Predictive model for congenital muscular torticollis: Analysis of 1021 infants with sonography

Miao Ming Chen, Huan Cheng Chang, Chuan Fa Hsieh, Ming Fang Yen, Tony Hsui Hsi Chen

Research output: Contribution to journalArticle

35 Citations (Scopus)

Abstract

Objective: To construct a predictive model to foretell congenital muscular torticollis (CMT) on the basis of clinical correlates. Design: Correlation study. Setting: Regional hospital. Participants: A consecutive series of 1021 newborn infants. Interventions: Not applicable. Main Outcome Measure: Participants underwent portable ultrasonography to diagnose CMT. Significant clinical correlates were identified to construct a predictive model using the logistic regression model. Results: Forty of 1021 infants were diagnosed with CMT using ultrasonography, yielding an overall incidence of 3.92%. Birth body length (odds ratio [OR]=1.38; 95% confidence interval [CI], 1.49-2.38), facial asymmetry (OR=21.75; 95% CI, 6.6-71.7), plagiocephaly (OR=22.3; 95% CI, 7.01-70.95), perineal trauma during delivery (OR=4.26; 95% CI, 1.25-14.52), and primiparity (OR=6.32; 95% CI, 2.34-17.04) were significant correlates. A predictive logistic regression model with the incorporation of these 4 correlates was developed. We used cross-validation with a receiver operating characteristic curve to validate the predictive model. Conclusions: Our study successfully developed a quantitative predictive model for estimating the risk of CMT on the basis of clinical correlates only. This model has good discriminative ability for classifying CMT and non-CMT by yielding acceptable values of false-negative and false-positive cases.

Original languageEnglish
Pages (from-to)2199-2203
Number of pages5
JournalArchives of Physical Medicine and Rehabilitation
Volume86
Issue number11
DOIs
Publication statusPublished - Nov 2005
Externally publishedYes

Fingerprint

Ultrasonography
Odds Ratio
Confidence Intervals
Logistic Models
Plagiocephaly
Facial Asymmetry
Torticollis
Parity
ROC Curve
Outcome Assessment (Health Care)
Congenital torticollis
Parturition
Newborn Infant
Incidence
Wounds and Injuries

Keywords

  • Projections and predictions
  • Rehabilitation
  • Torticollis
  • Ultrasonography

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Predictive model for congenital muscular torticollis : Analysis of 1021 infants with sonography. / Chen, Miao Ming; Chang, Huan Cheng; Hsieh, Chuan Fa; Yen, Ming Fang; Chen, Tony Hsui Hsi.

In: Archives of Physical Medicine and Rehabilitation, Vol. 86, No. 11, 11.2005, p. 2199-2203.

Research output: Contribution to journalArticle

Chen, Miao Ming ; Chang, Huan Cheng ; Hsieh, Chuan Fa ; Yen, Ming Fang ; Chen, Tony Hsui Hsi. / Predictive model for congenital muscular torticollis : Analysis of 1021 infants with sonography. In: Archives of Physical Medicine and Rehabilitation. 2005 ; Vol. 86, No. 11. pp. 2199-2203.
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