Ultrasound Measured Depth of Pelvic Free Fluid Correlates Well with Blood Loss Volume in Patients with Ectopic Pregnancy
Purpose. The ultrasonic finding of pelvic free fluid which suggests the possibility of internal haemorrhage helps the determination of the severity of patients. Methods. We conducted a retrospective study investigating ultrasonic measurements and haemorrhage volumes in patients having an ectopic pre...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2020/8874581 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832554073472106496 |
|---|---|
| author | Shuai Tang Qing Zhou Yuelun Zhang Lin Chen Xuerong Yu Yanming Zhang Zhenhong Qi Yu Xia Yuguang Huang |
| author_facet | Shuai Tang Qing Zhou Yuelun Zhang Lin Chen Xuerong Yu Yanming Zhang Zhenhong Qi Yu Xia Yuguang Huang |
| author_sort | Shuai Tang |
| collection | DOAJ |
| description | Purpose. The ultrasonic finding of pelvic free fluid which suggests the possibility of internal haemorrhage helps the determination of the severity of patients. Methods. We conducted a retrospective study investigating ultrasonic measurements and haemorrhage volumes in patients having an ectopic pregnancy in a single centre from January 2013 to November 2016. The logistic regression model was used to establish the prediction model for haemorrhage volumes. The diagnostic accuracy was evaluated by area under ROC curve (AUC) analysis. We employed 800 ml as the cut-off point of the haemorrhage and further set it to 1000 ml and 1200 ml in the sensitivity analysis. Results. The mean pelvic free fluid depths measured by TVS and TAS were 4.45 ± 2.15 cm and 4.45 ± 2.56 cm in the haemorrhage ≥800 ml group, while they were 2.48 ± 1.51 cm and 2.55 ± 1.19 cm in <800 ml group. AUCs and the corresponding cut-off points were 0.741 (95% CI 0.677 to 0.804) and 0.118 when predicted by the standardised depths of TVS and TAS, 0.784 (95% CI 0.696–0.872) and 2.95 cm by the raw depths of TVS, and 0.748 (95% CI 0.665–0.831) and 3.35 cm by the raw depths of TAS. Conclusions. The depth of pelvic free fluid measured by TVS and TAS can be used to predict blood loss volume in patients having an ectopic pregnancy. TVS may perform better than TAS. |
| format | Article |
| id | doaj-art-31cb59b1618544c0abb08ef7ebf5624c |
| institution | Kabale University |
| issn | 2090-2840 2090-2859 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-31cb59b1618544c0abb08ef7ebf5624c2025-02-03T05:52:25ZengWileyEmergency Medicine International2090-28402090-28592020-01-01202010.1155/2020/88745818874581Ultrasound Measured Depth of Pelvic Free Fluid Correlates Well with Blood Loss Volume in Patients with Ectopic PregnancyShuai Tang0Qing Zhou1Yuelun Zhang2Lin Chen3Xuerong Yu4Yanming Zhang5Zhenhong Qi6Yu Xia7Yuguang Huang8Department of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing, ChinaDepartment of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing, ChinaDepartment of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing, ChinaDepartment of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing, ChinaDepartment of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing, ChinaDepartment of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing, ChinaDepartment of Ultrasound, Peking Union Medical College Hospital, CAMS & PUMC, Beijing, ChinaDepartment of Ultrasound, Peking Union Medical College Hospital, CAMS & PUMC, Beijing, ChinaDepartment of Anesthesiology, Peking Union Medical College Hospital, CAMS & PUMC, Beijing, ChinaPurpose. The ultrasonic finding of pelvic free fluid