Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model

<p<Abstract</p< <p<Background</p< <p<To derive an ultrasound-based prediction model for the quantification of haemoperitoneum in ectopic pregnancy (EP).</p< <p<Methods</p< <p<Retrospective study of 89 patients operated upon EP between January 199...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Bernard Jean-Pierre [verfasserIn] Salomon Laurent J [verfasserIn] Mabrouk Ali [verfasserIn] Fauconnier Arnaud [verfasserIn] Ville Yves [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2007

Übergeordnetes Werk:	In: World Journal of Emergency Surgery - BMC, 2006, 2(2007), 1, p 23
Übergeordnetes Werk:	volume:2 ; year:2007 ; number:1, p 23

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/1749-7922-2-23

Katalog-ID:	DOAJ066363632

Internformat


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allfields	10.1186/1749-7922-2-23 doi (DE-627)DOAJ066363632 (DE-599)DOAJb27f8c5b8aad4902be016224dd385b1b DE-627 ger DE-627 rakwb eng RD1-811 RC86-88.9 Bernard Jean-Pierre verfasserin aut Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To derive an ultrasound-based prediction model for the quantification of haemoperitoneum in ectopic pregnancy (EP).</p< <p<Methods</p< <p<Retrospective study of 89 patients operated upon EP between January 1999 and March 2003 in a French Gynaecology and Obstetrics department in a university hospital. Transvaginal sonograms, clinical and biological variables from patients with haemoperitoneum ≥ 300 ml at surgery were compared with those from patients with haemoperitoneum < 300 ml or no haemoperitoneum. Sensitivity, specificity, positive and negative likelihood ratios were calculated for each parameter after appropriate dichotomization. Multiple logistic regression analysis was used to select the best combination at predicting haemoperitoneum ≥ 300 ml.</p< <p<Results</p< <p<Three parameters predicted haemoperitoneum ≥ 300 ml independently: moderate to severe spontaneous pelvic pain, fluid above the uterine fundus or around the ovary at transvaginal ultrasound, and serum haemoglobin concentration < 10 g/dL. A woman with none of these three criteria would have a probability of 5.3% for haemoperitoneum ≥ 300 ml. When two or more criterias were present, the probability for haemoperitoneum ≥ 300 ml reached 92.6%.</p< <p<Conclusion</p< <p<The proposed model accurately predicted significant haemoperitoneum in patients diagnosed to have EP.</p< Surgery Medical emergencies. Critical care. Intensive care. First aid Salomon Laurent J verfasserin aut Mabrouk Ali verfasserin aut Fauconnier Arnaud verfasserin aut Ville Yves verfasserin aut In World Journal of Emergency Surgery BMC, 2006 2(2007), 1, p 23 (DE-627)511639236 (DE-600)2233734-9 17497922 nnns volume:2 year:2007 number:1, p 23 https://doi.org/10.1186/1749-7922-2-23 kostenfrei https://doaj.org/article/b27f8c5b8aad4902be016224dd385b1b kostenfrei http://www.wjes.org/content/2/1/23 kostenfrei https://doaj.org/toc/1749-7922 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2007 1, p 23
spelling	10.1186/1749-7922-2-23 doi (DE-627)DOAJ066363632 (DE-599)DOAJb27f8c5b8aad4902be016224dd385b1b DE-627 ger DE-627 rakwb eng RD1-811 RC86-88.9 Bernard Jean-Pierre verfasserin aut Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To derive an ultrasound-based prediction model for the quantification of haemoperitoneum in ectopic pregnancy (EP).</p< <p<Methods</p< <p<Retrospective study of 89 patients operated upon EP between January 1999 and March 2003 in a French Gynaecology and Obstetrics department in a university hospital. Transvaginal sonograms, clinical and biological variables from patients with haemoperitoneum ≥ 300 ml at surgery were compared with those from patients with haemoperitoneum < 300 ml or no haemoperitoneum. Sensitivity, specificity, positive and negative likelihood ratios were calculated for each parameter after appropriate dichotomization. Multiple logistic regression analysis was used to select the best combination at predicting haemoperitoneum ≥ 300 ml.</p< <p<Results</p< <p<Three parameters predicted haemoperitoneum ≥ 300 ml independently: moderate to severe spontaneous pelvic pain, fluid above the uterine fundus or around the ovary at transvaginal ultrasound, and serum haemoglobin concentration < 10 g/dL. A woman with none of these three criteria would have a probability of 5.3% for haemoperitoneum ≥ 300 ml. When two or more criterias were present, the probability for haemoperitoneum ≥ 300 ml reached 92.6%.</p< <p<Conclusion</p< <p<The proposed model accurately predicted significant haemoperitoneum in patients diagnosed to have EP.</p< Surgery Medical emergencies. Critical care. Intensive care. First aid Salomon Laurent J verfasserin aut Mabrouk Ali verfasserin aut Fauconnier Arnaud verfasserin aut Ville Yves verfasserin aut In World Journal of Emergency Surgery BMC, 2006 2(2007), 1, p 23 (DE-627)511639236 (DE-600)2233734-9 17497922 nnns volume:2 year:2007 number:1, p 23 https://doi.org/10.1186/1749-7922-2-23 kostenfrei https://doaj.org/article/b27f8c5b8aad4902be016224dd385b1b kostenfrei http://www.wjes.org/content/2/1/23 kostenfrei https://doaj.org/toc/1749-7922 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2007 1, p 23
