Score Predicting Imminent Delivery In Pregnant Women Calling The Emergency Medical Service
European journal of emergency medicine : official journal of the European Society for Emergency Medicine(2009)
摘要
Objective To develop a telephone score predicting imminent delivery.Methods Prospective multicenter (n = 38) study including pregnancies of 33 weeks or more amenorrhea (n = 3.499) Values in points were assigned to risk factors (Cox's model) and the score tested on a validation cohort and receiver operating characteristic curves.Results Risk was increased if the caller was panicking or declared delivery to be imminent (+ 3 points), if the pregnant woman could not be spoken to herself (+ 3), was aged 26-35 (+ 3) years, was having frequent contractions (from + 4 to + 8), had the urge to push (+ 2 to + 6 depending on starting time), had a history of rapid or home delivery (+ 2), or had not been followed up during pregnancy (+ 8). Nulliparous women (- 7) or those on tocolytic treatment (- 3) were less at risk. The score is reproducible and relevant.Conclusion Score predicting imminent delivery scoring during calls is a valid means of assessing risk of delivery. European Journal of Emergency Medicine 16:14-22 (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
更多查看译文
关键词
clinical protocols,triage/standards,medical dispatching,obstetrical emergency,emergency medical service communication systems/standards,home delivery,logistic models
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络