A review of the use of CT pulmonary angiography in pregnant and postpartum women at an academic centre.

IF 0.8 Q4 OBSTETRICS & GYNECOLOGY

Obstetric Medicine Pub Date : 2024-10-26 DOI:10.1177/1753495X241290551

Wilhelm Herbst, Shastra Bhoora, Halvani Moodley, Ashesh Ranchod, Tracy Westgarth-Taylor, Jarrod Zamparini

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引用次数: 0

Abstract

Background: Pulmonary embolism (PE) is a common cause of maternal death during pregnancy and the puerperium yet data on its prevalence in middle-income countries is lacking.

Methods: We examined the medical records and CTPA (computed tomography pulmonary angiography) images of 67 women in an obstetric high care unit during pregnancy and the puerperium. We aimed to determine the prevalence of PE in a high-risk obstetric population undergoing CTPA, assess associated clinical features in this cohort, and determine the prevalence of alternative CT findings.

Results: CTPA detected PE in 11 women (16.42%) and alternative CT findings in 46 (68.6%). Women with PE had a lower systolic blood pressure than those without PE (P = 0.001). Multiple gestation, preterm rupture of membranes, and gestational diabetes were linked to higher PE prevalence.

Conclusions: This study, set in an upper middle-income country, demonstrated a higher CTPA yield for PE and alternative diagnoses than in international literature, emphasising context-specific assessments.

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一家学术中心对孕妇和产后妇女使用 CT 肺血管造影术的回顾。

背景：肺栓塞（PE）是妊娠期和产褥期孕产妇死亡的常见原因，但在中等收入国家却缺乏有关其发病率的数据：我们检查了产科高级护理病房 67 名孕期和产褥期妇女的病历和 CTPA（计算机断层扫描肺血管造影）图像。我们的目的是确定接受 CTPA 检查的高危产科人群中 PE 的患病率，评估该人群的相关临床特征，并确定替代 CT 检查结果的患病率：CTPA在11名妇女（16.42%）中发现了PE，在46名妇女（68.6%）中发现了其他CT结果。与无 PE 的妇女相比，有 PE 的妇女收缩压较低（P = 0.001）。多胎妊娠、胎膜早破和妊娠糖尿病与 PE 患病率较高有关：本研究的背景是一个中上收入国家，与国际文献相比，本研究显示了较高的 PE CTPA 收率和替代诊断率，强调了针对具体情况的评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetric Medicine OBSTETRICS & GYNECOLOGY-

CiteScore

1.90

自引率

0.00%

发文量