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预警系统预测产前和产后严重并发症:一个范围审查

Eishin Nakamura^1,2, Katsuhiko Naruse^2,3, Ryuta Miyake^2,4

¹Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama Medical University, Kawagoe-shi, Saitama, Japan.

The journal of obstetrics and gynaecology research

|September 25, 2025

概括

这次审查发现产科早期预警系统 (EWS) 的广泛使用,但对EWS和产后出血 (PPH) 等严重的孕产妇并发症的不一致定义阻碍了研究. 需要标准化标准.

科学领域:

孕产妇健康孕产妇健康
临床决策支持临床决策支持
诊断的准确性诊断的准确性

背景情况:

早期预警系统 (EWS) 对于预测产后出血 (PPH) 和败血症等严重的孕产妇并发症至关重要.
在EWS定义和目标条件标准中的变化使研究和比较变得复杂.
本范围审查解决了对产科中EWS诊断准确性研究的系统概述的需要.

研究的目的:

系统地识别和审查诊断准确性研究,评估EWS用于预测严重的孕产妇疾病.
探索EWS在产科护理中的应用和评估当前的趋势.
突出现有文献中方法论和结果定义中的不一致性.

主要方法:

遵守系统性审查的首选报告项目和扩展范围审查的元分析 (PRISMA-ScR) 准则.
在MEDLINE/PubMed和CENTRAL数据库中进行系统的文献搜索,截至2024年7月12日.
两个审查员进行独立的查和数据提取,用于在产科人群中的诊断准确性研究,重点是指数测试和目标条件.

主要成果:

该审查包括了93项涉及697,558名患者的研究.
冲击指数 (SI) 是最常见的指数测试 (41%),其次是修改产科早期预警分数 (20.4%) 和产科早期预警分数 (10.8%).
产后出血 (PPH) 是最常见的目标疾病 (49.4%),其次是败血症 (32.3%) 和孕产妇死亡 (22.6%).

结论:

在EWS的定义和目标孕产妇并发症中存在显著的异质性.
对PPH的SI的频繁评估表明了共同的重点,但强调了对标准化的需要.
为了提高EWS在产科护理中的可靠性和可比性,进一步的研究和标准化标准的开发至关重要.

关键词:

预警系统的早期预警系统.孕产妇死亡孕产妇死亡产后出血产后出血是什么预测模型预测模型范围审查范围审查审查

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