Evidence map›Paper›PMID 40312361›Full record

ArticleBMC medical informatics and decision making2025

Predicting preeclampsia in early pregnancy using clinical and laboratory data via machine learning model.

Songchang Chen, Jia Li, Xiao Zhang, Wenqiu Xu, Zhixu Qiu, Siyao Yan, Wenrui Zhao, Zhiguang Zhao, Peirun Tian, Qiang Zhao and 34 more

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Article in BMC medical informatics and decision making, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors.

Songchang Chen *Obstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China.
Jia Li *Hebei Industrial Technology Research Institute of Genomics in Maternal & Child Health, Clin Lab, BGI Genomics, Shijiazhuang, Hebei Province, 050011, China.
Xiao Zhang *Hebei Industrial Technology Research Institute of Genomics in Maternal & Child Health, Clin Lab, BGI Genomics, Shijiazhuang, Hebei Province, 050011, China.
Wenqiu Xu *Hebei Industrial Technology Research Institute of Genomics in Maternal & Child Health, Clin Lab, BGI Genomics, Shijiazhuang, Hebei Province, 050011, China.
Zhixu Qiu *Hebei Industrial Technology Research Institute of Genomics in Maternal & Child Health, Clin Lab, BGI Genomics, Shijiazhuang, Hebei Province, 050011, China.
Siyao Yan *Hebei Medical University, Shijiazhuang, Hebei Province, 050011, China.
Wenrui ZhaoHebei Industrial Technology Research Institute of Genomics in Maternal & Child Health, Clin Lab, BGI Genomics, Shijiazhuang, Hebei Province, 050011, China.
Zhiguang ZhaoHebei Industrial Technology Research Institute of Genomics in Maternal & Child Health, Clin Lab, BGI Genomics, Shijiazhuang, Hebei Province, 050011, China.
Peirun TianBGI Genomics, Shenzhen, Guangdong Province, 518083, China.
Qiang ZhaoDepartment of Obstetrics and Gynecology, Jiangmen Central Hospital, Jiangmen, Guangdong Province, 529030, China.
Qun ZhangDepartment of Obstetrics and Gynecology, Jiangmen Central Hospital, Jiangmen, Guangdong Province, 529030, China.
Weiping ChenDepartment of Obstetrics and Gynecology, Jiangmen Central Hospital, Jiangmen, Guangdong Province, 529030, China.
Huahua LiDepartment of Obstetrics and Gynecology, Jiangmen Central Hospital, Jiangmen, Guangdong Province, 529030, China.
Xiaohong RuanDepartment of Obstetrics and Gynecology, Jiangmen Central Hospital, Jiangmen, Guangdong Province, 529030, China.
Gefei XiaoDepartment of Medical Genetics and Prenatal Diagnosis, Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong Province, 519000, China.
Sufen ZhangDepartment of Medical Genetics and Prenatal Diagnosis, Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong Province, 519000, China.
Liqing HuDepartment of Medical Genetics and Prenatal Diagnosis, Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong Province, 519000, China.
Jie QinDepartment of Medical Genetics and Prenatal Diagnosis, Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong Province, 519000, China.
Wuyan HuangDepartment of Medical Genetics and Prenatal Diagnosis, Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong Province, 519000, China.
Zhongzhe LiDepartment of Prevention and Health Care, Zhuhai Center for Maternal and Child Health Care, Zhuhai, Guangdong Province, 519000, China.
Shunyao WangBGI Genomics, Shenzhen, Guangdong Province, 518083, China.
Rui ZhangDivision of Maternal-Fetal Medicine, Shenzhen Bao' an Women's and Children's Hospital, Shenzhen, Guangdong Province, 518102, China.
Shang HuangThe Genetics Laboratory, Longgang District Maternity and Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, Longgang District, Guangdong Province, 518712, China.
Xin WangThe Genetics Laboratory, Longgang District Maternity and Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, Longgang District, Guangdong Province, 518712, China.
Yao YaoThe Genetics Laboratory, Longgang District Maternity and Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, Longgang District, Guangdong Province, 518712, China.
Jian RanThe Genetics Laboratory, Longgang District Maternity and Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, Longgang District, Guangdong Province, 518712, China.
Danling ChengThe Genetics Laboratory, Longgang District Maternity and Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, Longgang District, Guangdong Province, 518712, China.
Qi LuoSchool of Basic Medical Sciences, Jiamusi University, Jiamusi, Heilongjiang Province, 154007, China.
Teng PanThe Genetics Laboratory, Longgang District Maternity and Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, Longgang District, Guangdong Province, 518712, China.
Ruyun GaoSchool of Public Health, Hebei Medical University, Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang, Hebei Province, 050017, China.
Jing ZhengSchool of Public Health, Hebei Medical University, Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang, Hebei Province, 050017, China.
Yuxuan WangSchool of Public Health, Hebei Medical University, Hebei Province Key Laboratory of Environment and Human Health, Shijiazhuang, Hebei Province, 050017, China.
Cong LiuObstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China.
Xianling CaoObstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China.
Xuanyou ZhouObstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China.
Naixin XuObstetrics and Gynecology Hospital, Institute of Reproduction and Development, Fudan University, Shanghai, 200011, China.
Lanlan ZhangInternational Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China.
Xu HanInternational Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China.
Haolin WangSchool of Computer Science, Guangzhou College of Technology and Business, Guangdong Province, 510850, China.
Suihua FengDepartment of Obstetrics and Gynecology, Jiangmen Central Hospital, Jiangmen, Guangdong Province, 529030, China. 13702285687@139.com.
Shuyuan LiInternational Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, 200030, China. shuyuanli816@163.com.
Jianguo ZhangHebei Industrial Technology Research Institute of Genomics in Maternal & Child Health, Clin Lab, BGI Genomics, Shijiazhuang, Hebei Province, 050011, China. zhangjg@bgi.com.
Lijian ZhaoHebei Industrial Technology Research Institute of Genomics in Maternal & Child Health, Clin Lab, BGI Genomics, Shijiazhuang, Hebei Province, 050011, China. zhaolijian@bgi.com.
Fengxiang WeiThe Genetics Laboratory, Longgang District Maternity and Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, Longgang District, Guangdong Province, 518712, China. haowei727499@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was performed to characterize the relationship of various laboratory test indicators with clinical information and Preeclampsia (PE) development. Then, prediction models for early-onset preeclampsia (EOPE), late-onset preeclampsia (LOPE), and preterm preeclampsia (Preterm PE) were developed using maternal characteristics and laboratory data.

