ArticleArchives of gynecology and obstetrics2024
A novel predictive marker for placental abruption with composite adverse outcomes: creatinine-fibrinogen ratio.
Article in Archives of gynecology and obstetrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- The Potential of Creatinine-Fibrinogen Ratio Levels as an Indicator of Severe Placenta Abruptio: A Retrospective Case Control Study.International journal of general medicine · 2025Article
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7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo develop a new cost-effective marker named creatinine-fibrinogen ratio (CFR) for the prediction of composite adverse outcomes (CAO) in placental abruption cases.
methodsA total of 109 placental abruption patients (30 with adverse outcomes, 79 without adverse outcomes) were enrolled in this retrospective cohort study. Patients with at least one of the features listed below were included in the abruption with CAO group: requirement of blood product transfusion (erythrocyte suspension, fresh frozen plasma, pooled thrombocyte, thrombocyte apheresis), development of acute kidney injury or disseminated intravascular coagulation, and need for intensive care unit. Laboratory parameters and CFR values at admission to the hospital were compared between the two groups.
resultsHigher creatinine and lower fibrinogen levels were found in the CAO group (p = 0.007 and p < 0.001 respectively). The CFR value of the CAO group was significantly higher (p < 0.001). In the ROC curve analysis performed to investigate the value of CFR in CAO prediction, the area under the curve (AUC) was calculated as 0,802 (95% CI 0.709-0.895, 77% sensitivity, 65% specificity).
conclusionCFR seems to be a practical marker for the prediction of CAOs in pregnant women with ablatio placenta.
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