Matches in SemOpenAlex for { <https://semopenalex.org/work/W4377014946> ?p ?o ?g. }
Showing items 1 to 60 of
60
with 100 items per page.
- W4377014946 endingPage "86S" @default.
- W4377014946 startingPage "86S" @default.
- W4377014946 abstract "INTRODUCTION: Placenta accreta spectrum (PAS) is characterized by placental invasion and adherence to underlying uterine myometrium resulting in significant maternal morbidity and mortality. Despite knowledge that greater placental depth results in worse outcomes, many centers approach PAS with a single uniform management protocol. We aimed to undercover the effect of surgical planning stratification by antenatal suspicion of placental depth. METHODS: This study was a preimplementation and postimplementation of analysis of PAS surgical stratification by suspected depth of placental invasion, accreta (less invasion) or increta/percreta (greater invasion), from 2019 to 2022. Depth of placenta invasion was determined by ultrasonography and/or magnetic resonance imaging. As a control, 4-year (2015–2018) preimplementation group was used to assess the effect of the protocol. This protocol included utilization of a hybrid operating room, uniform uterine artery embolization, as well as staffing by advanced pelvic surgeons. Patient demographics and clinically relevant outcomes were obtained from electronic medical records. Exclusion criteria included pregnancy less than 20 weeks of gestation, fetal demise, and multifetal gestation. RESULTS: During the 8-year time period, a total of 93 patients were managed by our PAS team. Forty-six patients were in the preimplementation period, of which 17 (37%) were suspected increta/percreta. During the postimplementation period, 24 of 53 (45%) cases were suspected increta/percreta. In cases of placenta accreta, no significant differences were noted in blood loss, blood transfusion rates, or operative time. When analyzing outcomes of the suspected increta/percreta cohort, our protocol was associated with lower blood loss (2,500 versus 1,500 mL, P =.008), lower blood transfusion rates (88% versus 54%, P =.03), and longer operative time (240 versus 384 minutes, P =.009). Final pathology confirmed increta/percreta suspicion in 23 of the 24 cases (96%). CONCLUSION: A protocol for the management of PAS cases by antenatally suspected degree of placenta invasion is not only feasible but results in optimal outcomes for patients with the most complex obstetric conditions." @default.
- W4377014946 created "2023-05-19" @default.
- W4377014946 creator A5019914258 @default.
- W4377014946 creator A5023559240 @default.
- W4377014946 creator A5034906868 @default.
- W4377014946 creator A5054910611 @default.
- W4377014946 date "2023-05-01" @default.
- W4377014946 modified "2023-09-29" @default.
- W4377014946 title "Outcomes of Evidence-Based Stratification of Placenta Accreta Spectrum (PAS) Disorders for Team-Based Management [ID: 1375468]" @default.
- W4377014946 doi "https://doi.org/10.1097/01.aog.0000931036.60745.4f" @default.
- W4377014946 hasPublicationYear "2023" @default.
- W4377014946 type Work @default.
- W4377014946 citedByCount "0" @default.
- W4377014946 crossrefType "journal-article" @default.
- W4377014946 hasAuthorship W4377014946A5019914258 @default.
- W4377014946 hasAuthorship W4377014946A5023559240 @default.
- W4377014946 hasAuthorship W4377014946A5034906868 @default.
- W4377014946 hasAuthorship W4377014946A5054910611 @default.
- W4377014946 hasConcept C131872663 @default.
- W4377014946 hasConcept C172680121 @default.
- W4377014946 hasConcept C2776953305 @default.
- W4377014946 hasConcept C2779116671 @default.
- W4377014946 hasConcept C2779234561 @default.
- W4377014946 hasConcept C2910153446 @default.
- W4377014946 hasConcept C29456083 @default.
- W4377014946 hasConcept C46973012 @default.
- W4377014946 hasConcept C54355233 @default.
- W4377014946 hasConcept C71924100 @default.
- W4377014946 hasConcept C86803240 @default.
- W4377014946 hasConceptScore W4377014946C131872663 @default.
- W4377014946 hasConceptScore W4377014946C172680121 @default.
- W4377014946 hasConceptScore W4377014946C2776953305 @default.
- W4377014946 hasConceptScore W4377014946C2779116671 @default.
- W4377014946 hasConceptScore W4377014946C2779234561 @default.
- W4377014946 hasConceptScore W4377014946C2910153446 @default.
- W4377014946 hasConceptScore W4377014946C29456083 @default.
- W4377014946 hasConceptScore W4377014946C46973012 @default.
- W4377014946 hasConceptScore W4377014946C54355233 @default.
- W4377014946 hasConceptScore W4377014946C71924100 @default.
- W4377014946 hasConceptScore W4377014946C86803240 @default.
- W4377014946 hasIssue "5S" @default.
- W4377014946 hasLocation W43770149461 @default.
- W4377014946 hasOpenAccess W4377014946 @default.
- W4377014946 hasPrimaryLocation W43770149461 @default.
- W4377014946 hasRelatedWork W1766298131 @default.
- W4377014946 hasRelatedWork W2012281991 @default.
- W4377014946 hasRelatedWork W2024611038 @default.
- W4377014946 hasRelatedWork W2084108532 @default.
- W4377014946 hasRelatedWork W2127802181 @default.
- W4377014946 hasRelatedWork W2139817000 @default.
- W4377014946 hasRelatedWork W2610737605 @default.
- W4377014946 hasRelatedWork W2800611632 @default.
- W4377014946 hasRelatedWork W2892022328 @default.
- W4377014946 hasRelatedWork W2945828883 @default.
- W4377014946 hasVolume "141" @default.
- W4377014946 isParatext "false" @default.
- W4377014946 isRetracted "false" @default.
- W4377014946 workType "article" @default.