scholarly journals The Predictive Value of Oxygen Saturation Monitoring to Detect Pulmonary Edema in Severe Preeclampsia

2022 ◽  
Vol 226 (1) ◽  
pp. S136-S137
Author(s):  
Adina R. Kern-Goldberger ◽  
Bushra Amin ◽  
Sindhu K. Srinivas
Keyword(s):  
Oxygen Saturation ◽  
Pulmonary Edema ◽  
Predictive Value ◽  
Severe Preeclampsia

Acute pulmonary edema due to severe preeclampsia in advanced maternal age women

2021 ◽  
Author(s):  
Maya Ram ◽  
Matan Anteby ◽  
Carolyn F. Weiniger ◽  
Ofer Havakuk ◽  
Itamar Gilboa ◽  
...  
Keyword(s):  
Pulmonary Edema ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Severe Preeclampsia ◽  
Acute Pulmonary Edema

scholarly journals B-Lines on Chest Ultrasound Predicts Elevated Left Ventricular Diastolic Pressures

2017 ◽  
pp. 1-7
Author(s):  
Maadarani O ◽  
Bitar Z ◽  
Almeri K
Keyword(s):  
Pulmonary Edema ◽  
Predictive Value ◽  
Lung Ultrasound ◽  
Systolic Function ◽  
Tissue Doppler ◽  
Left Ventricular ◽  
Acute Pulmonary Edema ◽  
Chest Ultrasound ◽  
Highly Sensitive ◽  
The Mean

Background: Echocardiography and lung ultrasound are important tests for assessing left ventricular function in patients presented to the emergency department with acute pulmonary edema. Chest ultrasound is becoming an important tool in diagnosing acute pulmonary edema. Aim: To investigate the relationship between the B profile on ultrasound chest and Spectral tissue Doppler echocardiography (E/e’ ratio) in patients presented with the suspicion of acute pulmonary edema. Methods: This paper reports a prospective observational study of 61 consecutive patients, which was presented with symptoms and signs of pulmonary edema and B - profile detected by echocardiography with a 5 MHz curvilinear probe. Critical care physicians trained in ultrasound examination performed echocardiography and chest ultrasounds. Results: Sixty-one participants were included in the study. Forty-seven of the 61 patients had a B-profile and 14 patients had an A profile. The mean E/e’ level in the patients with B-profile was 20.8, compared with the mean level in the patients with an A-profile of 8.2 (CI = 0.33-0.82). The distribution in the two groups differed significantly (p=0.003). Based on the value of E/e’, the sensitivity and specificity were determined; the sensitivity of B profile on ultrasound was 92% (95% confidence interval (CI) = 0.812-0.968), and the specificity was 91% (CI =0.623-0.98). The positive predictive value of the B-profile was 97% (CI=0.889-0.996), and the negative predictive value was 71% (CI=0.454-0.883). The systolic function in the subjects with a B-profile was below 50% in 74.3% of the subjects and normal in 25.7% of the subjects. All the subjects with B profile and systolic function > 50% had elevated ProBNP and E/e’ > 15. An A-profile subjects had systolic function > 55%. Conclusions: Detecting the B-profile in lung ultrasound is highly sensitive and specific for elevated left ventricular diastolic pressures regardless of the systolic function of the left ventricle which may help in diagnosing pulmonary edema.

Neurogenic Noncardiac Pulmonary Edema (NNCPE or NPE)

2010 ◽  
pp. 22-26
Author(s):  
Edward C. Rosenow
Keyword(s):  
Oxygen Saturation ◽  
Pulmonary Edema ◽  
Cerebrovascular Accident ◽  
Past History ◽  
Arterial Oxygen Saturation ◽  
Arterial Oxygen ◽  
Loss Of Consciousness ◽  
Sudden Loss ◽  
Negative Results ◽  
Work Up

• 76-year-old man • Sudden loss of consciousness • Negative past history • Smoker • No prior pulmonary complaints • On examination, various neurologic deficits identified • Arterial oxygen saturation (SaO2): 60% • Negative results on cardiac work-up • Diagnosis: cerebrovascular accident, unexplained pulmonary edema...

scholarly journals 1058: The predictive value of oxygen saturation and blood pressure monitoring to detect maternal morbidity

2020 ◽  
Vol 222 (1) ◽  
pp. S654-S655
Author(s):  
Adina Kern-Goldberger ◽  
Julie Ewing ◽  
Melanie Polin ◽  
Mary E. D'Alton ◽  
Alexander M. Friedman ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Oxygen Saturation ◽  
Predictive Value ◽  
Maternal Morbidity ◽  
Blood Pressure Monitoring ◽  
Pressure Monitoring

Hemodynamic Observations in Severe Preeclampsia Complicated by Pulmonary Edema

1985 ◽  
Vol 5 (4) ◽  
pp. 131
Author(s):  
T. J. Benedetti ◽  
R. Kates ◽  
V. Williams
Keyword(s):  
Pulmonary Edema ◽  
Severe Preeclampsia

scholarly journals Predicting mortality of individual COVID-19 patients: A multicenter Dutch cohort

