Review Article

First-Trimester Uterine Artery Doppler Analysis in the Prediction of Later Pregnancy Complications

Table 3

External validation of multiparametric models for the prediction of late preeclampsia (>34 weeks).

Study Population Incidence of late preeclampsiaPredictive models testedDetection rate (%) at 10% false positive rate
ReportedObserved

Poon [38]
(lowest UtA-PI)
45.338.5
Poon [38]
(mean UtA-PI)
46.941
Farina et al. [39]554 Mediterranean women7%Poon [38]
(highest UtA-PI)
46.143.6
Poon [54]41.135.9
Poon [58]5784.6

Oliveira et al. [61]2962 American women4.1–5%Parra-Cordero [52]
Scazzocchio [55]
29
40
18
31

Park et al. [62]3066 Australian women2.3%Poon [58]5735.2

Skråstad et al. [63]541 nulliparous Norwegian women3.7%Akolekar [60]
PREDICTOR posterior*
N/A
N/A
30
30

UtA-PI = uterine artery pulsatility index.
*Proprietary predictive model (PerkinElmer, Waltham, MA, USA) incorporating BMI, ethnicity, parity, family history of preeclampsia, chronic hypertension, MAP, UtA lowest PI, PlGF, and PAPP-A.