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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
PIERS Proteinuria: Relationship With Adverse Maternal and Perinatal Outcome
Journal of Obstetrics and Gynaecology Canada, Volume 33, No. 6, Year 2011
Notification
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Description
Objective: To examine the ability of three different proteinuria assessment methods (urinary dipstick, spot urine protein:creatinine ratio [Pr/Cr], and 24-hour urine collection) to predict adverse pregnancy outcomes. Methods: We performed a prospective multicentre cohort study, PIERS (Preeclampsia Integrated Estimate of RiSk), in seven academic tertiary maternity centres practising expectant management of preeclampsia remote from term in Canada, New Zealand, and Australia. Eligible women were those admitted with preeclampsia who had at least one antenatal proteinuria assessment by urinary dipstick, spot urine Pr/Cr ratio, and/or 24-hour urine collection. Proteinuria assessment was done either visually at the bedside (by dipstick) or by hospital clinical laboratories for spot urine Pr/Cr and 24-hour urine collection. We calculated receiver operating characteristic area under the curve (95% CI) for each proteinuria method and each of the combined adverse maternal outcomes (within 48 hours) or adverse perinatal outcomes (at any time). Models with AUC ≥ 0.70 were considered of interest. Analyses were run for all women who had each type of proteinuria assessment and for a cohort of women ("ALL measures") who had all three proteinuria assessments. Results: More women were proteinuric by urinary dipstick (≥ 2. +, 61.4%) than by spot urine Pr/Cr (≥ 30g/mol, 50.4%) or 24-hour urine collection (≥ 0.3g/d, 34.7%). Each proteinuria measure evaluated had some discriminative power, and dipstick proteinuria (categorical) performed as well as other methods. No single method was predictive of adverse perinatal outcome. Conclusion: The measured amount of proteinuria should not be used in isolation for decision-making in women with preeclampsia. Dipstick proteinuria performs as well as other methods of assessing proteinuria for prediction of adverse events. © 2011 Society of Obstetricians and Gynaecologists of Canada.
Authors & Co-Authors
Payne, Beth A.
Canada, Vancouver
The University of British Columbia
Magee, Laura A.
Canada, Vancouver
The University of British Columbia
Cǒté, Anne Marie
Canada, Sherbrooke
Université de Sherbrooke
Hutcheon, Jennifer A.
Canada, Vancouver
The University of British Columbia
Li, Jing
Canada, Vancouver
The University of British Columbia
Kyle, Phillipa Mm
New Zealand, Christchurch
University of Otago, Christchurch
Menzies, Jennifer M.
Canada, Vancouver
The University of British Columbia
von Dadelszen, Peter
Canada, Vancouver
The University of British Columbia
Walters, Barry N.J.
Australia, Perth
King Edward Memorial Hospital for Women
Douglas, Myrtle Joanne
Unknown Affiliation
Walley, Keith R.
Unknown Affiliation
Russell, James A.
Unknown Affiliation
Lee, Shoo Kim
Unknown Affiliation
Gruslin, Andreé
Unknown Affiliation
Smith, Graeme Neil
Unknown Affiliation
Moutquin, Jean Marie
Unknown Affiliation
Brown, Mark Ashley
Unknown Affiliation
Davis, Gregory K.
Unknown Affiliation
Sass, Nelson
Unknown Affiliation
Duan, Tony
Unknown Affiliation
Mahajan, Swati
Unknown Affiliation
Noovao, Amanda
Unknown Affiliation
Moore, Mathew Peter
Unknown Affiliation
Bhutta, Shereen Zulfiqar
Unknown Affiliation
Bhutta, Zulfiqar A.
Unknown Affiliation
Hall, David R.
Unknown Affiliation
Steyn, Daniël Wilhelm
Unknown Affiliation
Broughton-Pipkin, Fiona
Unknown Affiliation
Loughna, Pamela V.
Unknown Affiliation
Robson, Steve
Unknown Affiliation
de Swiet, Michael D.
Unknown Affiliation
Walker, James Johnston
Unknown Affiliation
Grobman, William A.
Unknown Affiliation
Lindheimer, Marshall D.
Unknown Affiliation
Roberts, James Michael
Unknown Affiliation
Ansermino, John Mark
Unknown Affiliation
Joseph, K. S.
Unknown Affiliation
Ouellet, Annie B.
Unknown Affiliation
Shaw, Dorothy
Unknown Affiliation
Biryabarema, Christine
Unknown Affiliation
Mirembe, Florence Maureen
Unknown Affiliation
Nakimuli, Annettee Barbra
Unknown Affiliation
Tsigas, Eleni Z.
Unknown Affiliation
Merialdi, Mario
Unknown Affiliation
Widmer, Mariana C.
Unknown Affiliation
Statistics
Citations: 48
Authors: 45
Affiliations: 4
Identifiers
Doi:
10.1016/S1701-2163(16)34907-6
ISSN:
17012163
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cohort Study
Study Approach
Quantitative
Participants Gender
Female