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首页> 外文期刊>Canadian Journal of Emergency Medicine >LO01: What presenting features predict obstetrical outcomes in women who present to the emergency department with early pregnancy bleeding?
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LO01: What presenting features predict obstetrical outcomes in women who present to the emergency department with early pregnancy bleeding?

机译：lo01：提出的特征在于早期怀孕出血的妇女的产科结果预测？

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Introduction: Vaginal bleeding in early pregnancy is a common emergency department (ED) presentation, with many of these episodes resulting in poor obstetrical outcome. These outcomes have been extensively studied, but there have been few evaluations of what variables are associated predictors. This study aimed to identify predictors of less than optimal obstetrical outcomes for women who present to the ED with early pregnancy bleeding. Methods: A regional centre health records review included pregnant females who presented to the ED with vaginal bleeding at 37 weeks) and less than optimal outcomes (LOO; defined as a miscarriage, stillbirth or pre-term live birth). Predictor variables included: maternal age, gestational age at presentation, number of return ED visits, socioeconomic status (SES), gravida-para-abortus status, Rh status, Hgb level and presence of cramping. Rates and results of point of care ultrasound (PoCUS) and ultrasound (US) by radiology were also considered. Results: Records for 422 patients from Jan 2017 to Nov 2018 were screened and 180 patients were included. Overall, 58.3% of study participants had a LOO. The only strong predictor of outcome was seeing an Intra-Uterine Pregnancy (IUP) with Fetal Heart Beat (FHB) on US; OO rate 74.3% (95% CI 59.8-88.7; p?
机译：介绍：妊娠早期的阴道出血是一个常见的急诊科（ED）介绍，其中许多事件导致产科结果不佳。这些结果已被广泛研究，但是对相关预测器的变量有很少的评估。本研究旨在识别出于早期怀孕出血的妇女的最佳产科结果的预测因子。方法：区域中心健康记录综述包括怀孕的女性，他们在37周介绍了阴道出血，而不是最佳的结果（LOO;定义为流产，死产或预先生产出生）。预测变量包括：孕产妇年龄，呈现呈现，呈现年龄，返回次数访问，社会经济地位（SES），重生达 - Abortius状态，RH状态，HGB水平和痉挛的存在。还考虑了护理点超声（POCUS）和超声（US）通过放射学的速率和结果。结果：2017年1月至2018年11月的422名患者的记录被筛查，包括180名患者。总体而言，58.3％的学习参与者有一个厕所。结果的唯一强烈预测因子是在美国胎儿心跳（FHB）的胎儿内妊娠（IUP）中肌肉内妊娠（IUP）; OO率74.3％（95％CI 59.8-88.7; p？<？0.01）。痉挛（出血）趋向于较高的LO率（62.7％，95％CI 54.2-71.1; p？= 0.07）。 SES不是LOO可靠的预测因子，具有高于和低于贫困线的临床结果率（57.5％[95％CI 46.7-68.3] Vs 59％[95％CI 49.3-68.6] LOO）。对于贫血患者，非活率为100％，但是该变量的数量很小（n？=？5）。返回访问（58.3％，95％CI 42.2-74.4），之前的堕胎（58.8％，95％CI 49.7-67.8），没有活儿童（60.2％，95％CI 50.7-69.6）和过去的怀孕（55.9％，95 ％CI 46.6-65.1）与较高的LOO率无关。结论：鉴定Live Iup，贫血和痉挛的潜力作为早期妊娠期产科结果的预测因子。这些信息可以为急诊部门的临床实践和调查提供更好的指导，这些变量的预测值支持对该患者人口的更合适的咨询。

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