Abstract
The ability to predict risk factors for blood transfusion after postpartum hemorrhage could enhance the performance of lifesaving procedures in patients who experience postpartum hemorrhage. Therefore, this study aimed to evaluate these risk factors and create a scoring system for blood transfusion evaluations and risk in obstetric patients. Diagnosis and blood transfusion data of 14,112 women who delivered between January 1, 2015, and December 31, 2015, were analyzed. A binary logistic regression model was used. We conducted univariate analyses of each risk factor as well as multivariable logistic regression analysis. Data of obstetric patients in 2016 validated the receiver operating characteristic curve. A risk prediction score was generated from the transfusion risk factor β-coefficients in the multivariable logistic regression model. In total, 392 (2.94%) of 13,328 patients received transfusions. After multivariable adjustment, polyembryony, anemia, thrombocytopenia, preeclampsia, placenta previa, placental implantation, uterine scarring, uterine rupture, retained placenta, stillbirth, and HELLP syndrome (hemolysis, elevated liver enzymes, and low platelets) were significantly associated with perinatal transfusion. Heart d...Continue Reading
References
Feb 28, 1996·Statistics in Medicine·F E HarrellD B Mark
May 15, 1997·Statistics in Medicine·D W HosmerS Lemeshow
Jul 13, 2001·JAMA : the Journal of the American Medical Association·R B D'AgostinoUNKNOWN CHD Risk Prediction Group
Jun 24, 2004·Statistics in Medicine·Michael J Pencina, Ralph B D'Agostino
May 19, 2005·Southern Medical Journal·Everett F MagannJohn C Morrison
Aug 20, 2005·Southern Medical Journal·Everett F MagannJohn C Morrison
Sep 15, 2005·American Journal of Obstetrics and Gynecology·Dwight J RouseUNKNOWN National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network
Nov 8, 2005·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Eyal SheinerMordechai Hallak
Aug 16, 2006·BJOG : an International Journal of Obstetrics and Gynaecology·P BoseS Paterson-Brown
Oct 3, 2006·Obstetrics and Gynecology·Dwight J RouseUNKNOWN National Institute of Child Health and Human Development Maternal-Fetal Medicine Units Network
Nov 30, 2006·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·B C Ozumba, H U Ezegwui
Jan 16, 2008·Annals of Internal Medicine·Nisha I ParikhRamachandran S Vasan
Aug 22, 2008·BJOG : an International Journal of Obstetrics and Gynaecology·I Al-ZirqiB Stray-Pedersen
Jan 8, 2009·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Mrinalini BalkiGareth Seaward
Jul 25, 2009·Transfusion·Andra H JamesBetty Thames
Sep 29, 2009·The Australian & New Zealand Journal of Obstetrics & Gynaecology·Seng Chai ChuaRihdab Aziz
Apr 13, 2010·Lancet·Margaret C HoganChristopher J L Murray
Aug 29, 2012·Obstetrical & Gynecological Survey·Natascha M de LangeHubertina C J Scheepers
Oct 23, 2012·Best Practice & Research. Clinical Obstetrics & Gynaecology·Sue Fawcus, Jagidesa Moodley
Dec 1, 2012·Anaesthesia and Intensive Care·J S HillM Powell
Mar 13, 2014·Transfusion·Rezan Abdul-KadirRochelle Winikoff
Mar 15, 2015·Blood·Sue Pavord, Helena Maybury
May 31, 2016·Transfusion·Yirong BaoHao Ying