allfields_unstemmed	10.1186/1749-7922-2-23 doi (DE-627)DOAJ066363632 (DE-599)DOAJb27f8c5b8aad4902be016224dd385b1b DE-627 ger DE-627 rakwb eng RD1-811 RC86-88.9 Bernard Jean-Pierre verfasserin aut Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To derive an ultrasound-based prediction model for the quantification of haemoperitoneum in ectopic pregnancy (EP).</p< <p<Methods</p< <p<Retrospective study of 89 patients operated upon EP between January 1999 and March 2003 in a French Gynaecology and Obstetrics department in a university hospital. Transvaginal sonograms, clinical and biological variables from patients with haemoperitoneum ≥ 300 ml at surgery were compared with those from patients with haemoperitoneum < 300 ml or no haemoperitoneum. Sensitivity, specificity, positive and negative likelihood ratios were calculated for each parameter after appropriate dichotomization. Multiple logistic regression analysis was used to select the best combination at predicting haemoperitoneum ≥ 300 ml.</p< <p<Results</p< <p<Three parameters predicted haemoperitoneum ≥ 300 ml independently: moderate to severe spontaneous pelvic pain, fluid above the uterine fundus or around the ovary at transvaginal ultrasound, and serum haemoglobin concentration < 10 g/dL. A woman with none of these three criteria would have a probability of 5.3% for haemoperitoneum ≥ 300 ml. When two or more criterias were present, the probability for haemoperitoneum ≥ 300 ml reached 92.6%.</p< <p<Conclusion</p< <p<The proposed model accurately predicted significant haemoperitoneum in patients diagnosed to have EP.</p< Surgery Medical emergencies. Critical care. Intensive care. First aid Salomon Laurent J verfasserin aut Mabrouk Ali verfasserin aut Fauconnier Arnaud verfasserin aut Ville Yves verfasserin aut In World Journal of Emergency Surgery BMC, 2006 2(2007), 1, p 23 (DE-627)511639236 (DE-600)2233734-9 17497922 nnns volume:2 year:2007 number:1, p 23 https://doi.org/10.1186/1749-7922-2-23 kostenfrei https://doaj.org/article/b27f8c5b8aad4902be016224dd385b1b kostenfrei http://www.wjes.org/content/2/1/23 kostenfrei https://doaj.org/toc/1749-7922 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2007 1, p 23
allfieldsGer	10.1186/1749-7922-2-23 doi (DE-627)DOAJ066363632 (DE-599)DOAJb27f8c5b8aad4902be016224dd385b1b DE-627 ger DE-627 rakwb eng RD1-811 RC86-88.9 Bernard Jean-Pierre verfasserin aut Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To derive an ultrasound-based prediction model for the quantification of haemoperitoneum in ectopic pregnancy (EP).</p< <p<Methods</p< <p<Retrospective study of 89 patients operated upon EP between January 1999 and March 2003 in a French Gynaecology and Obstetrics department in a university hospital. Transvaginal sonograms, clinical and biological variables from patients with haemoperitoneum ≥ 300 ml at surgery were compared with those from patients with haemoperitoneum < 300 ml or no haemoperitoneum. Sensitivity, specificity, positive and negative likelihood ratios were calculated for each parameter after appropriate dichotomization. Multiple logistic regression analysis was used to select the best combination at predicting haemoperitoneum ≥ 300 ml.</p< <p<Results</p< <p<Three parameters predicted haemoperitoneum ≥ 300 ml independently: moderate to severe spontaneous pelvic pain, fluid above the uterine fundus or around the ovary at transvaginal ultrasound, and serum haemoglobin concentration < 10 g/dL. A woman with none of these three criteria would have a probability of 5.3% for haemoperitoneum ≥ 300 ml. When two or more criterias were present, the probability for haemoperitoneum ≥ 300 ml reached 92.6%.</p< <p<Conclusion</p< <p<The proposed model accurately predicted significant haemoperitoneum in patients diagnosed to have EP.</p< Surgery Medical emergencies. Critical care. Intensive care. First aid Salomon Laurent J verfasserin aut Mabrouk Ali verfasserin aut Fauconnier Arnaud verfasserin aut Ville Yves verfasserin aut In World Journal of Emergency Surgery BMC, 2006 2(2007), 1, p 23 (DE-627)511639236 (DE-600)2233734-9 17497922 nnns volume:2 year:2007 number:1, p 23 https://doi.org/10.1186/1749-7922-2-23 kostenfrei https://doaj.org/article/b27f8c5b8aad4902be016224dd385b1b kostenfrei http://www.wjes.org/content/2/1/23 kostenfrei https://doaj.org/toc/1749-7922 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2007 1, p 23
