The Journal of Pediatrics
Volume 148, Issue 4 , Pages 438-444.e1 , April 2006

Early prediction of poor outcome in extremely low birth weight infants by classification tree analysis

Presented in part at the Pediatric Academic Societies’ Meeting, San Francisco, Calif, May 1–4, 2004.

Received 6 June 2005 ,Revised 28 September 2005 ,Accepted 30 November 2005.

References 

  1. Saigal S, den Ouden L, Wolke D, Hoult L, Paneth N, Streiner DL, et al. School-age outcomes in children who were extremely low birth weight from four international population-based cohorts. Pediatrics. 2003;112:943–950
  2. Vohr BR, Wright LL, Dusick AM, Mele L, Verter J, Steichen JJ, et al. Neurodevelopmental and functional outcomes of extremely low birth weight infants in the National Institute of Child Health and Human Development Neonatal Research Network, 1993-1994. Pediatrics. 2000;105:1216–1226
  3. Vohr BR, Wright LL, Dusick AM, Perritt R, Poole WK, Tyson JE, et al. Center differences and outcomes of extremely low birth weight infants. Pediatrics. 2004;113:781–789
  4. Schmidt B, Davis P, Moddemann D, Ohlsson A, Roberts RS, Saigal S, et al. Long-term effects of indomethacin prophylaxis in extremely-low-birth-weight infants. N Engl J Med. 2001;344:1966–1972
  5. American College of Obstetricians and Gynecologists. ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists: Number 38, September 2002. Perinatal care at the threshold of viability. Obstet Gynecol. 2002;100:617–624
  6. American Academy of PediatricsCommittee on Fetus and Newborn. Perinatal care at the threshold of viability. Pediatrics. 2002;110:1024–1027
  7. Molholm Hansen B, Hoff B, Greisen G. Treatment of extremely preterm infants (parents’ attitudes). Acta Paediatr. 2003;92:715–720
  8. Campbell DE, Fleischman AR. Limits of viability (dilemmas, decisions, and decision makers). Am J Perinatol. 2001;18:117–128
  9. Van Reempts PJ, Van Acker KJ. Ethical aspects of cardiopulmonary resuscitation in premature neonates (where do we stand?). Resuscitation. 2001;51:225–232
  10. Nelson LM, Bloch DA, Longstreth WT, Shi H. Recursive partitioning for the identification of disease risk subgroups (a case-control study of subarachnoid hemorrhage). J Clin Epidemiol. 1998;51:199–209
  11. Zhang H, Bracken MB. Tree-based risk factor analysis of preterm delivery and small-for-gestational-age birth. Am J Epidemiol. 1995;141:70–78
  12. Ambalavanan N, Carlo W, Bobashev G, Mathias E, Poole K, Fanaroff AA, et al. Prediction of mortality in extremely low birth weight neonates. Pediatrics. 2005;116:1367–1373
  13. Ambalavanan N, Carlo WA. Comparison of the prediction of extremely low birth weight neonatal mortality by regression analysis and by neural networks. Early Hum Dev. 2001;65:123–137
  14. Schmidt B, Asztalos EV, Roberts RS, Robertson CM, Sauve RS, Whitfield MF, et al. Impact of bronchopulmonary dysplasia, brain injury, and severe retinopathy on the outcome of extremely low-birth-weight infants at 18 months (results from the trial of indomethacin prophylaxis in preterms). JAMA. 2003;289:1124–1129
  15. Hack M, Wilson-Costello D, Friedman H, Taylor GH, Schluchter M, Fanaroff AA. Neurodevelopment and predictors of outcomes of children with birth weights of less than 1000 g (1992-1995). Arch Pediatr Adolesc Med. 2000;154:725–731
  16. Hack M, Fanaroff AA. Outcomes of children of extremely low birthweight and gestational age in the 1990s. Semin Neonatol. 2000;5:89–106
  17. Ambalavanan N, Nelson KG, Alexander G, Johnson SE, Biasini F, Carlo WA. Prediction of neurologic morbidity in extremely low birth weight infants. J Perinatol. 2000;20:496–503
  18. Meadow W, Frain L, Ren Y, Lee G, Soneji S, Lantos J. Serial assessment of mortality in the neonatal intensive care unit by algorithm and intuition (certainty, uncertainty, and informed consent). Pediatrics. 2002;109:878–886
  19. Donovan EF, Tyson JE, Ehrenkranz RA, Verter J, Wright LL, Korones SB, et al. Inaccuracy of Ballard scores before 28 weeks’ gestation. National Institute of Child Health and Human Development Neonatal Research Network. J Pediatr. 1999;135:147–152
  20. Bell EF, Warburton D, Stonestreet BS, Oh W. Effect of fluid administration on the development of symptomatic patent ductus arteriosus and congestive heart failure in premature infants. N Engl J Med. 1980;302:598–604
  21. Bell EF, Acarregui MJ. Restricted versus liberal water intake for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev. 2001;CD000503
  22. Corwin HL, Gettinger A, Pearl RG, Fink MP, Levy MM, Abraham E, et al. The CRIT Study (Anemia and blood transfusion in the critically ill—current clinical practice in the United States). Crit Care Med. 2004;32:39–52
  23. Hebert PC, Wells G, Blajchman MA, Marshall J, Martin C, Pagliarello G, et al. Transfusion Requirements in Critical Care Investigators, Canadian Critical Care Trials Group A multicenter, randomized, controlled clinical trial of transfusion requirements in critical care. N Engl J Med. 1999;340:409–417
  24. Kirpalani H, Whyte R, Andersen C, Asztalos E, Blajchman M, Heddle N, et al. Conservative transfusion regimens are not associated with higher mortality or morbidity in ELBW infants—The Premature in Need of Transfusion (PINT) randomized controlled trial. (abstract available at http://www.pas-meeting.org/2004SanFran/Abstracts/LateBreakers/Abstracts.htm#LB15; Presented at PAS 2004, San Francisco, CA) Accessed January 31, 2006.

 Supported by the Medical Research Council of Canada MT-13288. US centers were supported in part by NICHD U10 HD21364, U10 HD27851, U10 HD21373, U10 HD27881; M01 RR 00997, U10 HD27880; M01 RR 00070, U10 HD21385, U10 HD27904, and U10 HD34216.

PII: S0022-3476(05)01163-7

doi: 10.1016/j.jpeds.2005.11.042

The Journal of Pediatrics
Volume 148, Issue 4 , Pages 438-444.e1 , April 2006