Table 5.
Diagnostic value of different indexes for fetal distress
Groups | Sensitivity | Specificity | Yoden index | Area under the curve (AUC) | Cutoff value | P | 95% CI | |
---|---|---|---|---|---|---|---|---|
| ||||||||
Upper limitation | Lower limitation | |||||||
Umbilical artery S/D | 0.533 | 0.975 | 0.508 | 0.788 | 3.771 | <0.001 | 0.674 | 0.902 |
Umbilical artery RI | 0.867 | 0.725 | 0.592 | 0.870 | 0.665 | <0.001 | 0.789 | 0.952 |
Umbilical artery PI | 0.767 | 0.800 | 0.567 | 0.847 | 1.595 | <0.001 | 0.759 | 0.936 |
Middle cerebral artery S/D | 1.000 | 0.625 | 0.625 | 0.852 | 4.801 | <0.001 | 0.766 | 0.937 |
Middle cerebral artery PI | 0.933 | 0.500 | 0.433 | 0.802 | 0.802 | <0.001 | 0.705 | 0.904 |
Middle cerebral artery RI | 0.467 | 0.800 | 0.267 | 0.658 | 1.292 | 0.025 | 0.526 | 0.790 |
Fetal movement reduction | 0.700 | 0.800 | 0.500 | 0.750 | <0.001 | 0.630 | 0.870 | |
Combined indexes | 1.000 | 1.000 | 1.000 | 1.000a,b,c,d,e,f,g | 1.000 | <0.001 | 1.000 | 1.000 |
Note: Compared with umbilical artery S/D;
P<0.05.
Compared with umbilical artery RI;
P<0.05.
Compared with umbilical artery PI;
P<0.05.
Compared with middle cerebral artery S/D;
P<0.05.
Compared with middle cerebral artery PI;
P<0.05.
Compared with middle cerebral artery RI;
P<0.05.
Compared with fetal movement reduction;
P<0.05.
RI: resistance index; PI: pulsatility index; S/D: systolic blood flow velocity to end-diastolic blood flow velocity.