The association between the introduction of quantitative assessment of postpartum blood loss and institutional changes in clinical practice: an observational study
The association between the introduction of quantitative assessment of postpartum blood loss and institutional changes in clinical practice: an observational study
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DOI：
10.1016/j.ijoa.2019.05.006
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发表时间：
2020-05-01
影响因子：
2.8
通讯作者：
Beilin, Y.
中科院分区：
文献类型：
--
作者：
Katz, D.;Wang, R.;Beilin, Y.
背景：对失血量的不精确视觉估计是产后出血发病率的原因之一。我们研究了产后失血量的定量评估对临床实践和outcome.Methods的影响：一项观察性研究，比较了两个历史队列（2016年8月至2017年1月和2017年8月至2018年1月）之间的失血量，管理和结果在学术三级保健中心。在干预组（第二阶段）的患者失血量化与视觉估计controls.Results：我们包括7618交付（干预组n=3807;对照组n=3811）。干预组双阴道出血（出血量>1 L）发生率增加（2.2%vs0.5%，P
Background: Imprecise visual estimates of blood loss contribute to morbidity from postpartum hemorrhage. We examined the impact of quantitative assessment of postpartum blood loss on clinical practice and outcomes.Methods: An observational study comparing blood loss, management and outcomes between two historical cohorts (August 2016 to January 2017 and August 2017 to January 2018) at an academic tertiary care center. Patients in the intervention group (second period) had blood loss quantified compared with visual estimation for controls.Results: We included 7618 deliveries (intervention group n=3807; control group n=3811). There was an increase in the incidence of hemorrhage (blood loss >1 L) in the intervention group for both vaginal (2.2% vs 0.5%, P