Document Detail


"Preeclamptic labs" for evaluating hypertension in pregnancy.
MedLine Citation:
PMID:  9131495     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the utility of evaluating coagulation function in patients with chronic hypertension, transient hypertension, preeclampsia, eclampsia and the HELLP syndrome. STUDY DESIGN: We retrospectively reviewed the charts of 244 patients who delivered between March 1992 and March 1994 at the University of New Mexico with a discharge diagnosis of either hypertension, preeclampsia or eclampsia. RESULTS: Nine patients were thrombocytopenic on admission, as defined by a platelet count of < 100,000/mm3. Three of the 244 patients had mild prolongation of the partial thromboplastin time, and none had prolongation of the prothrombin time. Two of the patients with prolongation of the partial thromboplastin time were thrombocytopenic on admission, and the last had elevation of liver enzymes. No patient had clinical evidence of coagulopathy. CONCLUSION: Measurement of the partial thromboplastin time and prothrombin time in the evaluation of preeclampsia/eclampsia can be avoided if the platelet count and liver enzymes are normal. This results in a decrease in hospital charges and no compromise in patient safety.
Authors:
R L Kramer; L A Izquierdo; G J Gilson; L B Curet; C R Qualls
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  42     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-06-18     Completed Date:  1997-06-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  223-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Wayne State University, Detroit, Michigan 48201, USA.
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MeSH Terms
Descriptor/Qualifier:
Cost Savings
Eclampsia* / diagnosis,  economics
Female
HELLP Syndrome / diagnosis
Hemolysis
Hospital Charges
Humans
Hypertension* / diagnosis,  economics
Liver Function Tests
Partial Thromboplastin Time
Platelet Count
Pre-Eclampsia / diagnosis,  economics
Pregnancy
Pregnancy Complications, Cardiovascular* / diagnosis,  economics
Pregnancy Complications, Hematologic / diagnosis,  economics
Prothrombin Time
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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