Characteristics of different risk factors and fasting plasma glucose for identifying GDM when using IADPSG criteria: a cross-sectional study

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Saeedi, Maryam,1991-Örebro University hospital, Örebro, Sweden,Orebro Univ, Orebro Univ Hosp, Orebro, Sweden (författare)

Characteristics of different risk factors and fasting plasma glucose for identifying GDM when using IADPSG criteria : a cross-sectional study

Artikel/kapitelEngelska2018

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2018-06-13
BioMed Central (BMC),2018
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LIBRIS-ID:oai:DiVA.org:oru-67317
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-67317URI
https://doi.org/10.1186/s12884-018-1875-1DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-358524URI

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Språk:engelska
Sammanfattning på:engelska

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Funding Agency:Research committee of Örebro County
BACKGROUND: The Swedish National Board of Health and Welfare (SNBHW) recommended the new diagnostic criteria for GDM based upon Hyperglycaemia and Adverse Pregnancy Outcomes (HAPO) study thresholds. Due to limited knowledge base, no recommendations were made on GDM screening. The aim of this study is to evaluate test characteristics of risk factors and fasting blood glucose as screening tests for diagnosing GDM using diagnostic thresholds based upon HAPO study 1.75/2.0 (model I/II respectively) odds ratio for adverse pregnancy outcomes.METHODS: This cross-sectional, population-based study included all pregnant women who attended maternal health care in Örebro County, Sweden between the years 1994-96. A 75 g OGTT with capillary fasting and 2-h blood glucose was offered to all pregnant women at week 28-32. Risk factors and repeated random glucose samples were collected. Sensitivity, specificity and predictive values of blood glucose were calculated.RESULTS: Prevalence of GDM was 11.7% with model I and 7.2% with the model II criteria. Risk factors showed 28%, (95% CI 24-32) and 31%, (95% CI 25-37) sensitivity for model I and II respectively. A fasting cut off ≥4.8 mmol/l occurred in 24% of women with 91%, (95% CI 88-94) sensitivity and 85%, (95% CI 83-86) specificity using model I while a fasting cut off ≥5.0 mmol/l occurred in 14% with 91%, (95% CI 87-94) sensitivity and 92%, (95% CI 91-93) specificity using model II.CONCLUSION: Risk factor screening for GDM was found to be poorly predictive of GDM but fasting glucose of 4.8-5.0 mmol/l showed good test characteristics irrespective of diagnostic model and results in a low rate of OGTTs.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
Gestational diabetes mellitus
Screening
Fasting plasma glucose
Risk factors
Sensitivity

Biuppslag (personer, institutioner, konferenser, titlar ...)

Hanson, Ulf,1944-Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Orebro Univ Hosp, Sch Med Hlth & Sci, Dept Obstet & Gynecol, Orebro, Sweden(Swepub:uu)ulhan226 (författare)
Simmons, David,1959-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Obstetrics and Gynecology, School of medical health and sciences, Örebro University Hospital, Örebro, Sweden; Macarthur Clinical School, Western Sydney University, Campbelltown, Australia,Orebro Univ Hosp, Sch Med Hlth & Sci, Dept Obstet & Gynecol, Orebro, Sweden;Western Sydney Univ, Macarthur Clin Sch, Campbelltown, NSW, Australia(Swepub:oru)dss (författare)
Fadl, Helena,1965-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Obstetrics and Gynecology,Orebro Univ Hosp, Sch Med Hlth & Sci, Dept Obstet & Gynecol, Orebro, Sweden(Swepub:oru)hfl (författare)
Örebro University hospital, Örebro, SwedenOrebro Univ, Orebro Univ Hosp, Orebro, Sweden (creator_code:org_t)

Sammanhörande titlar

Ingår i:BMC Pregnancy and Childbirth: BioMed Central (BMC)18:11471-23931471-2393

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Av författaren/redakt...: Saeedi, Maryam, ...; Hanson, Ulf, 194 ...; Simmons, David, ...; Fadl, Helena, 19 ...

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