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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Oxygen Saturation as a Predictor of Adverse Maternal Outcomes in Women with Preeclampsia
Journal of Obstetrics and Gynaecology Canada, Volume 33, No. 7, Year 2011
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Description
Objective: We sought to determine the role of respiratory assessment by cardiorespiratory symptoms and/or oxygen saturation by pulse oximetry (SpO2) in predicting adverse maternal outcomes in women admitted to hospital with preeclampsia. Methods: These data derive from an international, prospective multicentre cohort study, PIERS (Pre-eclampsia Integrated Estimate of RiSk), which assesses predictors of adverse outcomes in women admitted to tertiary perinatal units with preeclampsia. Univariate and multivariate analyses of cardiorespiratory symptoms and pulse oximetry were performed to assess their ability to predict a combined adverse maternal outcome developed through international Delphi consensus. Results: SpO2 successfully predicted adverse maternal outcomes; the area under the receiver-operator characteristic curve (AUC ROC) was 0.71 (95% CI 0.65 to 0.77). Combining the symptoms of chest pain and/or dyspnea with pulse oximetry improved this predictive ability (AUC ROC 0.73; 95% CI 0.67 to 0.78). When SpO2 was stratified into risk groups using inflection points on the ROC curve, the highest risk group (SpO2 90% to 93%) had an odds ratio of 18.1 (95% CI 8.2 to 40.2) for all outcomes within 48 hours when compared with the baseline group (SpO2 98% to 100%). Conclusion: Assessing SpO2 aids in the assessment of maternal risk in women admitted to hospital with preeclampsia. An SpO2 value of ≤ 93% confers particular risk. The symptom complex of chest pain and/or dyspnea adds to the association. © 2011 Society of Obstetricians and Gynaecologists of Canada.
Authors & Co-Authors
Millman, Alexandra Leora
Canada, Vancouver
The University of British Columbia
Payne, Beth A.
Canada, Vancouver
The University of British Columbia
Qu, Ziguang
Canada, Vancouver
The University of British Columbia
Hutcheon, Jennifer A.
Canada, Vancouver
The University of British Columbia
Lee, Tang
Canada, Vancouver
The University of British Columbia
Magee, Laura A.
Canada, Vancouver
The University of British Columbia
Walley, Keith R.
Canada, Vancouver
The University of British Columbia
von Dadelszen, Peter
Canada, Vancouver
The University of British Columbia
Walters, Barry N.J.
Unknown Affiliation
Ansermino, John Mark
Unknown Affiliation
Cǒté, Anne Marie
Unknown Affiliation
Gruslin, Andreé
Unknown Affiliation
Joseph, K. S.
Unknown Affiliation
Lee, Shoo Kim
Unknown Affiliation
Li, Jing
Unknown Affiliation
Menzies, Jennifer M.
Unknown Affiliation
Moutquin, Jean Marie
Unknown Affiliation
Ouellet, Annie B.
Unknown Affiliation
Russell, James A.
Unknown Affiliation
Shaw, Dorothy
Unknown Affiliation
Smith, Graeme Neil
Unknown Affiliation
Mahajan, Swati
Unknown Affiliation
Noovao, Amanda
Unknown Affiliation
Kyle, Phillipa Mm
Unknown Affiliation
Moore, Mathew Peter
Unknown Affiliation
Hall, David R.
Unknown Affiliation
Steyn, Daniël Wilhelm
Unknown Affiliation
Biryabarema, Christine
Unknown Affiliation
Mirembe, Florence Maureen
Unknown Affiliation
Nakimuli, Annettee Barbra
Unknown Affiliation
Broughton-Pipkin, Fiona
Unknown Affiliation
Loughna, Pamela V.
Unknown Affiliation
Walker, James Johnston
Unknown Affiliation
Grobman, William A.
Unknown Affiliation
Tsigas, Eleni Z.
Unknown Affiliation
Merialdi, Mario
Unknown Affiliation
Widmer, Mariana C.
Unknown Affiliation
Statistics
Citations: 38
Authors: 37
Affiliations: 1
Identifiers
Doi:
10.1016/S1701-2163(16)34955-6
ISSN:
17012163
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Design
Cohort Study
Case-Control Study
Study Approach
Qualitative
Quantitative
Participants Gender
Female