Medical record validation of maternally reported history of preeclampsia
Medical record validation of maternally reported history of preeclampsia
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DOI：
10.1016/j.jclinepi.2009.10.010
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发表时间：
2010-08-01
影响因子：
7.2
通讯作者：
Steegers, Eric A. P.
中科院分区：
文献类型：
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作者：
Coolman, Marianne;de Groot, Christianne J. M.;Steegers, Eric A. P.
目的：在本研究中，我们评估了母亲自我报告的先兆子痫病史的有效性。研究设计和背景：本研究纳入了 R 世代研究，这是一项基于人群的前瞻性队列研究。数据来自产前问卷和产后 2 个月从母亲处获得的一份问卷。选择了所有在医院分娩并返回产后 2 个月问卷的女性 (n = 4,330)。 结果：在 4,330 名女性中，152 名自我报告先兆子痫的女性中有 76 名 (50%) 根据定义（国际妊娠期高血压研究协会）似乎没有患有该疾病。在自称没有患过先兆子痫的女性中，4,178 名女性中有 11 人（0.3%）患有先兆子痫。敏感性和特异性分别为 0.87 和 0.98。较高的母亲教育水平和胎次与更好的子痫前期自我报告诊断相关。结论：母亲回忆自我报告子痫前期的有效性为中等。自我报告的先兆子痫的减少可能表明患者与医生在疾病诊断标准方面的沟通缺乏准确性。因此，医生必须注意确保女性了解先兆子痫的本质。 (C) 2010 Elsevier Inc. 保留所有权利。
Objective: In this study, we assessed the validity of maternally self-reported history of preeclampsia.Study Design and Setting: This study was embedded in the Generation R Study, a population-based prospective cohort study. Data were obtained from prenatal questionnaires and one questionnaire obtained 2 months postpartum from the mother. All women who delivered in hospital and returned a 2-month postpartum questionnaire (n = 4,330) were selected.Results: Of the 4,330 women, 76 out of 152 (50%) women who self-reported preeclampsia appeared not to have had the disease according to the definition (International Society for the Study of Hypertension in Pregnancy). From the women who self-reported not to have experienced preeclampsia, 11 out of 4,178 (0.3%) had suffered from preeclampsia. Sensitivity and specificity were 0.87 and 0.98, respectively. Higher maternal education level and parity were associated with a better self-reported diagnosis of preeclampsia.Conclusion: The validity of maternal-recall self-reported preeclampsia is moderate. The reduced self-reported preeclampsia might suggest a lack of accuracy in patient doctor communication with regard to the diagnostic criteria of the disease. Therefore, doctors have to pay attention to make sure that women understand the nature of preeclampsia. (C) 2010 Elsevier Inc. All rights reserved.