| Autor: |
Jeroen H, Becker, Lidewij J M, Kuipers, Ewoud, Schuit, Gerard H A, Visser, Eline S A, Van Den Akker, Erik, Van Beek, Antoinette C, Bolte, Robert J P, Rijnders, Ben Willem J, Mol, Martina M, Porath, Addy P, Drogtrop, Nico W E, Schuitemaker, Christine, Willekes, Michelle E M H, Westerhuis, Karel G M, Moons, Anneke, Kwee |
| Rok vydání: |
2011 |
| Předmět: |
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| Zdroj: |
Acta obstetricia et gynecologica Scandinavica. 91(2) |
| ISSN: |
1600-0412 |
| Popis: |
To evaluate the added value of the baseline T/QRS ratio to other known risk factors in predicting adverse outcome and interventions for suspected fetal distress.Prospective cohort study.Three academic and six non-academic teaching hospitals in the Netherlands.Laboring women with a high-risk cephalic singleton pregnancy beyond 36 weeks of gestation.We obtained STAN(®) recordings (ST-analysis, Neoventa, Sweden) from two previous studies. Three patient groups were defined: cases with adverse outcome, cases with emergency delivery because of suspected fetal distress without adverse outcome, and a reference group of uncomplicated cases. Baseline T/QRS ratios among the adverse outcome and intervention for suspected fetal distress cases were compared to those of the uncomplicated cases. The ability of baseline T/QRS to predict adverse outcome and suspected fetal distress was determined using a multivariable logistic model.The added value of the baseline T/QRS to other known risk factors in the prediction of adverse outcome and interventions for suspected fetal distress.From 3462 recordings, 2459 were available for analysis. Median baseline T/QRS for uncomplicated cases, adverse outcome and interventions for suspected fetal distress were 0.12 (range 0.00-0.52), 0.12 (0.00-0.42) and 0.13 (0.00-0.39), respectively. There was no statistical difference between these groups. Multivariable analysis showed no added value of baseline T/QRS in the prediction of either adverse outcome or interventions for suspected fetal distress.Baseline T/QRS has no added value in the prediction of adverse neonatal outcome or interventions for suspected fetal distress. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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