title: The clinical utility of the roll-over test in predicting pregnancy-induced hypertension in a high-risk Andean population.
abstract: The utility of the roll-over test (ROT) as a prognostic tool for predicting pregnancy-induced hypertension (PIH) was examined in primiparas in Quito, Ecuador. In Study I, 14 of 16 subjects with a +ROT developed PIH (positive predictive value (PPV) = 88%); only 2 of 27 subjects with a -ROT developed PIH (negative predictive value (NPV) = 92.5%). In Study II (n = 66), the PPV and NPV were 71.4% and 78.6%, respectively. Data from these and previous studies indicate that although the ROT is not a perfect predictor, its advantages recommend usage in populations with high PIH-associated maternal and perinatal mortality.
authors.affiliation: Laboratorio de Metabolismo y Nutricion, Facultad de Ciencias Medicas, Universidad Central del Ecuador, Quito, Ecuador.
authors.forename: M
authors.initials: M
authors.lastname: Narváez
authors.forename: M M
authors.initials: MM
authors.lastname: Weigel
authors.forename: C
authors.initials: C
authors.lastname: Felix
authors.forename: A
authors.initials: A
authors.lastname: López
authors.forename: P
authors.initials: P
authors.lastname: López-Jaramillo
mesh_terms: D000293:Adolescent; D000328:Adult; D004484:Ecuador; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000517:prevention & control; D011187:Posture; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000517:prevention & control; D012307:Risk Factors