使用休克指数、修正休克指数和年龄调整休克指数检测产后出血。

IF 0.7 4区 医学 Q4 OBSTETRICS & GYNECOLOGY
Zeitschrift fur Geburtshilfe und Neonatologie Pub Date : 2024-08-01 Epub Date: 2024-06-05 DOI:10.1055/a-2322-1861
Cagla Celikkan, Mujde Can Ibanoglu, Yaprak Engin-Ustun
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引用次数: 0

摘要

目的:本研究旨在评估休克指数(SI)、改良休克指数(MSI)和δ休克指数(ΔSI)在预测产后出血(PPH)和不良产妇结局中的作用:在这项横断面队列研究中,由 416 名在我院分娩并发生产后出血的孕妇组成的研究组与 467 名随访正常的对照组患者进行了比较。计算了 SI(脉搏/收缩压)、MSI(脉搏/平均动脉压)、ΔSI(输入 SI - 第 2 或第 6 小时 SI)值:研究共纳入了 883 名产后妇女。研究组的围产期、第 2 小时和第 6 小时 SI 值较高,P=0.011、P=0.001、P0.8909(灵敏度 30%,特异度 84%),第 6 小时 SI 参数>0.8909(灵敏度 40%,特异度 80%),可预测需要输血和手术干预的产后出血。第 2 小时 MSI 参数的临界值>1.2(敏感性 34%,特异性 82%),第 6 小时 MSI 参数的临界值>1.2652(敏感性 32%,特异性 90%):结论:产后出血患者的第 2 小时和第 6 小时 SI 值以及第 2 小时和第 6 小时 MSI 值明显较高。SI值大于0.89和MSI值大于1.2被认为对预测产妇功能受损的产后出血意义重大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of Shock Index, Modified Shock Index, and Age-Adjusted Shock Index for Detection of Postpartum Hemorrhage.

Purpose: The aim of this study is to evaluate the role of shock index (SI), modified shock index (MSI), and delta shock index (ΔSI) in predicting postpartum hemorrhage (PPH) and adverse maternal outcomes.

Material and methods: In this cross-sectional cohort study, a study group consisting of 416 pregnant women who delivered at our hospital and had postpartum hemorrhage was compared with 467 control patients with normal follow-up. SI (pulse/systolic blood pressure), MSI (pulse/mean arterial pressure), ΔSI (input SI - 2nd- or 6th-hour SI) values were calculated.

Results: A total of 883 postpartum women were included in the study. The study group had higher peripartum, 2nd-hour, and 6th-hour SI values (p=0.011, p=0.001, p<0.001, respectively). Peripartum MSI values (p=0.004), 2nd-hour MSI values (p<0.001), and 6th-hour MSI values (p<0.001) were significantly lower in the control group than in the PPH group. When the groups were evaluated, the cut-off value of the 2nd-hour SI parameter was>0.8909 (sensitivity 30%, specificity 84%), and the 6th-hour SI parameter was>0.8909 (sensitivity 40%, specificity 80%) for predicting postpartum hemorrhage requiring blood transfusion and surgical intervention. The cut-off value of the 2nd-hour MSI parameter was>1.2 (sensitivity 34%, specificity 82%), and the cut-off value of the 6th-hour MSI parameter was>1.2652 (sensitivity 32%, specificity 90%).

Conclusion: The 2nd- and 6th-hour SI and 2nd- and 6th-hour MSI values were significantly higher in patients with postpartum hemorrhage. Values greater than 0.89 for SI and 1.2 for MSI were considered significant for predicting postpartum hemorrhage with maternal impairment.

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来源期刊
Zeitschrift fur Geburtshilfe und Neonatologie
Zeitschrift fur Geburtshilfe und Neonatologie OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
1.10
自引率
0.00%
发文量
166
审稿时长
>12 weeks
期刊介绍: Gynäkologen, Geburtshelfer, Hebammen, Neonatologen, Pädiater
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