产科出血风险评估工具能够预测出产周周血损失量的能力
Rubinnis Gutierrez-Disla1, Joshua Fogel1,2, Allan J Jacobs1,3
1Department of Obstetrics and Gynecology, NYC/H+H - South Brooklyn Health, Brooklyn, NY, USA.
Journal of perinatal medicine
|August 2, 2024
概括
妇女健康,产科和新生儿护士协会 (AWHONN) 的得分有效预测产后出血 (PPH) 风险. 较高的AWHONN分数与量化血液损失 (QBL) 的增加相关,支持其在临床实践中的使用.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 医疗保健风险评估 医疗保健风险评估
背景情况:
- 产科的出血风险评估传统上依赖于估计的血液损失 (EBL).
- 经过验证的工具对于准确识别患有周周出血风险的患者至关重要.
- 妇女健康,产科和新生儿护士协会 (AWHONN) 开发了一种产后出血风险评估工具.
研究的目的:
- 评估AWHONN周周出血风险评估得分和量化血液损失 (QBL) 之间的关联.
- 评估AWHONN分数对产后出血 (PPH) 在预产期分娩中的预测价值.
主要方法:
- 追溯分析了3,657例阴道分娩和剖腹产.
- 用AWHONN风险评估工具将患者分为低风险,中风险和高风险组.
- 量化血液损失 (QBL) 在风险组之间进行测量和比较.
主要成果:
- 与低风险得分相比,中高风险的AWHONN得分与更高的QBL有显著的关联.
- 高风险的AWHONN得分显著增加了产后出血的几率 (≥1,000毫升).
- 在AWHONN得分中的单个因素独立地与增加的QBL和PPH有关.
结论:
- 经QBL验证的AWHONN风险评估工具准确预测产科失血情况.
- 建议定期实施QBL来测量产科失血.
- 这项研究支持AWHONN评分在管理周周出血风险方面的临床实用性.
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