TY  - BOOK
AU  - Cheney, Megan
AU  - Chornock, Rebecca
AU  - Coviello, Elizabeth
AU  - Desale, Sameer
AU  - Fries, Melissa H
AU  - Iqbal, Sara N
AU  - Kawakita, Tetsuya
TI  - Effect of Implementing Quantitative Blood Loss Assessment at the Time of Delivery
SN  - 0735-1631
PY  - 2019///
KW  - *Blood Transfusion
KW  - *Delivery, Obstetric
KW  - *Postpartum Hemorrhage/di [Diagnosis]
KW  - Adult
KW  - Female
KW  - Hematocrit
KW  - Humans
KW  - Postpartum Hemorrhage/th [Therapy]
KW  - Retrospective Studies
KW  - ROC Curve
KW  - Standard of Care
KW  - MedStar Heart & Vascular Institute
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology/Maternal-Fetal Medicine
KW  - Journal Article
N2  - CONCLUSION: The rates of PPH increased with the implementation of qBL. Overall, qBL did not perform better than EBL in predicting the need for blood transfusion; Copyright Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA; OBJECTIVE: To evaluate the ability of estimated blood loss (EBL) and quantitative blood loss (qBL) to predict need for blood transfusion in women with postpartum hemorrhage (PPH); RESULTS: The rate of PPH by EBL and qBL was 2.8 and 10.8%, respectively (p < 0.01). The rate of transfusion for women meeting criteria for PPH by EBL and QBL were 2% (66/3,307) and 2.7% (93/3,453), respectively (p = 0.06). Postpartum transfusion was predicted by an EBL of 1,450 mL with AUC 0.826 and qBL 1,519 mL with AUC 0.764, for all modes of delivery. Postpartum vital signs and change in pre- and postdelivery hematocrit were poor predictors for transfusion; STUDY DESIGN: This is a retrospective chart review that identified women with PPH (>1,000 mL for vaginal or cesarean delivery) between September 2014 and August 2015, reported by EBL (n = 92), and October 2015 and September 2016, reported by qBL (n = 374). The primary metric was the area under the receiver-operating characteristic curve for blood transfusion
UR  - https://dx.doi.org/10.1055/s-0039-1688823
ER  -