Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal
Autor(a) principal: | |
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Data de Publicação: | 2010 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://hdl.handle.net/11449/231946 |
Resumo: | PURPOSE: to compare two screening tests for diabetes and their results to pregnancy outcomes. METHODS: in total, 279 pregnant women were submitted to two screening tests for gestational diabetes - fasting glycemia plus risk factors (FG + RF) and to the simplified glucose tolerance test (GTT50g). Screening by FG + RF consisted of the determination of fasting glycemia and anamnesis for the identification of risk factors on the occasion of the first prenatal visit. The GTT50g was performed between the 24th and the 28th week of pregnancy and consisted of the determination of plasma glycemia under fasting conditions and one hour after an oral overload with 50 g glucose. Positive and negative results were compared to pregnancy outcome. The dependent variables were: type of delivery, gestational age, weight and ponderal index at birth, Apgar indexes <7 in the 1st and 5th minutes, need for admission to the Intensive Care Unit (ICU), duration of hospitalization, and neonatal death. Data were analyzed statistically through the Student's t-test, and the level of significance was set at 5%. RESULTS: only two of the perinatal variables studied were distinguished by the tests. An abnormal GTT50g was associated with a greater proportion of cesarean deliveries (58.7 versus 34.3%) and a positive FG + RF association was related to a higher rate of premature births (15.4 versus 5.4%). The other dependent variables did not differ among patients with positive and negative results of the two screening tests. CONCLUSIONS: despite the relation between prematurity and a positive FG + RF association, the increase of caesarean sections and the abnormal GTT50g, it would be a critical failure to accept these associations as definitive. Among others explanations, multiple intercurrent factors and the characteristics of the screening tests themselves should be considered. |
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Repositório Institucional da UNESP |
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Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatalComparison between two gestational diabetes screening tests and the perinatal outcomeBlood glucose/analysisDiabetes, gestationalGlucose tolerance testPregnancy outcomeRisk factorsPURPOSE: to compare two screening tests for diabetes and their results to pregnancy outcomes. METHODS: in total, 279 pregnant women were submitted to two screening tests for gestational diabetes - fasting glycemia plus risk factors (FG + RF) and to the simplified glucose tolerance test (GTT50g). Screening by FG + RF consisted of the determination of fasting glycemia and anamnesis for the identification of risk factors on the occasion of the first prenatal visit. The GTT50g was performed between the 24th and the 28th week of pregnancy and consisted of the determination of plasma glycemia under fasting conditions and one hour after an oral overload with 50 g glucose. Positive and negative results were compared to pregnancy outcome. The dependent variables were: type of delivery, gestational age, weight and ponderal index at birth, Apgar indexes <7 in the 1st and 5th minutes, need for admission to the Intensive Care Unit (ICU), duration of hospitalization, and neonatal death. Data were analyzed statistically through the Student's t-test, and the level of significance was set at 5%. RESULTS: only two of the perinatal variables studied were distinguished by the tests. An abnormal GTT50g was associated with a greater proportion of cesarean deliveries (58.7 versus 34.3%) and a positive FG + RF association was related to a higher rate of premature births (15.4 versus 5.4%). The other dependent variables did not differ among patients with positive and negative results of the two screening tests. CONCLUSIONS: despite the relation between prematurity and a positive FG + RF association, the increase of caesarean sections and the abnormal GTT50g, it would be a critical failure to accept these associations as definitive. Among others explanations, multiple intercurrent factors and the characteristics of the screening tests themselves should be considered.Departamento de Ginecologia e Obstetrícia Faculdade de Medicina Universidade Federal de Mato Grosso do Sul - UFMS, Campo Grande (MS)Faculdade de Medicina de Botucatu Universidade Estadual Paulista 'Julio de Mesquita Filho' - UNESP, Botucatu (SP)Faculdade de Medicina de Botucatu Universidade Estadual Paulista 'Julio de Mesquita Filho' - UNESP, Botucatu (SP)Universidade Federal de Mato Grosso do Sul (UFMS)Universidade Estadual Paulista (UNESP)Ayach, WilsonCalderon, Iracema de