{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,8]],"date-time":"2026-11-08T00:44:26Z","timestamp":1794098666254,"version":"4.8.0"},"reference-count":14,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,12,10]],"date-time":"2018-12-10T00:00:00Z","timestamp":1544400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the clinical significance of various vital signs in women referred for postpartum hemorrhage (<jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included patients with primary <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> who were referred to Korea University Medical Center, Ansan, between January 1, 2004, and December 31, 2016. We analyzed data for systolic and diastolic blood pressure, heart rate, and shock index (heart rate divided by systolic blood pressure) at time of arrival. Significant morbidity, such as massive transfusion, invasive procedures, and admission to the intensive care unit were reviewed. We used the area under the receiver operating characteristic curve (<jats:styled-content style=\"fixed-case\">AUROC<\/jats:styled-content>) for each vital sign to predict adverse maternal \u00a0outcomes. Sensitivity, specificity, and negative and positive predictive values were\u00a0assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>118 women with <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> were identified. The shock index had the highest <jats:styled-content style=\"fixed-case\">AUROC<\/jats:styled-content> to predict massive transfusion (0.815, 95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>] 0.727\u20130.883). A shock index greater than 0.9 had 93.8% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 69.8\u201399.8) sensitivity and 51.2% (35.1\u201367.1) specificity for prediction of massive transfusion, and 93.6% (78.6\u201399.2) sensitivity and 31.0% (15.3\u201350.8) specificity for prediction of invasive\u00a0procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The shock index has significant ability to predict adverse outcomes of <jats:styled-content style=\"fixed-case\">PPH<\/jats:styled-content> compared with other initial vital signs when patients are referred.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12714","type":"journal-article","created":{"date-parts":[[2018,11,17]],"date-time":"2018-11-17T12:46:32Z","timestamp":1542458792000},"page":"221-224","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Use of the shock index to predict maternal outcomes in women referred for postpartum hemorrhage"],"prefix":"10.1002","volume":"144","author":[{"given":"Se\u2010Young","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ho\u2010Yeon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geum\u2010Joon","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soon\u2010Cheol","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min\u2010Jeong","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai\u2010Joong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Korea University College of Medicine  Seoul South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,10]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.12550"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0300-9572(92)90006-X"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0057594"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2018.04.013"},{"key":"e_1_2_7_6_1","volume-title":"AWHONN High\u2010Risk & Critical Care Obstetrics","author":"Troiano NH","year":"2012"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.08.020"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2012.00110"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01107.x"},{"key":"e_1_2_7_10_1","volume-title":"WHO Recommendations for the Prevention and Treatment of Postpartum Haemorrhage","author":"World Health Organization","year":"2012"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmwh.2009.02.014"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13098"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13206"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SHK.0b013e31829b1778"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0148729"}],"container-title":["International Journal of Gynecology &amp; 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