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The accuracy of contrast-enhanced computed tomography scans to detect postpartum haemorrhage: an observational study

INTRODUCTION: Postpartum haemorrhage is a major cause of maternal mortality. Although contrast-enhanced computed tomography (CE-CT) is useful to reveal arterial bleeding, its accuracy in postpartum haemorrhage is unclear. The aim of this study was to evaluate the accuracy of CE-CT scanning in detect...

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Autores principales: Mitsuyama, Yumi, Katayama, Yusuke, Oi, Kazuya, Shimazaki, Junya, Mimura, Kazuya, Endo, Masayuki, Shimazu, Takeshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788069/
https://www.ncbi.nlm.nih.gov/pubmed/35078417
http://dx.doi.org/10.1186/s12884-021-04306-2
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author Mitsuyama, Yumi
Katayama, Yusuke
Oi, Kazuya
Shimazaki, Junya
Mimura, Kazuya
Endo, Masayuki
Shimazu, Takeshi
author_facet Mitsuyama, Yumi
Katayama, Yusuke
Oi, Kazuya
Shimazaki, Junya
Mimura, Kazuya
Endo, Masayuki
Shimazu, Takeshi
author_sort Mitsuyama, Yumi
collection PubMed
description INTRODUCTION: Postpartum haemorrhage is a major cause of maternal mortality. Although contrast-enhanced computed tomography (CE-CT) is useful to reveal arterial bleeding, its accuracy in postpartum haemorrhage is unclear. The aim of this study was to evaluate the accuracy of CE-CT scanning in detecting postpartum haemorrhage. METHODS: This was a retrospective observational study. We included patients with postpartum haemorrhage treated by emergency physicians in collaboration with obstetricians. We calculated the sensitivity, specificity, and positive and negative predictive values for CE-CT scanning to detect arterial bleeding. RESULTS: CE-CT scanning was performed in 52 patients, and 31 patients had extravasation. The sensitivity of CE-CT scanning to detect arterial extravasation was 100% (15/15), specificity was 28.6% (2/7), positive predictive value was 75% (15/20), and negative predictive value was 100% (2/2). CONCLUSION: We showed the sensitivity of CE-CT scanning to detect arterial extravasation in patients with postpartum haemorrhage to be 100%.
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spelling pubmed-87880692022-02-03 The accuracy of contrast-enhanced computed tomography scans to detect postpartum haemorrhage: an observational study Mitsuyama, Yumi Katayama, Yusuke Oi, Kazuya Shimazaki, Junya Mimura, Kazuya Endo, Masayuki Shimazu, Takeshi BMC Pregnancy Childbirth Research INTRODUCTION: Postpartum haemorrhage is a major cause of maternal mortality. Although contrast-enhanced computed tomography (CE-CT) is useful to reveal arterial bleeding, its accuracy in postpartum haemorrhage is unclear. The aim of this study was to evaluate the accuracy of CE-CT scanning in detecting postpartum haemorrhage. METHODS: This was a retrospective observational study. We included patients with postpartum haemorrhage treated by emergency physicians in collaboration with obstetricians. We calculated the sensitivity, specificity, and positive and negative predictive values for CE-CT scanning to detect arterial bleeding. RESULTS: CE-CT scanning was performed in 52 patients, and 31 patients had extravasation. The sensitivity of CE-CT scanning to detect arterial extravasation was 100% (15/15), specificity was 28.6% (2/7), positive predictive value was 75% (15/20), and negative predictive value was 100% (2/2). CONCLUSION: We showed the sensitivity of CE-CT scanning to detect arterial extravasation in patients with postpartum haemorrhage to be 100%. BioMed Central 2022-01-25 /pmc/articles/PMC8788069/ /pubmed/35078417 http://dx.doi.org/10.1186/s12884-021-04306-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Mitsuyama, Yumi
Katayama, Yusuke
Oi, Kazuya
Shimazaki, Junya
Mimura, Kazuya
Endo, Masayuki
Shimazu, Takeshi
The accuracy of contrast-enhanced computed tomography scans to detect postpartum haemorrhage: an observational study
title The accuracy of contrast-enhanced computed tomography scans to detect postpartum haemorrhage: an observational study
title_full The accuracy of contrast-enhanced computed tomography scans to detect postpartum haemorrhage: an observational study
title_fullStr The accuracy of contrast-enhanced computed tomography scans to detect postpartum haemorrhage: an observational study
title_full_unstemmed The accuracy of contrast-enhanced computed tomography scans to detect postpartum haemorrhage: an observational study
title_short The accuracy of contrast-enhanced computed tomography scans to detect postpartum haemorrhage: an observational study
title_sort accuracy of contrast-enhanced computed tomography scans to detect postpartum haemorrhage: an observational study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8788069/
https://www.ncbi.nlm.nih.gov/pubmed/35078417
http://dx.doi.org/10.1186/s12884-021-04306-2
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