Evidence map›Paper›PMID 22361480›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2012

Predictive factors for failure of pelvic arterial embolization for postpartum hemorrhage.

Olivier Poujade, Magaly Zappa, Irène Letendre, Pierre F Ceccaldi, Valérie Vilgrain, Dominique Luton

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Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Olivier PoujadeDepartment of Obstetrics and Gynecology, Hôpital Beaujon, Clichy, France. olivierpoujade@hotmail.com
Magaly Zappa
Irène Letendre
Pierre F Ceccaldi
Valérie Vilgrain
Dominique Luton
Hôpital Beaujon · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the efficacy of pelvic embolization in women with postpartum hemorrhage (PPH) and to determine factors associated with embolization failure.

methodsIn a retrospective observational study, data were analyzed from 98 consecutive women who underwent pelvic embolization for intractable PPH between January 2007 and November 2009 at Beaujon Hospital, Clichy, France. Women with persistent PPH despite pelvic embolization were compared with women who had cessation of hemorrhage and attained hemodynamic stability.

resultsAmong the 98 women, 66 (67.3%) had been transferred from another hospital after delivery. Pelvic arterial embolization failed to control PPH in 8 (8.2%) women. On univariate analysis, factors significantly associated with embolization failure were the presence of placenta accreta (P<0.005), hemoglobin level (P<0.05), prothrombin time (P<0.04), fibrinogen level (P<0.03), red blood transfusion (P<0.02), number of packed red blood cell units transfused (P<0.05), and fresh-frozen plasma transfusion (P<0.02). Hospital-to-hospital transfer with a notable time interval between delivery and embolization was not associated with increased risk of failure.

conclusionPredictive factors significantly associated with failed pelvic arterial embolization were the presence of placenta accreta, biologic factors, and transfusional factors. Delay due to inter-hospital transfer did not affect the outcome of embolization.

Indexed as

AdultFemaleFranceHumansPatient TransferPlacenta AccretaPostpartum HemorrhagePregnancyRetrospective StudiesRisk FactorsTime FactorsTreatment FailureUterine Artery EmbolizationYoung Adult

Identifiers

PMID22361480
OpenAlexW2017031241

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.