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Related Experiment Videos

Supine pressor (roll-over) test: an evaluation

W D Kuntz

    American Journal of Obstetrics and Gynecology
    |August 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    The supine pressor test (roll-over test) shows potential for predicting pregnancy outcomes. Careful patient selection improves its accuracy, reducing false positives and negatives in hypertension screening.

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    Area of Science:

    • Obstetrics and Gynecology
    • Maternal-Fetal Medicine
    • Clinical Diagnostics

    Background:

    • The supine pressor test (roll-over test) is a diagnostic tool used in pregnancy.
    • Its effectiveness in predicting hypertensive disorders of pregnancy requires further evaluation.
    • Clinical outcomes and existing literature necessitate a refined understanding of the test's utility.

    Purpose of the Study:

    • To evaluate the diagnostic accuracy of the supine pressor test.
    • To compare test results with clinical outcomes and published data.
    • To identify subgroups that may improve test predictability.

    Main Methods:

    • Retrospective review of 100 supine pressor tests.
    • Comparison of test results with clinical pregnancy outcomes.

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  • Subgroup analysis excluding patients with urinary or postpartum hypertension history.

    • Main Results:

    • Statistical differences were observed across various pregnancy groups, excluding test sensitivity.
    • The lowest false positive (46%) and false negative (27%) rates were found in a subgroup without urinary or renal disease history.
    • Sensitivity in this optimized subgroup was 60%.

    Conclusions:

    • The supine pressor test's predictability can be enhanced through careful patient selection.
    • Excluding specific patient groups improves the test's reliability in identifying hypertensive disorders.
    • Further analysis suggests maximal potential in test predictability under ideal conditions.