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Diagnosis of amniotic fluid embolism by serum SCC

Research Project

Project/Area Number 25670704
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Obstetrics and gynecology
Research InstitutionNara Medical University

Principal Investigator

KOBAYASHI Hiroshi  奈良県立医科大学, 医学部, 教授 (40178330)

Co-Investigator(Kenkyū-buntansha) KATSUHIKO Naruse  奈良県立医科大学, 医学部, 助教 (70453165)
Project Period (FY) 2013-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2013: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords羊水塞栓症 / 診断マーカー
Outline of Final Research Achievements

The levels of SCC and STN were measured by commercially available chemiluminescence enzyme immunoassay (CLIA) kit and radioimmunoassay (RIA) kit, respectively.The sensitivity in diagnosis of AFE was compared among SCC, STN and ZnCP1. We found significantly elevated serum levels of SCC in 4 cases with autopsy-proven AFE disease relative to control individuals with a normal delivery (112.0 ± 169.4 ng/ml vs. 4.4 ± 2.2 ng/ml, p=0.0009). Sensitivity and specificity of the SCC cut-off value (8.8 ng/ml) for differentiating patients with AFE from those with AFE-free individuals were 100% and 97%, respectively, whereas the sensitivities of ZnCP1 and STN were 75% and 25%. Compared with ZnCP1 and STN, serum SCC has a higher sensitivity in diagnosis of fatal AFE. More research is required for identification and validation of AFE.

Report

(3 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • Research Products

    (3 results)

All 2014

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Open Access: 2 results,  Acknowledgement Compliant: 1 results) Presentation (1 results)

  • [Journal Article] Predictor of mortality in patients with amnitoic fluid embolism2014

    • Author(s)
      Oi H.
    • Journal Title

      J Obstet Gyneacol Re

      Volume: 40 Issue: 4 Pages: 941-945

    • DOI

      10.1111/jog.12278

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Incidence, diagnosis and pathophysiology of amniotic fluid embolism.2014

    • Author(s)
      Ito F, Akasaka J, Koike N, Uekuri C, Shigemitsu A, Kobayashi H.
    • Journal Title

      J Obstet Gynaecol.

      Volume: 34 Issue: 7 Pages: 580-584

    • DOI

      10.3109/01443615.2014.919996

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] 正常分娩時における母体血中への羊水流入の弛緩出血への影響2014

    • Author(s)
      大井豪一、成瀬勝彦、常見泰平、重富洋志、赤坂珠理晃、小池奈月、岩井加奈、新納恵美子、山田有紀、今中聖悟、中村春樹、小林 浩.
    • Organizer
      第66回日本産科婦人科学会学術講演会
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Year and Date
      2014-04-10 – 2014-04-12
    • Related Report
      2014 Annual Research Report

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Published: 2014-07-25   Modified: 2019-07-29  

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