About: Bedside assessment of amniotic fluid interleukin-6 in preterm prelabor rupture of membranes     Goto   Sponge   NotDistinct   Permalink

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  • OBJECTIVE: The objective of the study was to determine the diagnostic indices and predictive values by bedside assessment of amniotic fluid interleukin-6 (IL-6) concentration in the identification of microbial invasion of the amniotic cavity (MIAC) and/or histological chorioamnionitis (HCA) in patients with preterm prelabor rupture of membranes. STUDY DESIGN: One hundred twenty-four women with singleton pregnancies were included in this study. The amniotic fluid was sampled by transabdominal amniocentesis at the time of admission. IL-6 concentrations were assessed with an immunoassay. RESULTS: The presence of MIAC, HCA, or the coexistence of both was associated with higher amniotic fluid concentrations of IL-6 in both a crude and adjusted analysis. The amniotic fluid concentration of IL-6 of 1000 pg/mL was determined to be the best cutoff value for the prediction of MIAC (sensitivity of 50%, specificity of 95%, positive predictive value of 82%, negative predictive value of 81%, and likelihood ratio of 8.4) or both MIAC and HCA (sensitivity of 60%, specificity of 94%, positive predictive value of 75%, negative predictive value of 88%, and likelihood ratio of 9.4). CONCLUSION: The bedside assessment of amniotic fluid IL-6 seems to be an easy, rapid, and inexpensive method for the prediction of MIAC or both MIAC and HCA in pregnancies complicated by preterm prelabor rupture of membranes.
  • OBJECTIVE: The objective of the study was to determine the diagnostic indices and predictive values by bedside assessment of amniotic fluid interleukin-6 (IL-6) concentration in the identification of microbial invasion of the amniotic cavity (MIAC) and/or histological chorioamnionitis (HCA) in patients with preterm prelabor rupture of membranes. STUDY DESIGN: One hundred twenty-four women with singleton pregnancies were included in this study. The amniotic fluid was sampled by transabdominal amniocentesis at the time of admission. IL-6 concentrations were assessed with an immunoassay. RESULTS: The presence of MIAC, HCA, or the coexistence of both was associated with higher amniotic fluid concentrations of IL-6 in both a crude and adjusted analysis. The amniotic fluid concentration of IL-6 of 1000 pg/mL was determined to be the best cutoff value for the prediction of MIAC (sensitivity of 50%, specificity of 95%, positive predictive value of 82%, negative predictive value of 81%, and likelihood ratio of 8.4) or both MIAC and HCA (sensitivity of 60%, specificity of 94%, positive predictive value of 75%, negative predictive value of 88%, and likelihood ratio of 9.4). CONCLUSION: The bedside assessment of amniotic fluid IL-6 seems to be an easy, rapid, and inexpensive method for the prediction of MIAC or both MIAC and HCA in pregnancies complicated by preterm prelabor rupture of membranes. (en)
Title
  • Bedside assessment of amniotic fluid interleukin-6 in preterm prelabor rupture of membranes
  • Bedside assessment of amniotic fluid interleukin-6 in preterm prelabor rupture of membranes (en)
skos:prefLabel
  • Bedside assessment of amniotic fluid interleukin-6 in preterm prelabor rupture of membranes
  • Bedside assessment of amniotic fluid interleukin-6 in preterm prelabor rupture of membranes (en)
skos:notation
  • RIV/00216208:11150/14:10283857!RIV15-MSM-11150___
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
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http://linked.open...dnocenehoVysledku
  • 4972
http://linked.open...ai/riv/idVysledku
  • RIV/00216208:11150/14:10283857
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • microbial invasion of the amniotic fluid; interleukin-6; histological chorioamnionitis; cytokine; amniotic fluid (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [CE940204F3DF]
http://linked.open...i/riv/nazevZdroje
  • American Journal of Obstetrics and Gynecology
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 211
http://linked.open...iv/tvurceVysledku
  • Hornychová, Helena
  • Kacerovský, Marian
  • Musilová, Ivana
  • Košťál, Milan
  • Jacobsson, Bo
  • Plíšková, Lenka
  • Kutová, Radka
http://linked.open...ain/vavai/riv/wos
  • 000342572200020
issn
  • 0002-9378
number of pages
http://bibframe.org/vocab/doi
  • 10.1016/j.ajog.2014.03.069
http://localhost/t...ganizacniJednotka
  • 11150
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