methodsBetween January 2019 and December 2021, we retrospectively recruited 144 EOPE, 363 LOPE, 231 Preterm PE, and 1458 healthy participants from six hospitals. We utilized all available clinical and laboratory data obtained during routine prenatal visits in early pregnancy. The models for EOPE, LOPE, and Preterm PE were created using ensemble machine learning models with patient clinical and laboratory data.

resultsBy comparing laboratory variables between PE patients and healthy controls, we identified 7, 18, 8, 15, 7,29 laboratory markers for EOPE, LOPE, and Preterm PE, severe PE, superimposed PE, first-time PE respectively. The ensemble EOPE and LOPE models incorporating clinical and laboratory predictors outperformed the clinical factor models respectively. The ensemble EOPE model demonstrated good sensitivity (72.22%,95% confidence interval [CI]: 57.59%-86.85%) and specificity (85.25%,95% CI: 80.54%-89.97%) in distinguishing EOPE from controls in early pregnancy. Similarly, the ensemble LOPE model showed good accuracy in differentiating LOPE from healthy participants (sensitivity: 69.57%, 95% CI: 56.27%-82.86%; specificity: 85.25%, 95% CI: 80.54%-89.97%). The prediction scores demonstrated notable positive correlations with blood pressure at admission, while they showed inverse correlations with 24-hour urine protein levels and fetal growth restriction among PE patients. In conclusion, our study identified key laboratory indicators for forecasting PE. The developed models exhibited good predictive capability for assessing preeclampsia risk and severity based on clinical and laboratory data. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Machine LearningPre-EclampsiaAdultBiomarkersFemaleHumansPregnancyRetrospective StudiesBiomarkersLaboratory dataMachine learning modelPreeclampsia

Identifiers

PMID40312361
PMCPMC12044989

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