高HEMSTOP出血得分是产后出血的主要独立风险因素:一项前性队列研究
Florian Deleu1,2, Sophie Nebout3, Edith Peynaud-Debayle4
1Department of Anesthesia and Critical Care, Henri-Mondor University Hospital, Assistance Publique-Hôpitaux de Paris, Université Paris-Est Créteil, Créteil, France. florian.deleu@aphp.fr.
BMC pregnancy and childbirth
|February 14, 2025
概括
HEMSTOP出血得分很弱地预测了孕妇产后出血 (PPH) 风险. 然而,分数为3或以上表明PPH的风险明显增加.
科学领域:
- 产科和妇科 产科和妇科
- 管理出血 管理出血
- 诊断准确性研究 诊断准确性研究
背景情况:
- 产后出血 (PPH) 是一个重要的分娩并发症.
- 该HEMSTOP出血得分有助于检测手术前出血障碍.
- 它在未经选择的孕妇中预测PPH的实用性需要研究.
研究的目的:
- 评估HEMSTOP出血得分对PPH的预测值.
- 评估HEMSTOP得分与PPH风险之间的关联.
- 为了确定得分的准确性,识别女性在PPH的高风险.
主要方法:
- 对2536名没有先前出血障碍或抗血栓使用的妇女进行前性队列研究 (2014-2016).
- 在分娩前管理的HEMSTOP问卷.
- 主要结局:PPH≥500mL;分析得分作为连续和顺序变量;多变量分析调整为风险因素.
主要成果:
- PPH发生在4.6%的女性中 (116/2536).
- 较高的HEMSTOP得分与PPH风险增加相关 (调整后的RR=1.58每增加一个点).
- 对PPH预测的得分精度 (AUC) 为0.56,表明预测能力较弱.
结论:
- HEMSTOP出血得分表明PPH的预测能力较弱.
- 怀孕妇女的HEMSTOP分数为3或更高,面临PPH的风险大幅增加.
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