Diagnostic accuracy of insulin-like growth factor binding protein-1 for amniotic fluid embolism*

Critical Care Medicine
Matthieu LegrandFrançoise Muller

Abstract

To test whether serum insulin-like growth factor binding protein-1 could be used as a biomarker of amniotic fluid passage into the maternal circulation. Case-control study. Thirteen centers in France. This case-control study included a group with amniotic fluid embolism (the amniotic fluid embolism group) and a group with symptoms unrelated to amniotic fluid embolism (the non-amniotic fluid embolism group). Serum insulin-like growth factor binding protein-1 level was measured within 6 hrs from onset of symptoms. We also determined serum insulin-like growth factor binding protein-1 in four additional groups of patients with 1) postpartum hemorrhage, 2) uncomplicated labor, 3) normal pregnancy, and 4) non-pregnant patients with acute pulmonary embolism. None. Serum insulin-like growth factor binding protein-1 levels were determined using an immuno-enzymatic assay. The amniotic fluid embolism group included 25 patients, the non-amniotic fluid embolism group had 20 patients, the postpartum hemorrhage group had 24 patients, and the uncomplicated labor group had 50 patients. The serum levels of insulin-like growth factor binding protein-1 were higher in the amniotic fluid embolism group (234 134-635 µmol/L) compared with the non-amni...Continue Reading

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Citations

Feb 18, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Fatma Medhioub KaanicheMounir Bouaziz
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