allfieldsSound	10.1186/1749-7922-2-23 doi (DE-627)DOAJ066363632 (DE-599)DOAJb27f8c5b8aad4902be016224dd385b1b DE-627 ger DE-627 rakwb eng RD1-811 RC86-88.9 Bernard Jean-Pierre verfasserin aut Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model 2007 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<To derive an ultrasound-based prediction model for the quantification of haemoperitoneum in ectopic pregnancy (EP).</p< <p<Methods</p< <p<Retrospective study of 89 patients operated upon EP between January 1999 and March 2003 in a French Gynaecology and Obstetrics department in a university hospital. Transvaginal sonograms, clinical and biological variables from patients with haemoperitoneum ≥ 300 ml at surgery were compared with those from patients with haemoperitoneum < 300 ml or no haemoperitoneum. Sensitivity, specificity, positive and negative likelihood ratios were calculated for each parameter after appropriate dichotomization. Multiple logistic regression analysis was used to select the best combination at predicting haemoperitoneum ≥ 300 ml.</p< <p<Results</p< <p<Three parameters predicted haemoperitoneum ≥ 300 ml independently: moderate to severe spontaneous pelvic pain, fluid above the uterine fundus or around the ovary at transvaginal ultrasound, and serum haemoglobin concentration < 10 g/dL. A woman with none of these three criteria would have a probability of 5.3% for haemoperitoneum ≥ 300 ml. When two or more criterias were present, the probability for haemoperitoneum ≥ 300 ml reached 92.6%.</p< <p<Conclusion</p< <p<The proposed model accurately predicted significant haemoperitoneum in patients diagnosed to have EP.</p< Surgery Medical emergencies. Critical care. Intensive care. First aid Salomon Laurent J verfasserin aut Mabrouk Ali verfasserin aut Fauconnier Arnaud verfasserin aut Ville Yves verfasserin aut In World Journal of Emergency Surgery BMC, 2006 2(2007), 1, p 23 (DE-627)511639236 (DE-600)2233734-9 17497922 nnns volume:2 year:2007 number:1, p 23 https://doi.org/10.1186/1749-7922-2-23 kostenfrei https://doaj.org/article/b27f8c5b8aad4902be016224dd385b1b kostenfrei http://www.wjes.org/content/2/1/23 kostenfrei https://doaj.org/toc/1749-7922 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2007 1, p 23
language	English
source	In World Journal of Emergency Surgery 2(2007), 1, p 23 volume:2 year:2007 number:1, p 23
sourceStr	In World Journal of Emergency Surgery 2(2007), 1, p 23 volume:2 year:2007 number:1, p 23
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authorswithroles_txt_mv	Bernard Jean-Pierre @@aut@@ Salomon Laurent J @@aut@@ Mabrouk Ali @@aut@@ Fauconnier Arnaud @@aut@@ Ville Yves @@aut@@
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callnumber-first	R - Medicine
author	Bernard Jean-Pierre
spellingShingle	Bernard Jean-Pierre misc RD1-811 misc RC86-88.9 misc Surgery misc Medical emergencies. Critical care. Intensive care. First aid Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model
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topic_title	RD1-811 RC86-88.9 Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model
topic	misc RD1-811 misc RC86-88.9 misc Surgery misc Medical emergencies. Critical care. Intensive care. First aid
topic_unstemmed	misc RD1-811 misc RC86-88.9 misc Surgery misc Medical emergencies. Critical care. Intensive care. First aid
topic_browse	misc RD1-811 misc RC86-88.9 misc Surgery misc Medical emergencies. Critical care. Intensive care. First aid
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title	Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model
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title_full	Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model
author_sort	Bernard Jean-Pierre
journal	World Journal of Emergency Surgery
journalStr	World Journal of Emergency Surgery
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author_browse	Bernard Jean-Pierre Salomon Laurent J Mabrouk Ali Fauconnier Arnaud Ville Yves
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author-letter	Bernard Jean-Pierre
doi_str_mv	10.1186/1749-7922-2-23
author2-role	verfasserin
title_sort	ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model
callnumber	RD1-811
title_auth	Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model
