Effectiveness of the First Trimester Samrakshan Protocol for the Identification of Pregnant Women at High Risk for Preterm Pre-eclampsia.

Autor: Choorakuttil RM; Department of Clinical Radiology, AMMA Center for Diagnosis and Preventive Medicine, Kochi, Kerala, India., Rajalingam B; Department of Clinical Radiology, Fetocare Magnum Imaging and Diagnostics, Trichy, Tamil Nadu, India., Satarkar SR; Department of Clinical Radiology, Antarang Sonography and Colour Doppler Center, Satarkar Hospital, Aurangabad, Maharashtra, India., Sharma LK; Department of Clinical Radiology, Raj Sonography and X- Ray Clinic, Guna, Madhya Pradesh, India., Gupta A; Department of Clinical Radiology, Anjali Ultrasound and Colour Doppler Centre, Agra, Uttar Pradesh, India., Baghel A; Department of Clinical Radiology, Baghel Sonography Center, Harda, Madhya Pradesh, India., Jain N; Department of Clinical Radiology, Department of Radiodiagnosis, Jain Ultrasound Centre, Jamshedpur, Jharkhand, India., Dhankar S; Department of Clinical Radiology, Faith Diagnostic Center, Chandigarh, India., Aneja K; Department of Clinical Radiology, Images Ultrasound Center, Naveda Healthcare Centre, New Delhi, India., Chhajer G; Department of Clinical Radiology, Department of Radiodiagnosis, Kushal Imaging and Diagnostic Center, Pali, Rajasthan, India., Dwivedi S; Department of Clinical Radiology, Qura Diagnostics and Research Center, Bhopal, Madhya Pradesh, India., Patekar TY; Department of Clinical Radiology, Innovision Sonography and Imaging Center, Gangapur, Nashik, India., Rajput E; Department of Clinical Radiology, INHS Asvini, Mumbai, Maharashtra, India., Nirmalan PK; Department of Research, AMMA Healthcare Research Gurukul, AMMA Center for Diagnosis and Preventive Medicine, Kochi, Kerala, India.
Jazyk: angličtina
Zdroj: The Indian journal of radiology & imaging [Indian J Radiol Imaging] 2022 Dec 26; Vol. 33 (1), pp. 98-100. Date of Electronic Publication: 2022 Dec 26 (Print Publication: 2023).
DOI: 10.1055/s-0042-1759856
Abstrakt: Aim  To determine the effectiveness of the first trimester Samrakshan protocol for the identification of pregnant women at high risk for preterm pre-eclampsia (PE). Methods  Samrakshan uses a protocol that integrates routine first-trimester ultrasound assessment at 11 to 14 gestation weeks with the measurement of mean arterial blood pressure and mean uterine artery pulsatility index assessment to determine a customized risk for preterm PE and fetal growth restriction. Based on the risk assessment, pregnant women are classified as high or low risk. Results  The protocol had a high specificity (90.4%, 95% CI: 89.4%, 91.2%) and negative predictive value (98.1%, 95% CI: 97.6%, 99%) for preterm PE. The odds ratio and positive likelihood ratio for preterm PE were 16.7 (95% CI: 12.3, 22.6) and 6.64 (95% CI: 5.77, 7.63), respectively. Conclusions  The positive likelihood ratio and odds ratios indicate that pregnant women identified as high risk for preterm PE using the first-trimester protocol of Samrakshan are significantly more likely to develop preterm PE than low-risk women.
Competing Interests: Conflict of Interest None declared.
(Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze: MEDLINE
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