which suggests the possibility of internal haemorrhage helps the determination of the severity of patients. Methods. We conducted a retrospective study investigating ultrasonic measurements and haemorrhage volumes in patients having an ectopic pregnancy in a single centre from January 2013 to November 2016. The logistic regression model was used to establish the prediction model for haemorrhage volumes. The diagnostic accuracy was evaluated by area under ROC curve (AUC) analysis. We employed 800 ml as the cut-off point of the haemorrhage and further set it to 1000 ml and 1200 ml in the sensitivity analysis. Results. The mean pelvic free fluid depths measured by TVS and TAS were 4.45 ± 2.15 cm and 4.45 ± 2.56 cm in the haemorrhage ≥800 ml group, while they were 2.48 ± 1.51 cm and 2.55 ± 1.19 cm in <800 ml group. AUCs and the corresponding cut-off points were 0.741 (95% CI 0.677 to 0.804) and 0.118 when predicted by the standardised depths of TVS and TAS, 0.784 (95% CI 0.696–0.872) and 2.95 cm by the raw depths of TVS, and 0.748 (95% CI 0.665–0.831) and 3.35 cm by the raw depths of TAS. Conclusions. The depth of pelvic free fluid measured by TVS and TAS can be used to predict blood loss volume in patients having an ectopic pregnancy. TVS may perform better than TAS.http://dx.doi.org/10.1155/2020/8874581 |
| spellingShingle | Shuai Tang Qing Zhou Yuelun Zhang Lin Chen Xuerong Yu Yanming Zhang Zhenhong Qi Yu Xia Yuguang Huang Ultrasound Measured Depth of Pelvic Free Fluid Correlates Well with Blood Loss Volume in Patients with Ectopic Pregnancy Emergency Medicine International |
| title | Ultrasound Measured Depth of Pelvic Free Fluid Correlates Well with Blood Loss Volume in Patients with Ectopic Pregnancy |
| title_full | Ultrasound Measured Depth of Pelvic Free Fluid Correlates Well with Blood Loss Volume in Patients with Ectopic Pregnancy |
| title_fullStr | Ultrasound Measured Depth of Pelvic Free Fluid Correlates Well with Blood Loss Volume in Patients with Ectopic Pregnancy |
| title_full_unstemmed | Ultrasound Measured Depth of Pelvic Free Fluid Correlates Well with Blood Loss Volume in Patients with Ectopic Pregnancy |
| title_short | Ultrasound Measured Depth of Pelvic Free Fluid Correlates Well with Blood Loss Volume in Patients with Ectopic Pregnancy |
| title_sort | ultrasound measured depth of pelvic free fluid correlates well with blood loss volume in patients with ectopic pregnancy |
| url | http://dx.doi.org/10.1155/2020/8874581 |
| work_keys_str_mv | AT shuaitang ultrasoundmeasureddepthofpelvicfreefluidcorrelateswellwithbloodlossvolumeinpatientswithectopicpregnancy AT qingzhou ultrasoundmeasureddepthofpelvicfreefluidcorrelateswellwithbloodlossvolumeinpatientswithectopicpregnancy AT yuelunzhang ultrasoundmeasureddepthofpelvicfreefluidcorrelateswellwithbloodlossvolumeinpatientswithectopicpregnancy AT linchen ultrasoundmeasureddepthofpelvicfreefluidcorrelateswellwithbloodlossvolumeinpatientswithectopicpregnancy AT xuerongyu ultrasoundmeasureddepthofpelvicfreefluidcorrelateswellwithbloodlossvolumeinpatientswithectopicpregnancy AT yanmingzhang ultrasoundmeasureddepthofpelvicfreefluidcorrelateswellwithbloodlossvolumeinpatientswithectopicpregnancy AT zhenhongqi ultrasoundmeasureddepthofpelvicfreefluidcorrelateswellwithbloodlossvolumeinpatientswithectopicpregnancy AT yuxia ultrasoundmeasureddepthofpelvicfreefluidcorrelateswellwithbloodlossvolumeinpatientswithectopicpregnancy AT yuguanghuang ultrasoundmeasureddepthofpelvicfreefluidcorrelateswellwithbloodlossvolumeinpatientswithectopicpregnancy |