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Study of blood loss in preeclamptic patients using mathematical formulae
Pre-eclampsia is a symptom complex that occurs in 2-5% of all pregnancies and leads to significant morbidity and mortality. It is associated with a risk of impaired coagulation caused by a reduced platelet count, very rarely by disseminated intravascular coagulation disorders. The degree of clotting correlates with the severity of preeclampsia. It is planned to calculate the blood loss using mathematical formulas and to compare the different blood loss in the two groups (preeclampsia vs. healthy pregnant women). Furthermore, this project will try to correlate the blood loss with the underlying coagulation situation. The aim is to be able to better assess the bleeding risk in healthy pregnant women, but also in pre-eclamptic patients in the future.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| healthy pregnant women | Healthy patients who receive a cesarean operation |
| |
| Pre-eclampsia | Patients with pre-eclampsia who receive a caesarean operation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood sample | Other | Two blood sample will be drawn. On the day of operation and the first postoperative day. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Blood-Loss | Corelation between blood loss and coagulation parameters will be calculated | day 1 |
| Measure | Description | Time Frame |
|---|---|---|
| Coagulation parameter | Impact of pre-eclampsia on the coagulation parameters | day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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Pregnant women
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Patients with pre-eclampsia planed for cesarean section vs. healty pregnant women, planmned for cesarean section
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Marco P Zalunardo, Prof | Contact | +41442552695 | marco.zalunardo@usz.ch | |
| Donat R Spahn, Prof | Contact | +41442552695 | donat.spahn@usz.ch |
| Name | Affiliation | Role |
|---|---|---|
| Marco P Zalunardo | Institut of Anesthesiology University Hospital Zurich | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Zurich, Institute for Anesthesiology | Recruiting | Zurich | 8091 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 9354828 | Result | Brecher ME, Monk T, Goodnough LT. A standardized method for calculating blood loss. Transfusion. 1997 Oct;37(10):1070-4. doi: 10.1046/j.1537-2995.1997.371098016448.x. | |
| 24931841 | Result | Theusinger OM, Kind SL, Seifert B, Borgeat L, Gerber C, Spahn DR. Patient blood management in orthopaedic surgery: a four-year follow-up of transfusion requirements and blood loss from 2008 to 2011 at the Balgrist University Hospital in Zurich, Switzerland. Blood Transfus. 2014 Apr;12(2):195-203. doi: 10.2450/2014.0306-13. |
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| ID | Term |
|---|---|
| D011225 | Pre-Eclampsia |
| D011248 | Pregnancy Complications |
| D006470 | Hemorrhage |
| D020141 | Hemostatic Disorders |
| ID | Term |
|---|---|
| D046110 | Hypertension, Pregnancy-Induced |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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Blood Samples
| 22926249 | Result | de Lange NM, Lance MD, de Groot R, Beckers EA, Henskens YM, Scheepers HC. Obstetric hemorrhage and coagulation: an update. Thromboelastography, thromboelastometry, and conventional coagulation tests in the diagnosis and prediction of postpartum hemorrhage. Obstet Gynecol Surv. 2012 Jul;67(7):426-35. doi: 10.1097/OGX.0b013e3182605861. |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D006474 | Hemorrhagic Disorders |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |