External validation of a model for periconceptional prediction of recurrent early-onset preeclampsia

S.M. van Kuijk*, D.H. Delahaije, C. Dirksen, H.C. Scheepers, M.E. Spaanderman, W. Ganzevoort, J.J. Duvekot, M.A. Oudijk, M.G. van Pampus, P. von Dadelszen, L.L. Peeters, the PreCare study group, L.J. Smits

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To validate a previously published prediction model for recurrent early-onset preeclampsia (PE). Methods: We included 229 pregnant women with a history of early-onset PE and computed their risk using the prediction model, compared the predicted risk to their pregnancy outcomes and assessed performance of the model. Results: Early-onset PE recurred in 6.6% of participants. The area under the receiver operating characteristic curve was 59% (95% CI: 45-73). The model created groups that were only moderately different in terms of their risk. Conclusions: The model's discriminate ability was poor and predictive performance insufficient to classify women into relevant risk groups.

Original languageEnglish
Pages (from-to)265-276
Number of pages12
JournalHypertension in Pregnancy
Volume33
Issue number3
DOIs
Publication statusPublished - Aug 2014

Keywords

  • Early-onset
  • External validation
  • Prediction
  • Preeclampsia
  • Recurrence
  • LOW-PLASMA-VOLUME
  • HYPERTENSIVE DISORDER
  • 1ST PREGNANCY
  • RISK
  • WOMEN
  • DIAGNOSIS
  • DELIVERY
  • COHORT

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