Subarachnoid Hemorrhage: Risk Assessment and Perioperative Management

2011 ◽  
pp. 85-91
Author(s):  
Chanhung Z. Lee ◽  
Pekka Talke ◽  
Susan Ryan
Keyword(s):  
Risk Assessment ◽  
Subarachnoid Hemorrhage ◽  
Perioperative Management ◽  
Hemorrhage Risk

Current State and Future Direction of Postpartum Hemorrhage Risk Assessment

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Holly B. Ende ◽  
Alexander J. Butwick
Keyword(s):  
Risk Assessment ◽  
Postpartum Hemorrhage ◽  
Current State ◽  
Hemorrhage Risk ◽  
Future Direction

Implementation of an obstetric hemorrhage risk assessment: validation and evaluation of its impact on pretransfusion testing and hemorrhage outcomes

2014 ◽  
Vol 28 (1) ◽  
pp. 71-76 ◽  
Author(s):  
Erica Wu ◽  
Jennifer A. Jolley ◽  
Brooke A. Hargrove ◽  
Aaron B. Caughey ◽  
Judith H. Chung
Keyword(s):  
Risk Assessment ◽  
Obstetric Hemorrhage ◽  
Assessment Validation ◽  
Hemorrhage Risk

Validation of Postpartum Hemorrhage Admission Risk Factor Stratification in a Large Obstetrics Population

2020 ◽  
Author(s):  
Halley Ruppel ◽  
Vincent X. Liu ◽  
Neeru R. Gupta ◽  
Lauren Soltesz ◽  
Gabriel J. Escobar
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
High Risk ◽  
Blood Loss ◽  
Postpartum Hemorrhage ◽  
Risk Group ◽  
Risk Groups ◽  
Low Risk ◽  
Hemorrhage Risk ◽  
Present On Admission

Abstract Objective This study aimed to evaluate the performance of the California Maternal Quality Care Collaborative (CMQCC) admission risk criteria for stratifying postpartum hemorrhage risk in a large obstetrics population. Study Design Using detailed electronic health record data, we classified 261,964 delivery hospitalizations from Kaiser Permanente Northern California hospitals between 2010 and 2017 into high-, medium-, and low-risk groups based on CMQCC criteria. We used logistic regression to assess associations between CMQCC risk groups and postpartum hemorrhage using two different postpartum hemorrhage definitions, standard postpartum hemorrhage (blood loss ≥1,000 mL) and severe postpartum hemorrhage (based on transfusion, laboratory, and blood loss data). Among the low-risk group, we also evaluated associations between additional present-on-admission factors and severe postpartum hemorrhage. Results Using the standard definition, postpartum hemorrhage occurred in approximately 5% of hospitalizations (n = 13,479), with a rate of 3.2, 10.5, and 10.2% in the low-, medium-, and high-risk groups. Severe postpartum hemorrhage occurred in 824 hospitalizations (0.3%), with a rate of 0.2, 0.5, and 1.3% in the low-, medium-, and high-risk groups. For either definition, the odds of postpartum hemorrhage were significantly higher in medium- and high-risk groups compared with the low-risk group. Over 40% of postpartum hemorrhages occurred in hospitalizations that were classified as low risk. Among the low-risk group, risk factors including hypertension and diabetes were associated with higher odds of severe postpartum hemorrhage. Conclusion We found that the CMQCC admission risk assessment criteria stratified women by increasing rates of severe postpartum hemorrhage in our sample, which enables early preparation for many postpartum hemorrhages. However, the CMQCC risk factors missed a substantial proportion of postpartum hemorrhages. Efforts to improve postpartum hemorrhage risk assessment using present-on-admission risk factors should consider inclusion of other nonobstetrical factors.

Perioperative Management of Aneurysmal Subarachnoid Hemorrhage

1995 ◽  
Vol 81 (6) ◽  
pp. 1295-1302 ◽  
Author(s):  
Brian J. McGrath ◽  
John Guy ◽  
Cecil O. Borel ◽  
Allan H. Friedman ◽  
David S. Warner
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Perioperative Management ◽  
Aneurysmal Subarachnoid Hemorrhage

scholarly journals 175: Perinatal outcomes after implementing a hemorrhage risk assessment at admission

2019 ◽  
Vol 220 (1) ◽  
pp. S130
Author(s):  
Homa K. Ahmadzia ◽  
Richard L. Amdur ◽  
Susanne L. Bathgate ◽  
Naomi L. Luban ◽  
Alexis C. Gimovsky
Keyword(s):  
Risk Assessment ◽  
Perinatal Outcomes ◽  
Hemorrhage Risk
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