Identifying risk of stillbirth using machine learning.

American journal of obstetrics and gynecology(2023)

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摘要
Applying advanced machine learning techniques to a comprehensive database of stillbirths and live births with unique and clinically relevant variables resulted in an algorithm that could accurately identify 85% of pregnancies that would result in stillbirth, before they reached viability. Once validated in representative databases reflective of the United States birthing population and then prospectively, these models may provide effective risk stratification and clinical decision-making support to better identify and monitor those at risk for stillbirth.
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关键词
boosted trees, clinical decision-making, factor analysis, prenatal care, previability, random forests, second-trimester prenatal screen (Down syndrome risk, unconjugated estriol, maternal serum alpha-fetoprotein), structural racism, ultrasound
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