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Ultrasonographic severity scoring of non-immune hydrops: a predictor of perinatal mortality
DC Field | Value | Language |
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dc.contributor.author | 이준호 | - |
dc.date.accessioned | 2018-01-23T05:49:03Z | - |
dc.date.available | 2018-01-23T05:49:03Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0300-5577 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/155669 | - |
dc.description.abstract | AIM: To develop an ultrasonographic severity scoring of non-immune hydrops in order to predict perinatal outcomes in women with non-immune hydrops. METHODS: The study population consisted of pregnant women who were admitted and delivered with the diagnosis of fetal non-immune hydrops and singleton gestation. Cases were divided into "perinatal survivor" and "perinatal non-survivor" groups. Perinatal non-survivor cases were defined as those with stillbirth or neonatal death ≤28 completed days after birth. The presence of an abnormal fluid collection in each body compartment, such as subcutaneous edema, pleural effusion, pericardial effusion, or ascites was assigned a score of 1 point per each body compartment, and the absence of abnormal fluid collection was scored as 0 point. The total number of abnormal fluid collections was converted to a numeric score, which was called the ultrasonographic severity scoring of non-immune hydrops (USNIH). RESULTS: Perinatal death occurred in 46.5% (20/43) of the cases of non-immune hydrops. USNIH in patients of the non-survivor group was significantly higher than that in those of the survivor group [non-survivor group 3 (2-4) vs. survivor 2 (2-3); median (range); P<0.05]. Perinatal mortality rates were higher in patients with USNIH ≥3 points than in those with USNIH of 2 points (67% vs. 13%, P<0.005). This difference remained significant after adjustment for confounding variables. When confining analysis to those with idiopathic non-immune hydrops, women in the perinatal non-survivor group had significantly higher USNIH score than those in the perinatal survivor group, and this difference remained significant after adjustment. CONCLUSIONS: Our USNIH system may be a reliable predictive marker for perinatal outcomes in cases of non-immune hydrops, especially in idiopathic hydrops during the antenatal period. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.relation.isPartOf | JOURNAL OF PERINATAL MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Cross-Sectional Studies | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hydrops Fetalis/diagnostic imaging* | - |
dc.subject.MESH | Hydrops Fetalis/etiology | - |
dc.subject.MESH | Hydrops Fetalis/mortality | - |
dc.subject.MESH | Infant, Newborn | - |
dc.subject.MESH | Perinatal Mortality | - |
dc.subject.MESH | Pregnancy | - |
dc.subject.MESH | Republic of Korea/epidemiology | - |
dc.subject.MESH | Severity of Illness Index | - |
dc.subject.MESH | Ultrasonography, Prenatal | - |
dc.title | Ultrasonographic severity scoring of non-immune hydrops: a predictor of perinatal mortality | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Obstetrics & Gynecology | - |
dc.contributor.googleauthor | Su Ah Kim | - |
dc.contributor.googleauthor | Seung Mi Lee | - |
dc.contributor.googleauthor | Joon-Seok Hong | - |
dc.contributor.googleauthor | JoonHo Lee | - |
dc.contributor.googleauthor | Chan-Wook Park | - |
dc.contributor.googleauthor | Byoung Jae Kim | - |
dc.contributor.googleauthor | Kyo Hoon Park | - |
dc.contributor.googleauthor | Joong Shin Park | - |
dc.contributor.googleauthor | Jong Kwan Jun | - |
dc.identifier.doi | 10.1515/jpm-2013-0208. | - |
dc.contributor.localId | A04846 | - |
dc.relation.journalcode | J01693 | - |
dc.identifier.eissn | 1619-3997 | - |
dc.identifier.pmid | 24837487 | - |
dc.identifier.url | https://www.degruyter.com/doi/10.1515/jpm-2013-0208 | - |
dc.subject.keyword | Non-immune hydrops fetalis | - |
dc.subject.keyword | perinatal outcome | - |
dc.subject.keyword | prediction | - |
dc.subject.keyword | ultrasonography | - |
dc.contributor.alternativeName | Lee, Joon Ho | - |
dc.contributor.affiliatedAuthor | Lee, Joon Ho | - |
dc.citation.volume | 43 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 53 | - |
dc.citation.endPage | 59 | - |
dc.identifier.bibliographicCitation | JOURNAL OF PERINATAL MEDICINE, Vol.43(1) : 53-59, 2015 | - |
dc.identifier.rimsid | 48132 | - |
dc.type.rims | ART | - |
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