ArticlePakistan journal of medical sciences
A prospective cohort study of shock index as a reliable marker to predict the patient's need for blood transfusion due to postpartum hemorrhage.
Article in Pakistan journal of medical sciences. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- FIGO recommendations on objective measurement of blood loss after birth for early detection of postpartum hemorrhage.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Guideline
- Practices and factors associated with active management of the third stage of labor in East Africa: systematic review and meta-analysis.BMC pregnancy and childbirth · 2023Pooled it
- Adaptable graph neural networks design to support generalizability for clinical event prediction.Journal of biomedical informatics · 2025Article
- Predictors of vaginal delivery following balloon catheter for labor induction in women with one previous cesarean.BMC pregnancy and childbirth · 2023Article
- The course of infection with the Delta variant of COVID-19 in pregnancy: analysis of clinical, laboratory, and neonatal outcomesJournal of the Turkish German Gynecological Association · 2023Article
- Prediction of Transfusion among In-patient Population using Temporal Pattern based Clinical Similarity Graphs.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2023Article
- Maternal near-miss and mortality in a teaching hospital in Tigray region, Northern Ethiopia.Women's health (London, England)Article
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study was aimed to compare the shock index (SI) values between patients who required blood transfusion due to postpartum hemorrhage (PPH) and patients who received no blood transfusion.
methodsWe conducted this cross-sectional study at a tertiary center between January 2019 and June 2019. A total of 2534 patients who underwent vaginal delivery were included in this study. We measured SI values upon admission, 30 minutes, 1-hour, and 2-hours after delivery. We identified women who required blood transfusion as the study group. Control patients who delivered in the same period and received no blood transfusion were identified in the medical record system and randomly selected. Age, parity, BMI, and SI values at each one prepartum and three postpartum periods of the groups were analyzed.
resultsA total of 2534 patients were included in the study. A varying amount of blood transfusion was performed in 54 patients (2.13%). When we compared with patients who did not receive blood transfusion after delivery, patients who received any amount of blood transfusion after vaginal delivery had significantly higher SI values 30 minutes after delivery (0.99±0.20, and 085±0.11, p=0.0001), at 1-hour (1.00±0.18, and 0.85±0.11, p=0.0001), and 2-hours (1.09±0.16, and 0.87±0.11, p=0.0001).
conclusionSI value could be a reliable and consistent marker to predict the requirement for any amount of blood transfusion due to PPH.
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