Evidence map›Paper›PMID 40620616›Full record

ArticleMaternal-fetal medicine (Wolters Kluwer Health, Inc.)2025

Quantitative Validation of Hematocrit Percentage Drop Cutoff Points in Postpartum Hemorrhage: An Automated Gravimetric Approach.

Venance Basil Kway, José Enrique Calacuayo Rojas, Josué Sidonio Rodríguez Cuevas, Ursula Medina Moreno, José Sergio Camacho Juárez, Jorge Francisco Ayala González, Karla Krebs Larraga, Ilse Veronica Castro Martinez, Roberto Arturo Castillo Reyther, Antonio Gordillo Moscoso

Abstract read
In one paragraph

Article in Maternal-fetal medicine (Wolters Kluwer Health, Inc.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed.

  1. Postpartum Hemorrhage: From Intervention to Prevention.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Venance Basil KwayDepartment of Obstetrics and Gynecology, Central Hospital Dr. Ignacio Morones Prieto, San Luis Potosí 78290, Mexico.
José Enrique Calacuayo RojasDepartment of Biomedical Engineering, Faculty of Science, Universidad Autónoma de San Luis Potosí, San Luis Potosí 78290, Mexico.
Josué Sidonio Rodríguez CuevasDepartment of Obstetrics and Gynecology, Central Hospital Dr. Ignacio Morones Prieto, San Luis Potosí 78290, Mexico.
Ursula Medina MorenoFaculty of Medicine, Universidad Autónoma de San Luis Potosí, San Luis Potosí 78290, Mexico.
José Sergio Camacho JuárezDepartment of Biomedical Engineering, Faculty of Science, Universidad Autónoma de San Luis Potosí, San Luis Potosí 78290, Mexico.
Jorge Francisco Ayala GonzálezFaculty of Medicine, Universidad Autónoma de San Luis Potosí, San Luis Potosí 78290, Mexico.
Karla Krebs LarragaDepartment of Obstetrics and Gynecology, Central Hospital Dr. Ignacio Morones Prieto, San Luis Potosí 78290, Mexico.
Ilse Veronica Castro MartinezDepartment of Obstetrics and Gynecology, Central Hospital Dr. Ignacio Morones Prieto, San Luis Potosí 78290, Mexico.
Roberto Arturo Castillo ReytherFaculty of Medicine, Universidad Autónoma de San Luis Potosí, San Luis Potosí 78290, Mexico.
Antonio Gordillo MoscosoFaculty of Medicine, Universidad Autónoma de San Luis Potosí, San Luis Potosí 78290, Mexico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To validate the hematocrit percentage drop cutoff points for blood loss in patients with postpartum hemorrhage (PPH) using the automated gravimetric method. Methods: A prospective cohort study was conducted from January 2023 to July 2023, in which 107 patients 18 years of age and above were scheduled for elective cesarean with obstetrical indications. We excluded cases with difficulty quantifying blood loss, those with incomplete data, and those of patients who did not consent to participate. Blood loss was measured by an automated gravimetric system integrated into a suction blood collector and surgical gauze weighing systems to automatically sum up blood loss immediately after hysterectomy and fetal delivery. The percentage drop in hematocrit was determined by subtracting the 8-hour postsurgical from presurgical hematocrit, divided by presurgical hematocrit. We performed the Pearson correlation test, and the receiver operating characteristic curve was used to determine cutoff points, their sensitivity, and their specificity. The κ index was used to determine the diagnostic agreement between the two methods. Results: A positive correlation was observed between the volume of blood loss and the percentage drop in hematocrit, with a Pearson correlation index of 0.70 and Conclusion: The automated gravimetric method strongly correlates with hematocrit changes, providing an accurate real-time diagnosis of PPH. Additionally, a hematocrit percentage drop can retrospectively indicate significant blood loss, aiding in managing patients at risk for long-term PPH complications.

Indexed as

Hematocrit cutoff pointsHemoglobinMaternal mortalityPostpartum hemorrhage

Identifiers

PMID40620616
PMCPMC12223011

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Registered trials

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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.