abstract	<p<Abstract</p< <p<Background</p< <p<To derive an ultrasound-based prediction model for the quantification of haemoperitoneum in ectopic pregnancy (EP).</p< <p<Methods</p< <p<Retrospective study of 89 patients operated upon EP between January 1999 and March 2003 in a French Gynaecology and Obstetrics department in a university hospital. Transvaginal sonograms, clinical and biological variables from patients with haemoperitoneum ≥ 300 ml at surgery were compared with those from patients with haemoperitoneum < 300 ml or no haemoperitoneum. Sensitivity, specificity, positive and negative likelihood ratios were calculated for each parameter after appropriate dichotomization. Multiple logistic regression analysis was used to select the best combination at predicting haemoperitoneum ≥ 300 ml.</p< <p<Results</p< <p<Three parameters predicted haemoperitoneum ≥ 300 ml independently: moderate to severe spontaneous pelvic pain, fluid above the uterine fundus or around the ovary at transvaginal ultrasound, and serum haemoglobin concentration < 10 g/dL. A woman with none of these three criteria would have a probability of 5.3% for haemoperitoneum ≥ 300 ml. When two or more criterias were present, the probability for haemoperitoneum ≥ 300 ml reached 92.6%.</p< <p<Conclusion</p< <p<The proposed model accurately predicted significant haemoperitoneum in patients diagnosed to have EP.</p<
abstractGer	<p<Abstract</p< <p<Background</p< <p<To derive an ultrasound-based prediction model for the quantification of haemoperitoneum in ectopic pregnancy (EP).</p< <p<Methods</p< <p<Retrospective study of 89 patients operated upon EP between January 1999 and March 2003 in a French Gynaecology and Obstetrics department in a university hospital. Transvaginal sonograms, clinical and biological variables from patients with haemoperitoneum ≥ 300 ml at surgery were compared with those from patients with haemoperitoneum < 300 ml or no haemoperitoneum. Sensitivity, specificity, positive and negative likelihood ratios were calculated for each parameter after appropriate dichotomization. Multiple logistic regression analysis was used to select the best combination at predicting haemoperitoneum ≥ 300 ml.</p< <p<Results</p< <p<Three parameters predicted haemoperitoneum ≥ 300 ml independently: moderate to severe spontaneous pelvic pain, fluid above the uterine fundus or around the ovary at transvaginal ultrasound, and serum haemoglobin concentration < 10 g/dL. A woman with none of these three criteria would have a probability of 5.3% for haemoperitoneum ≥ 300 ml. When two or more criterias were present, the probability for haemoperitoneum ≥ 300 ml reached 92.6%.</p< <p<Conclusion</p< <p<The proposed model accurately predicted significant haemoperitoneum in patients diagnosed to have EP.</p<
abstract_unstemmed	<p<Abstract</p< <p<Background</p< <p<To derive an ultrasound-based prediction model for the quantification of haemoperitoneum in ectopic pregnancy (EP).</p< <p<Methods</p< <p<Retrospective study of 89 patients operated upon EP between January 1999 and March 2003 in a French Gynaecology and Obstetrics department in a university hospital. Transvaginal sonograms, clinical and biological variables from patients with haemoperitoneum ≥ 300 ml at surgery were compared with those from patients with haemoperitoneum < 300 ml or no haemoperitoneum. Sensitivity, specificity, positive and negative likelihood ratios were calculated for each parameter after appropriate dichotomization. Multiple logistic regression analysis was used to select the best combination at predicting haemoperitoneum ≥ 300 ml.</p< <p<Results</p< <p<Three parameters predicted haemoperitoneum ≥ 300 ml independently: moderate to severe spontaneous pelvic pain, fluid above the uterine fundus or around the ovary at transvaginal ultrasound, and serum haemoglobin concentration < 10 g/dL. A woman with none of these three criteria would have a probability of 5.3% for haemoperitoneum ≥ 300 ml. When two or more criterias were present, the probability for haemoperitoneum ≥ 300 ml reached 92.6%.</p< <p<Conclusion</p< <p<The proposed model accurately predicted significant haemoperitoneum in patients diagnosed to have EP.</p<
collection_details	GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700
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title_short	Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model
url	https://doi.org/10.1186/1749-7922-2-23 https://doaj.org/article/b27f8c5b8aad4902be016224dd385b1b http://www.wjes.org/content/2/1/23 https://doaj.org/toc/1749-7922
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up_date	2024-07-03T19:39:10.392Z
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Ultrasound assessment of haemoperitoneum in ectopic pregnancy: derivation of a prediction model

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