TABLE 2.
Parameter | System-specific model |
Reference model |
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Final model |
Final bootstrap |
Final model |
Final bootstrap |
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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 |
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.
Median estimates.
CL and Vc were correlated for the system-specific model (r = 0.41) and the reference model (r = 0.84).