{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:37:49Z","timestamp":1777725469546,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T00:00:00Z","timestamp":1254355200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:p>This study aimed to investigate comparative clinical courses for a series of women with amniotic fluid embolism (AFE) and to assess factors associated with patient survival. Clinical courses of nine patients with AFE in a single tertiary centre were reviewed. AFE was diagnosed when a woman presented with typical clinical symptoms accompanied by abnormal laboratory tests (including abnormal coagulation) or at autopsy when fetal debris was found in the maternal pulmonary arteries. Five patients survived and four died. The first clinical manifestations of AFE were variable; dyspnoea was noted in only four patients. Other signs were state of shock, abdominal pain and uterine atony. The mean \u00b1 SD interval between the onset of clinical manifestations and treatment was significantly shorter for survivors (48.0 \u00b1 36.3 min) than for non-survivors (137.5 \u00b1 49.7 min). The number of failed organs was significantly fewer for the survivors compared with the non-survivors. AFE was accompanied by a wide variety of clinical manifestations, but early diagnosis and treatment appeared to be the most critical factors associated with survival.<\/jats:p>","DOI":"10.1177\/147323000903700529","type":"journal-article","created":{"date-parts":[[2013,2,27]],"date-time":"2013-02-27T14:22:43Z","timestamp":1361974963000},"page":"1515-1521","source":"Crossref","is-referenced-by-count":19,"title":["Amniotic Fluid Embolism: A Comparison between Patients Who Survived and Those Who Died"],"prefix":"10.1177","volume":"37","author":[{"given":"Y","family":"Matsuda","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Perinatal Medical Centre, Tokyo Women's Medical University Hospital, Tokyo, Japan"},{"name":"Department of Obstetrics and Gynaecology, Kagoshima City Hospital, Kagoshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Kamitomo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Kagoshima City Hospital, Kagoshima, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,10,1]]},"reference":[{"key":"bibr1-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-199006000-00003"},{"key":"bibr2-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(95)91474-9"},{"key":"bibr3-147323000903700529","first-page":"393","volume-title":"Critical Care Obstetrics","author":"Clark SL","year":"1991","edition":"2"},{"key":"bibr4-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(86)90402-3"},{"key":"bibr5-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1093\/clinchem\/38.4.526"},{"key":"bibr6-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-996043"},{"key":"bibr7-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1941.02820410023008"},{"issue":"3","key":"bibr8-147323000903700529","first-page":"28S","volume":"61","author":"Dolyniuk M","year":"1983","journal-title":"Obstet Gynecol"},{"key":"bibr9-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(86)90334-0"},{"key":"bibr10-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1002\/9780470760086.ch34"},{"key":"bibr11-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2007.08.002"},{"key":"bibr12-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1995.tb01973.x"},{"key":"bibr13-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(00)70324-3"},{"key":"bibr14-147323000903700529","first-page":"973","volume":"93","author":"Gilbert WM","year":"1999","journal-title":"Obstet Gynecol"},{"key":"bibr15-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(72)90656-4"},{"key":"bibr16-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(12)90756-5"},{"key":"bibr17-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1007\/BF03012944"},{"key":"bibr18-147323000903700529","volume-title":"Haemostasis and Thrombosis in Obstetrics and Gynecology","author":"Maki M","year":"1991"},{"key":"bibr19-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1097\/00003643-200106000-00011"},{"key":"bibr20-147323000903700529","doi-asserted-by":"publisher","DOI":"10.1001\/archfami.2.9.989"},{"key":"bibr21-147323000903700529","doi-asserted-by":"publisher","DOI":"10.12968\/hosp.2000.61.8.1394"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000903700529","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000903700529","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:42:26Z","timestamp":1777459346000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/147323000903700529"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,10]]},"references-count":21,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2009,10]]}},"alternative-id":["10.1177\/147323000903700529"],"URL":"https:\/\/doi.org\/10.1177\/147323000903700529","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,10]]}}}