The Importance of Interpolation in Computerized Growth Charting.

Computer growth charting is increasingly available for clinical and research applications. The LMS method is used to define the growth curves on the charts most commonly used in practice today. The data points for any given chart are at discrete points, and computer programs may simply round to the...

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Publicado en:Journal of Medical Systems Vol. 40; no. 1; pp. 1 - 6
Autores principales: Kiger, James, Taylor, Sarah
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Jan2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2016
      vid: 40
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10916-015-0389-x
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        atl: The Importance of Interpolation in Computerized Growth Charting.
      aug:
        au:
          Kiger, James
          Taylor, Sarah
        affil: Department of Pediatrics, Medical University of South Carolina, 165 Ashley Ave, MSC 917 Charleston 29425 USA
      sug:
        subj:
          Growth
          Computers and Computerization
          Charting
          Algorithms
          Human
          Descriptive Statistics
          Infant, Newborn
          Infant
          World Health Organization
          Centers for Disease Control and Prevention (U.S.)
          Child, Preschool
          Male
          Female
          Electronic Health Records
          Automation
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Male
          Female
      ab: Computer growth charting is increasingly available for clinical and research applications. The LMS method is used to define the growth curves on the charts most commonly used in practice today. The data points for any given chart are at discrete points, and computer programs may simply round to the closest LMS data point when calculating growth centiles. We sought to determine whether applying an interpolation algorithm to the LMS data for commonly used growth charts may reduce the inherent errors which occur with rounding to the nearest data point. We developed a simple, easily implemented interpolation algorithm to use with LMS data. Using published growth charts, we compared predicted growth centiles using our interpolation algorithm versus a standard rounding approach. Using a test scenario of a patient at the 50th centile in weight, compared to using our interpolation algorithm, the method of simply rounding to the nearest data point resulted in maximal z-score errors in weight of the following: 2.02 standard deviations for the World Health Organization 0-to-23 month growth chart, 1.07 standard deviations for the Fenton preterm growth chart, 0.71 standard deviations for the Olsen preterm growth chart, and 0.11 standard deviations for the CDC 2-to-18 year growth chart. Failure to include an interpolation algorithm when designing computerizing growth charts can lead to large errors in centile and z-score calculations.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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