Vaginal Fluid Urea and Creatinine as Indicators of Premature Rupture of Membranes: a Systematic Review

Malchi, F and Abedi, P and Jahanfar, S and Talebi, F and Faal, S (2021) Vaginal Fluid Urea and Creatinine as Indicators of Premature Rupture of Membranes: a Systematic Review. Reproductive Sciences, 28 (1). ISSN 19337191

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Official URL: https://link.springer.com/article/10.1007/s43032-0...

Abstract

The purpose of the present study was to determine the diagnostic accuracy of vaginal urea and creatinine levels in the detection of premature rupture of membrane (PROM). The Cochrane (central), EMBASE, PubMed, Scopus, and Web of Science were searched for studies published from the inception of the databases up to January 2020. We included published observational full-text articles. The mean differences (MD) and 95% confidence intervals (95% CI) were calculated. The significance level was set as 0.05. Eleven studies (n = 1324) were considered for meta-analysis. Using the bivariate model, the summary estimate of sensitivity and specificity for urea was 0.96 (95% CI: 0.86, 0.98) and 0.93 (95% CI: 0.83, 0.97), respectively. The summary estimate of sensitivity and specificity for creatinine was 0.98 (95% CI: 0.92, 0.99) and 0.97 (95% CI: 0.89, 0.99), respectively. The overall mean of urea and creatinine in the case group was significantly higher than that in the control group (MD = 12.63, 95%, CI [12.01, 13.25]) and (MD = 0.31, 95%, CI [0.29, 0.32]), respectively. The results of this systematic review showed that the mean of urea and creatinine in the case group was significantly higher than that in the control group and the sensitivity and specificity of creatinine is higher than urea in the diagnosis of PROM.

Item Type: Article
Subjects: QU Biochemistry
Divisions: Faculty of Nursing & Midwifery
Depositing User: خدیجه شبانکاره
Date Deposited: 04 Sep 2021 06:54
Last Modified: 04 Sep 2021 06:54
URI: http://eprints.bpums.ac.ir/id/eprint/9394

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