplant 2010; 46:426-9. [PMID: 20581885 DOI: 10.1038/bmt.2010.152] [Citation(s) in RCA: 60] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Extracorporeal photopheresis (ECP) has been shown to be a promising treatment for chronic graft-versus-host disease; however, only a few case reports are available that examine the effectiveness of ECP for bronchiolitis obliterans (BO) after allo-SCT. Because of the poor response to traditional therapies, ECP has been explored as a possible therapeutic option for severe BO after allo-SCT. Nine patients received ECP between July 2008 and August 2009 after a median follow-up of 23 months (range 9-93 months) post transplant. The primary indication for ECP was the development of BO in patients who had failed prior multidrug regimens. The median number of drugs used for BO management before ECP was 5 (range 2-7); this included immunosuppressive therapy. Six of nine (67%) patients responded to ECP after a median of 25 days (range 20-958 days). No ECP-related complications occurred. ECP seemed to stabilize rapidly declining pulmonary function tests in about two-thirds of patients with severe and heavily pretreated BO that developed after allo-SCT. This finding supports the need for a larger prospective study to confirm the impact of ECP on BO, and to consider earlier intervention with ECP to improve the outcome of BO after allo-SCT.
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388
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Shah PS, Gouin K, Murphy K. Maternal Cocaine Use and Effects of Intervention for Reducing or Eliminating Cocaine Use on Pregnancy Outcomes: A Systematic Review and Meta-Analysis. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.24aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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389
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Shah PS, Zao J. Maternal Marital Status and Pregnancy Outcomes: A Systematic Review and Meta-Analyses. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.25aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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390
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Shah PS, Shah J, Zao J. Physical Abuse of Women and Pregnancy Outcomes: A Systematic Review and Meta-Analyses. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.24ab] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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391
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Li P, Wahi G, Guttmann A, Beyene J, Shah P. Interventions to Improve Outpatient Follow-Up in Children with Asthma Who Have Attended the Emergency Department: a Systematic Review and Meta-Analysis. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.65a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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392
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Shah PS, Zao J, Al-wassia H, Shah V. Pregnancy Outcomes of Aboriginal/Native/ in digenous Mothers: a Systematic Review and Meta-Analyses. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.47a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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393
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Jerjes W, Upile T, Shah P, Abbas S, Vincent A, Hopper C. P102 TMJ arthroscopy in patients with Ehlers Danlos Syndrome: case series. Br J Oral Maxillofac Surg 2010. [DOI: 10.1016/s0266-4356(10)60191-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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394
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Nasef N, Skidmore M, Shah P. Neonatal Trainees' Abstracts to Full Manuscripts — Enablers and Disablers: Lessons From a Large Neonatal Training Program. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.59ab] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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395
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Shah PS, Sankaran K, Aziz K, Allen A, Seshia MMK, Ohlsson A, Lee S. Comparison Of Outcomes Amoung Infants Admitted to Nicus in Canada During 2006–2007 and 1996–1997. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.9aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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396
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Lee A, Ye P, Shah PS. Effects of Permissive Hypercapnea, Acidosis, and Hypotension on Outcomes of Preterm Infants <28 Weeks Ga. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.20aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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397
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Lodha A, Yee WH, Sankaran K, Seshia MMK, Lee SK, Shah PS. Increased Risk of Bronchopulmonary Dysplasia in Preterm Small for Gestational Age Infants Born at ≤32 Weeks Gestation in Canada: A Multicentre Study. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.7aa] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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398
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Shivananda S, Mohamed T, Lee S, Shah P. Early Cpap Use and Its Impact on Vlbw Outcomes. Paediatr Child Health 2010. [DOI: 10.1093/pch/15.suppl_a.7a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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399
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Karanjgaokar V, Shah P, Nicholson Y, Spence-Jones C. Laparoscopic management of a ruptured unilateral live twin ectopic pregnancy in a Jehovah's Witness. J OBSTET GYNAECOL 2010; 29:557-8. [DOI: 10.1080/01443610903074366] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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400
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Proctor LK, Rushworth V, Shah PS, Keunen J, Windrim R, Ryan G, Kingdom J. Incorporation of femur length leads to underestimation of fetal weight in asymmetric preterm growth restriction. ULTRASOUND IN OBSTETRICS & GYNECOLOGY : THE OFFICIAL JOURNAL OF THE INTERNATIONAL SOCIETY OF ULTRASOUND IN OBSTETRICS AND GYNECOLOGY 2010; 35:442-448. [PMID: 20196066 DOI: 10.1002/uog.7605] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
OBJECTIVE To review the performance of a variety of biometry formulae for estimated fetal weight (EFW) in the management of severely growth restricted fetuses with abnormal umbilical artery Doppler at a single perinatal institution. METHODS Forty-three pregnancies were retrospectively reviewed. Inclusion criteria were: chromosomally/ structurally normal fetus; complete ultrasound biometry at < or = 7 days from delivery; EFW < 10(th) centile; absent/reversed end-diastolic flow in the umbilical arteries; and delivery at < 32 + 6 weeks. EFW accuracy and precision were compared among nine formulae utilizing combinations of head circumference (HC), biparietal diameter (BPD), abdominal circumference (AC) and femur length (FL) measurements. RESULTS Twenty-six (60.5%) fetuses showed asymmetric growth (HC/AC ratio > 95(th) centile). Analysis of the systematic and random errors associated with each formula showed that the birth weight of asymmetrically-grown fetuses was most closely approximated by the Hadlock equation that utilized BPD and AC measurements only. The birth weight of symmetrically-grown fetuses was most closely approximated by EFW derived from Hadlock equations that utilized > or = three biometry measurements, including FL. Incorporation of FL into Hadlock formulae led to significant underestimation of birth weight in the fetuses with asymmetric growth (mean percentage error +/- SD: EFW(FL-AC), -13.3 +/- 9.8%; EFW(BPD-FL-AC), -10.8 +/- 9.8%; EFW(HC-FL-AC), -11.8 +/- 9.3%; EFW(BPD-HC-FL-AC), -11.7 +/- 9.5%; P < 0.001). The same equations were accurate in fetuses with symmetric growth (EFW(FL-AC), 3.1 +/- 10.0%; EFW(BPD-FL-AC), 1.0 +/- 8.9%; EFW(HC-FL-AC), 0.3 +/- 8.7%; EFW(BPD-HC-FL-AC), 0.4 +/- 15.5%). Use of the best performing equation (Hadlock 3), which does not include FL, to estimate weight in asymmetrically-grown fetuses over 28 weeks' gestation, would have reduced the proportion of those with an underestimation of fetal weight of > 100 g from nine (50.0%) to three (16.7%). CONCLUSIONS Biometry methods that exclude FL should be considered in asymmetric intrauterine growth restriction associated with abnormal umbilical artery Doppler waveforms.
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