We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The utility of clinical findings to predict laboratory values in hypertensive disorders of pregnancy.
- Authors
So, Jane; Young, Elizabeth; Crnosija, Natalie; Chappelle, Joseph
- Abstract
Objective: Preeclampsia is the 2nd leading cause of maternal mortality in the United States. Women with new-onset or worsening hypertension are commonly evaluated for laboratory abnormalities. We aim to investigate whether demographic and/or clinical findings correlate with abnormal laboratory values. Study design: A retrospective chart review of women who presented for evaluation of hypertension in pregnancy during 2010. Demographic information, medical history, symptoms, vital signs, and laboratory results were collected. Bivariate analysis was used to investigate associations between predictors and the outcome. Result: Of the 481 women in the sample, 22 were identified as having abnormal laboratory test results (4.6%). Women who reported right upper quadrant pain or tenderness had significantly increased likelihood of having laboratory abnormalities compared to those without the complaint. Conclusion: Only a small percentage of women evaluated were determined to have abnormal laboratory findings, predominantly among women with severe preeclampsia. Right upper quadrant pain or tenderness was positively correlated with laboratory abnormalities. The restriction of laboratory analysis in women with clinical evidence of severe disease may be warranted - a broader study should, however, first be used to confirm our findings.
- Subjects
BLOOD pressure; CLINICAL pathology; HYPERTENSION in pregnancy; PREGNANT women; STATISTICS; MEDICAL triage; VITAL signs; SOCIOECONOMIC factors; CROSS-sectional method; RETROSPECTIVE studies; DESCRIPTIVE statistics; SYMPTOMS; DIAGNOSIS
- Publication
Journal of Perinatal Medicine, 2016, Vol 44, Issue 3, p277
- ISSN
0300-5577
- Publication type
Article
- DOI
10.1515/jpm-2015-0089