Mattos Paranhos [UNESP]da Cunha Rudge, Marilza Vieira [UNESP]Costa, Roberto Antonio Araújo [UNESP]2022-04-29T08:48:18Z2022-04-29T08:48:18Z2010-05-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article222-228Revista Brasileira de Ginecologia e Obstetricia, v. 32, n. 5, p. 222-228, 2010.0100-7203http://hdl.handle.net/11449/2319462-s2.0-77956965779Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporRevista Brasileira de Ginecologia e Obstetriciainfo:eu-repo/semantics/openAccess2024-08-16T14:06:43Zoai:repositorio.unesp.br:11449/231946Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T14:06:43Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal Comparison between two gestational diabetes screening tests and the perinatal outcome |
title |
Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal |
spellingShingle |
Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal Ayach, Wilson Blood glucose/analysis Diabetes, gestational Glucose tolerance test Pregnancy outcome Risk factors |
title_short |
Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal |
title_full |
Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal |
title_fullStr |
Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal |
title_full_unstemmed |
Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal |
title_sort |
Comparação entre dois testes de rastreamento do diabetes gestacional e o resultado perinatal |
author |
Ayach, Wilson |
author_facet |
Ayach, Wilson Calderon, Iracema de Mattos Paranhos [UNESP] da Cunha Rudge, Marilza Vieira [UNESP] Costa, Roberto Antonio Araújo [UNESP] |
author_role |
author |
author2 |
Calderon, Iracema de Mattos Paranhos [UNESP] da Cunha Rudge, Marilza Vieira [UNESP] Costa, Roberto Antonio Araújo [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de Mato Grosso do Sul (UFMS) Universidade Estadual Paulista (UNESP) |
dc.contributor.author.fl_str_mv |
Ayach, Wilson Calderon, Iracema de Mattos Paranhos [UNESP] da Cunha Rudge, Marilza Vieira [UNESP] Costa, Roberto Antonio Araújo [UNESP] |
dc.subject.por.fl_str_mv |
Blood glucose/analysis Diabetes, gestational Glucose tolerance test Pregnancy outcome Risk factors |
topic |
Blood glucose/analysis Diabetes, gestational Glucose tolerance test Pregnancy outcome Risk factors |
description |
PURPOSE: to compare two screening tests for diabetes and their results to pregnancy outcomes. METHODS: in total, 279 pregnant women were submitted to two screening tests for gestational diabetes - fasting glycemia plus risk factors (FG + RF) and to the simplified glucose tolerance test (GTT50g). Screening by FG + RF consisted of the determination of fasting glycemia and anamnesis for the identification of risk factors on the occasion of the first prenatal visit. The GTT50g was performed between the 24th and the 28th week of pregnancy and consisted of the determination of plasma glycemia under fasting conditions and one hour after an oral overload with 50 g glucose. Positive and negative results were compared to pregnancy outcome. The dependent variables were: type of delivery, gestational age, weight and ponderal index at birth, Apgar indexes <7 in the 1st and 5th minutes, need for admission to the Intensive Care Unit (ICU), duration of hospitalization, and neonatal death. Data were analyzed statistically through the Student's t-test, and the level of significance was set at 5%. RESULTS: only two of the perinatal variables studied were distinguished by the tests. An abnormal GTT50g was associated with a greater proportion of cesarean deliveries (58.7 versus 34.3%) and a positive FG + RF association was related to a higher rate of premature births (15.4 versus 5.4%). The other dependent variables did not differ among patients with positive and negative results of the two screening tests. CONCLUSIONS: despite the relation between prematurity and a positive FG + RF association, the increase of caesarean sections and the abnormal GTT50g, it would be a critical failure to accept these associations as definitive. Among others explanations, multiple intercurrent factors and the characteristics of the screening tests themselves should be considered. |
publishDate |
2010 |
dc.date.none.fl_str_mv |
2010-05-01 2022-04-29T08:48:18Z 2022-04-29T08:48:18Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
Revista Brasileira de Ginecologia e Obstetricia, v. 32, n. 5, p. 222-228, 2010. 0100-7203 http://hdl.handle.net/11449/231946 2-s2.0-77956965779 |
identifier_str_mv |
Revista Brasileira de Ginecologia e Obstetricia, v. 32, n. 5, p. 222-228, 2010. 0100-7203 2-s2.0-77956965779 |
url |
http://hdl.handle.net/11449/231946 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Revista Brasileira de Ginecologia e Obstetricia |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
222-228 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128123386986496 |