Prediction of success of uterus-preserving management in women with placenta accreta spectrum (CON-PAS score): A multicenter international study
| Autor: | Çağrı Ateş, Mahmoud M Saad, Shangrong Fan, Nariman Akhmadeev, Albir Khasanov, Ana Machado, Rauf Melekoglu, Ildar Fatkullin, Sherif A. Shazly, Jin-Chung Shih, Yiheng Liang, Amr S. Abdelbadie, Joel Noutakdie Tochie, Mohamed Ashraf Salah, Farhat ul Ain Ahmed, Ismail Mete Itil, Tayyiba Akhter, Muhamad A Aziz, Ahmet Özgür Yeniel, Nuno Montenegro, Ahmet Mete Ergenoglu, Julius Sama Dohbit, Dodi Suardi, Afshan Ambreen, Pedro Viana Pinto, Kuan-Ying Huang, Adelina Vatanina, Jusuf S. Effendi, Hijab Aziz, Setyorini Irianti, Sermet Sagol, Yasemin Karaman, Ercan Yilmaz, Hossam Aldein S Abd Elazeem, Ingrid Ofakem, Amilia Siddiq, Larisa Fatkullina, Erbil Karaman, Ahmad Y Pramatirta, Ismet Hortu, Mohamed S. Fahmy, Mohamed A Anan, Jessica Kang |
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| Přispěvatelé: | Ege Üniversitesi, Instituto de Saúde Pública da Universidade do Porto |
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Placenta accreta medicine.medical_treatment Placenta Uterus Placenta Accreta Logistic regression Hysterectomy 03 medical and health sciences 0302 clinical medicine compression sutures Pregnancy medicine Humans 030212 general & internal medicine morbidly adherent placenta Retrospective Studies 030219 obstetrics & reproductive medicine Previous cesarean business.industry Obstetrics Cesarean Section Obstetrics and Gynecology General Medicine Odds ratio medicine.disease Confidence interval medicine.anatomical_structure uterine wall resection embryonic structures obstetric hemorrhage Female business |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and ObstetricsREFERENCES. 154(2) |
| ISSN: | 1879-3479 |
| Popis: | Objective To create a model for prediction of success of uterine preserving procedures in women with placenta accreta spectrum (PAS) METHODS: PAS-ID is a multicenter study that included 11 centers from 9 countries. Women with PAS, who were managed between January 1st, 2010 and December 31st, 2019, were retrospectively included. Data were split into model development and validation cohorts, and a prediction model was created using logistic regression. Main outcome was success of uterine preservation. Results Out of 797 women with PAS, 587 were eligible. Uterus preserving procedures were successful in 469 patients (79.9%). Number of previous cesarean sections (CS) was inversely associated with management success (adjusted odds ratio "aOR" 0.02; 95% confidence interval "CI", 0.001-3.63 with 5 previous CSs). Other variables were complete placental invasion (aOR 0.14; 95%CI, 0.05-0.43), type of CS incision (aOR 0.04; 95%CI, 0.01-0.25 for classical incision), compression sutures (aOR 2.48; 95%CI, 1.00-6.16), accreta type (aOR 3.76; 95%CI, 1.13-12.53), incising away from placenta (aOR 5.09; 95%CI, 1.52-16.97), and uterine resection (aOR 102.57, 95%CI, 3.97-2652.74). Conclusion This current study provides a prediction model for success of uterine preservation, which may assist preoperative and intraoperative decisions, and promote incorporation of uterine preservation procedures in comprehensive PAS protocols. |
| Databáze: | OpenAIRE |
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