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. 2018 Mar 27;62(4):e02311-17. doi: 10.1128/AAC.02311-17

TABLE 2.

Parameter estimation of system-specific model and reference model with final model-associated bootstrapsa

Parameter System-specific model
Reference model
Final model
Final bootstrap
Final model
Final bootstrap
Estimate CV (%) Estimateb CI (2.5%) CI (97.5%) Estimate CV (%) Estimateb CI (2.5%) CI (97.5%)
OFV −278.3 −305.3
CLc (liter/h/70 kg) 5.33 8 5.31 4.60 6.21 6.69 9 6.53 5.34 7.87
θCL_PNA 0.22 (FIX) 0.37 22 0.35 0.18 0.52
θCL_TEMP 2.43 (FIX) 2.58 26 2.82 1.01 4.71
θCL_GA 3.86 (FIX) 5.83 23 6.34 3.32 10.09
θUO 0.08 (FIX)
θCL_MOF 0.61 12 0.61 0.44 0.78
Vcc (liters/70 kg) 43.6 12 43.5 31.6 56.1 41.6 8 42.4 36.4 51.7
Q (liters/h/70 kg) 0.89 20 0.94 0.45 6.17 0.97 20 1.04 0.52 1.67
Vp (liters/70 kg) 32 26 31.3 11.4 57.6 70.9 37 69.9 15.4 828.2
Additive error 0.33 9 0.32 0.26 0.38 0.34 8 0.32 0.27 0.37
IIV CL (%) 49 11 48 36 61 45 15 43 28 61
IIV Vc (%) 53 29 52 15 92 22 39 24 5 48
a

OFV, objective function value; CL, clearance; PNA, postnatal age (days); TEMP, body temperature (°C); UO, urine output (ml/kg/h); GA, gestational age (days); MOF, multiorgan failure; CV, coefficient of variation; CI, confidence interval; Vc, volume of distribution of the central compartment; Q, intercompartmental clearance; Vp, volume of distribution of the peripheral compartment; IIV, interindividual variability; TV, typical value; BW, birthweight; FIX, fixed. The final system-specific model included the following equations: TVCL = 5.33 × (BW/70)0.75 × (PNA/2.35)0.22 × (TEMP/33.5)2.43 × (UO/2.99)0.08 × (GA/280)3.86, TVVc = 43.6 × (BW/70)1, TVQ = 0.89 × (BW/70)0.75, and TVVp = 32 × (BW/70)1. The final reference model included the following equations: TVCL = 6.69 × (BW/70)0.75 × (PNA/2.21)0.37 × (TEMP/33.5)2.58 × 0.61MOF × (GA/281)5.83, TVVc = 41.6 × (BW/70)1, TVQ = 0.97 × (BW/70)0.75, and TVVp = 70.9 × (BW/70)1.

b

Median estimates.

c

CL and Vc were correlated for the system-specific model (r = 0.41) and the reference model (r = 0.84).