2020 ◽  
Author(s):  
Maarten C. Ottenhoff ◽  
Lucas L. Ramos ◽  
Wouter Potters ◽  
Marcus L.F. Janssen ◽  
Deborah Hubers ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Predictive Value ◽  
Clinical Presentation ◽  
Decision Rules ◽  
Gradient Boosting ◽  
Test Characteristics ◽  
Multicenter Cohort ◽  
History Of ◽  
Sensitivity Specificity ◽  
Aid Decision

ABSTRACTObjectiveDevelop and validate models that predict mortality of SARS-CoV-2 infected patients admitted to the hospital.DesignRetrospective cohort studySettingA multicenter cohort across ten Dutch hospitals including patients from February 27 to June 8 2020.ParticipantsSARS-CoV-2 positive patients (age ≥ 18) admitted to the hospital.Main Outcome Measures21-day mortality evaluated by the area under the receiver operatory curve (AUC), sensitivity, specificity, positive predictive value and negative predictive value. The predictive value of age was explored by comparison with age-based rules used in practice and by excluding age from analysis.Results2273 patients were included, of whom 516 had died or discharged to palliative care within 21 days after admission. Five feature sets, including premorbid, clinical presentation and laboratory & radiology values, were derived from 80 features. Additionally, an ANOVA-based data-driven feature selection selected the ten features with the highest F-values: age, number of home medications, urea nitrogen, lactate dehydrogenase, albumin, oxygen saturation (%), oxygen saturation is measured on room air, oxygen saturation is measured on oxygen therapy, blood gas pH and history of chronic cardiac disease. A linear logistic regression (LR) and non-linear tree-based gradient boosting (XGB) algorithm fitted the data with an AUC of 0.81 (95% confidence interval 0.77 to 0.85) and 0.82 (0.79 to 0.85), respectively, using the ten selected features. Both models outperformed age-based decision rules used in practice (AUC of 0.69, 0.65 to 0.74 for age > 70). Furthermore, performance remained stable when excluding age as predictor (AUC of 0.78, 0.75 to 0.81)ConclusionBoth models showed excellent performance and had better test characteristics than age-based decision rules, using ten admission features readily available in Dutch hospitals. The models hold promise to aid decision making during a hospital bed shortage.

scholarly journals The predictive value of total leukocyte count and leukocyte differential for severe preeclampsia

2018 ◽  
Vol 26 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Halenur Bozdağ ◽  
Ergül Demirçivi Bör ◽  
Esra Akdeniz
Keyword(s):  
Predictive Value ◽  
Leukocyte Count ◽  
Severe Preeclampsia ◽  
Total Leukocyte Count

scholarly journals Evaluation of Maternal Complications in Severe Preeclampsia in a University Hospital in Tirana

2016 ◽  
Vol 4 (1) ◽  
pp. 102-106
Author(s):  
Eriseida Ndoni ◽  
Redi Hoxhallari ◽  
Astrit Bimbashi
Keyword(s):  
Renal Failure ◽  
Caesarean Section ◽  
Pulmonary Edema ◽  
Postpartum Hemorrhage ◽  
Hellp Syndrome ◽  
Placental Abruption ◽  
Severe Preeclampsia ◽  
University Hospital ◽  
Multisystem Disorder ◽  
Maternal Complications

BACKGROUND: Preeclampsia is a hypertensive multisystem disorder of pregnancy that complicates up to 10% of pregnancies worldwide and is one of the leading causes of maternal and perinatal morbidity and mortality.AIM: To evaluate maternal complications associated with severe preeclampsia.METHODS: This is a retrospective cross-sectional study conducted in the UHOG “Koço Gliozheni”, in Tirana. Primary outcomes evaluated: maternal death, eclampsia, stroke, HELLP syndrome, and pulmonary edema. Secondary outcomes: renal failure, admission in ICU, caesarean section, placental abruption, and postpartum hemorrhage. Fisher’s exact test and Chi-squared test were used as statistical methods. RESULTS: In women with severe preeclampsia we found higher rates of complications comparing to the group with preeclampsia. Eclampsia (1.5% vs. 7.1%, P < 0.001), HELLP syndrome (2.4% vs. 11.0%; P < 0.001), stroke (0.5% vs 1.9%, P = 0.105) pulmonary edema (0.25% vs. 1.3%, P = 0.0035), renal failure (0.9% vs. 2.6%, P = 0.107), admission in ICU (19.5% vs. 71.4%, P = 0.007), caesarean section rates (55.5% vs. 77%, P = 0.508), placental abruption (4.3% vs. 7.8%, P = 0.103) and severe postpartum hemorrhage (3.2% vs. 3.9%, P = 0.628). CONCLUSION: Severe preeclampsia is associated with high rates of maternal severe morbidity and early diagnosis and timely intervention can prevent life treating complications.

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