Table 1 Study characteristics of multivariable prediction models for cognitive outcomes in childhood.
From: Big data, machine learning, and population health: predicting cognitive outcomes in childhood
Authors | Camargo-Figuera et al.20 | Camacho et al.21 | Eriksen et al.22 |
Journal | BMC Pediatrics | Paediatric Perinatal Epidemiology | PLoS One |
Continent | South America | Europe | Europe |
Sample | Pelotas Birth Cohort | Millennium Cohort Study | Lifestyle During Pregnancy Study (sampled from the Danish National Birth Cohort) |
Design | Prospective cohort | Prospective cohort | Prospective cohort |
Sample size | 3312 | 9487 | 1782 |
Year of recruitment | 2004 | 2000ā2002 | 1997ā2003a |
Exclusion criteria | Conditions associated with very low IQ, e.g., severe mental retardation | Nil | Multiple pregnancies, language barrier, impaired hearing or vision, congenital disabilities implying mental retardation |
Age at cognitive assessment | 6 | 3 | 5 |
Cognitive assessment | Wechsler Primary and Preschool Scales of Intelligence -III | Bracken School Readiness Assessment | Wechsler Primary and Preschool Scales of Intelligence ā Revised |
Cognitive outcome variable | Binary | Binary | Continuous |
Low IQ defined by a z-score <ā1 | Not school ready defined by score <1 standard deviation below mean | ||
Number of risk factors at outset | 32 | 29 | 27 |
Rationale given for candidate variables | Yesāselected based on previous literature and availability | Yesāselected based on previous literature and availability | Noābut broad range (>20) selected |
Statistical model | Multivariable logistic regression | Multivariable logistic regression | Multivariable linear regression |
Method of initial screening of candidate variables | Forward and backward stepwise selection | Forward and backward stepwise selection | Univariable association pāā„ā0.10 |
Interaction terms fitted | No | No | No |
Multicollinearity addressed/discussed | No | Yes | Yes |
No. predictors in final model | 13 | 13 | 9 |
Validation performed | Yes | Yes | No |
Internal and external validation performed | Internal validation only | ||
Predictive value measured | External validation | Internal validation | R squared 0.29 |
Area under receiver operating curve (AUROC) 0.75 | AUROC 0.80 | ||
Sensitivity 70.3% | Sensitivity 72% | ||
Specificity 68% | Specificity 74% | ||
Predictors in final model | Childāgender, height-for-age deficit; head circumference-for-age deficit | Childāgender, ethnicity, developmental milestones | Childāgender, birth weight, height, head circumference |
Parentalābreastfeeding, parental smoking, maternal perception of childās health, skin colour | Parentalāmaternal age, maternal mental health, breastfeeding | Parentalāmaternal BMI, breastfeeding | |
Socioenvironmentalāparental employment status, maternal education, income, number of siblings, number of persons per room | Socioenvironmentalāsocioeconomic class, maternal education, income, number of children, employment status, housing type | Socioenvironmentalāmaternal IQ, parental education |