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A study protocol for a predictive model to assess population‑based risk of adverse pregnancy outcomes: The Adverse Pregnancy Outcomes Population Risk Tool (PregPoRT) - PubMed

8 hours ago
  • #Adverse Pregnancy Outcomes
  • #Predictive Modeling
  • #Health Equity
  • Study protocol for PregPoRT, a predictive model to assess population-based risk of adverse pregnancy outcomes (APOs).
  • APOs like gestational diabetes, preeclampsia, and placental abruption impact maternal and fetal health.
  • Existing models lack social, behavioral, and environmental determinants; PregPoRT integrates these factors.
  • Data sources include Canadian Community Health Survey (CCHS), CAN-Marg, CANUE, and Can-ALE datasets.
  • Predictors selected based on a health equity-informed framework.
  • Primary outcome is a composite of APOs identified via ICD codes.
  • Model uses Weibull accelerated failure time model and LASSO for variable selection.
  • Validation methods include split-sample, bootstrap, and temporal validation.
  • PregPoRT aims to support public health planning, resource allocation, and maternal health equity monitoring.
  • First Canadian model to use nationally representative linked survey and administrative data.