Evaluation of obstetrical patients with disseminated intravascular coagulopathy - tertiary center experience

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dc.contributor.authorBasaranoglu, Serdar
dc.contributor.authorEvsen, Mehmet Siddik
dc.contributor.authorAgacayak, Elif
dc.contributor.authorTunc, Senem Yaman
dc.contributor.authorYilmaz, Zulfikar
dc.contributor.authorYildirim, Yasar
dc.contributor.authorDeregozu, AvSequi
dc.date.accessioned2024-04-24T17:20:33Z
dc.date.available2024-04-24T17:20:33Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: The purpose of the present study is twofold: (a) to investigate the etiology of disseminated intravascular coagulopathy (DIC) caused by obstetrical conditions and (b) to present parameters that can be used in predicting DIC-related mortality in obstetrical patients. Material and method: Obstetrical patients who had a delivery at or were referred (after delivery) to Obstetrics and Gynecology Clinic of Dicle University between July 2006 and December 2013 were retrospectively analyzed in this study. Those patients diagnosed with DIC were included in the study. Results: Fifty-six obstetrical patients carrying the diagnosis of DIC were included in this study. The overall mortality rate was 25% among these patients. More specifically, the mortality rate was 10.7% among patients with a DIC score <= 5 and 40.7% among those with a DIC score >5. Multiple logistic regression analysis resulted in the finding that international normalized ratio (INR) and urea were among those factors affecting mortality in obstetrical DIC [OR: 8.44 (CI: 1.9-36.8), OR: 1.05 (CI: 1.0-1.1), respectively]. Conclusion: DIC is a syndrome that might be caused by obstetrical conditions. It is associated with high mortality and morbidity rates. In obstetrical DIC, urea is the most important factor affecting mortality. In addition, we are of the opinion that DIC score might guide mortality predictions as a determinant of prognosis.en_US
dc.identifier.doi10.3109/14767058.2015.1108403
dc.identifier.endpage2933en_US
dc.identifier.issn1476-7058
dc.identifier.issn1476-4954
dc.identifier.issue18en_US
dc.identifier.pmid26513693
dc.identifier.scopus2-s2.0-84947909378
dc.identifier.scopusqualityQ1
dc.identifier.startpage2929en_US
dc.identifier.urihttps://doi.org/10.3109/14767058.2015.1108403
dc.identifier.urihttps://hdl.handle.net/11468/19125
dc.identifier.volume29en_US
dc.identifier.wosWOS:000377257600006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTaylor & Francis Ltden_US
dc.relation.ispartofJournal of Maternal-Fetal & Neonatal Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDiagnosisen_US
dc.subjectDisseminated Intravascular Coagulopathyen_US
dc.subjectObstetrical Bleedingen_US
dc.subjectRelaparotomyen_US
dc.subjectTreatmenten_US
dc.titleEvaluation of obstetrical patients with disseminated intravascular coagulopathy - tertiary center experienceen_US
dc.titleEvaluation of obstetrical patients with disseminated intravascular coagulopathy - tertiary center experience
dc.typeArticleen_US

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