{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T13:28:04Z","timestamp":1760016484104},"reference-count":16,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anemia"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Objectives<\/jats:italic>. To compare current criteria for severe fetal anemia diagnosis.<jats:italic>Methodology<\/jats:italic>. A cohort study analyzed 105 alloimmunized fetuses that underwent cordocentesis due to risk of anemia. Concordance among the diagnostic criteria for severe fetal anemia, hemoglobin deficit &gt;7\u2009g\/dL, hemoglobin deficit \u22655\u2009g\/dL, and hemoglobin concentration &lt;0.55\u2009MoM, was analyzed using Cohen\u2019s Kappa index. Perinatal mortality, fetal hydrops, and fetal acidosis were used to discuss discordances.<jats:italic>Results<\/jats:italic>. There was fair concordance among the three criteria analyzed: 0.80 (Kappa index, IC 95%: 0.67 to 0.93) when comparing hemoglobin deficit &gt;7.0\u2009g\/dL and hemoglobin concentration &lt;0.55\u2009MoM criteria, 0.63 (Kappa index, IC 95%: 0.47 to 0.69) when comparing hemoglobin deficit \u22655.0\u2009g\/dL and hemoglobin deficit &gt;7.0\u2009g\/dL reference, and 0.77 (Kappa index, IC 95%: 0.64 to 0.90) when comparing hemoglobin deficit\u22655.0\u2009g\/dL and hemoglobin concentration &lt;0.55\u2009MoM standards. Eighteen cases were classified differently depending on the criteria used. The cut-off point of hemoglobin deficit \u22655\u2009g\/dL was the best criterion to discriminate fetuses with poor perinatal outcome in our study.<jats:italic>Conclusions<\/jats:italic>. Relevant discordances in classification of severe fetal anemia were pointed out. Some criteria may underestimate the real gravity of fetal anemia.<\/jats:p>","DOI":"10.1155\/2013\/351258","type":"journal-article","created":{"date-parts":[[2013,11,20]],"date-time":"2013-11-20T16:47:19Z","timestamp":1384966039000},"page":"1-6","source":"Crossref","is-referenced-by-count":1,"title":["Diagnosis of Severe Fetal Anemia Based on Perinatal Outcomes: A Comparative Analysis of the Current Reference Values"],"prefix":"10.1155","volume":"2013","author":[{"given":"Zilma Silveira Nogueira","family":"Reis","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Federal University of Minas Gerais, Brazil"},{"name":"Obstetrics and Gynaecology Department, Universidade Federal de Minas Gerais (UFMG), Avenida Professor Alfredo Balena, 190, Funcion\u00e1rios, Belo Horizonte, 30.130.100 Minas Gerais, Brazil"}]},{"given":"Gabriel Costa","family":"Osanan","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Federal University of Minas Gerais, Brazil"}]},{"given":"Tiago Lanfernini Ricardo","family":"Coelho","sequence":"additional","affiliation":[{"name":"Federal University of Minas Gerais, Brazil"}]},{"given":"Cezar Alencar De Lima","family":"Rezende","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Federal University of Minas Gerais, Brazil"}]},{"given":"Henrique Vitor","family":"Leite","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Federal University of Minas Gerais, Brazil"}]},{"given":"Ant\u00f4nio Carlos Vieira","family":"Cabral","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Federal University of Minas Gerais, Brazil"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.06.007"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1590\/S0100-39842008000600008"},{"key":"3","year":"2005"},{"issue":"7502","key":"4","doi-asserted-by":"crossref","first-page":"1255","DOI":"10.1136\/bmj.330.7502.1255","volume":"330","year":"2005","journal-title":"British Medical Journal"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/S0146-0005(97)80018-3"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.transci.2010.09.010"},{"issue":"3","key":"7","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1016\/S0002-9378(94)70271-3","volume":"170","year":"1994","journal-title":"American Journal of Obstetrics and Gynecology"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.2450\/2010.0151-09"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2011.633668"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200001063420102"},{"issue":"8594","key":"11","first-page":"1073","volume":"1","year":"1988","journal-title":"The Lancet"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(98)00250-6"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2007.06.048"},{"issue":"5","key":"13","doi-asserted-by":"crossref","first-page":"697","DOI":"10.7863\/jum.2005.24.5.697","volume":"24","year":"2005","journal-title":"Journal of Ultrasound in Medicine"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199702000-00022"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2010.07.017"}],"container-title":["Anemia"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/anemia\/2013\/351258.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/anemia\/2013\/351258.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/anemia\/2013\/351258.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T22:45:40Z","timestamp":1498085140000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/anemia\/2013\/351258\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":16,"alternative-id":["351258","351258"],"URL":"https:\/\/doi.org\/10.1155\/2013\/351258","relation":{},"ISSN":["2090-1267","2090-1275"],"issn-type":[{"value":"2090-1267","type":"print"},{"value":"2090-1275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013]]}}}