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DOI | 10.1007/s00192-016-3125-2 |
An obstetric sphincter injury risk identification system (OSIRIS): is this a clinically useful tool? | |
Webb, Sara S.1,2; Hemming, Karla3; Khalfaoui, Madhi Y.4; Henriksen, Tine Brink5; Kindberg, Sara5; Stensgaard, Stine5; Kettle, Christine6; Ismail, Khaled M. K.1,2 | |
通讯作者 | Webb, Sara S. |
来源期刊 | INTERNATIONAL UROGYNECOLOGY JOURNAL
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ISSN | 0937-3462 |
EISSN | 1433-3023 |
出版年 | 2017 |
卷号 | 28期号:3页码:367-374 |
英文摘要 | To establish the contribution of maternal, fetal and intrapartum factors to the risk of incidence of obstetric anal sphincter injuries (OASIS) and assess the feasibility of an OASIS risk prediction model based on variables available to clinicians prior to birth. This was a population-based, retrospective cohort study using single-site data from the birth database of Aarhus University Hospital, Denmark. The participants were all women who had a singleton vaginal birth during the period 1989 to 2006. Univariate and multivariate logistic regression analyses were performed using multiple imputations for missing data and internally validated using bootstrap methods. The main outcome measures were the contributions of maternal, fetal and intrapartum events to the incidence of OASIS. A total of 71,469 women met the inclusion criteria, of whom 1,754 (2.45 %) sustained OASIS. In the multivariate analysis of variables known prior to birth, maternal age 20 - 30 years (OR 1.65, 95 % CI 1.44 - 1.89) and ae Our model identified several significant OASIS risk factors that are known prior to actual birth. The prognostic model shows potential for ruling out OASIS (high sensitivity with a low risk cut-off value), but is not useful for ruling in the event. |
英文关键词 | Cohort study OASIS Risk factors Predictor variables Prognostic model |
类型 | Article |
语种 | 英语 |
国家 | England ; Denmark |
收录类别 | SCI-E |
WOS记录号 | WOS:000395087300005 |
WOS关键词 | ANAL-SPHINCTER ; MEDIOLATERAL EPISIOTOMY ; DELIVERY ; TEARS ; RUPTURES ; LABOR |
WOS类目 | Obstetrics & Gynecology ; Urology & Nephrology |
WOS研究方向 | Obstetrics & Gynecology ; Urology & Nephrology |
资源类型 | 期刊论文 |
条目标识符 | http://119.78.100.177/qdio/handle/2XILL650/199855 |
作者单位 | 1.Univ Birmingham, Inst Metab & Syst Res, Coll Med & Dent Sci, Birmingham, W Midlands, England; 2.Birmingham Womens NHS Fdn Trust, Delivery Suite, Mindelsohn Way, Birmingham B15 2TG, W Midlands, England; 3.Univ Birmingham, Inst Appl Hlth Res, Birmingham, W Midlands, England; 4.North Western Deanery, Sch Surg, Manchester, Lancs, England; 5.Aarhus Univ Hosp, Perinatal Epidemiol Res Unit, Aarhus, Denmark; 6.Staffordshire Univ, Stafford, England |
推荐引用方式 GB/T 7714 | Webb, Sara S.,Hemming, Karla,Khalfaoui, Madhi Y.,et al. An obstetric sphincter injury risk identification system (OSIRIS): is this a clinically useful tool?[J],2017,28(3):367-374. |
APA | Webb, Sara S..,Hemming, Karla.,Khalfaoui, Madhi Y..,Henriksen, Tine Brink.,Kindberg, Sara.,...&Ismail, Khaled M. K..(2017).An obstetric sphincter injury risk identification system (OSIRIS): is this a clinically useful tool?.INTERNATIONAL UROGYNECOLOGY JOURNAL,28(3),367-374. |
MLA | Webb, Sara S.,et al."An obstetric sphincter injury risk identification system (OSIRIS): is this a clinically useful tool?".INTERNATIONAL UROGYNECOLOGY JOURNAL 28.3(2017):367-374. |
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