[Improved diagnosis of pregnancy-associated gynaecological emergencies via rapid beta-HCG test (author's transl)].
A pregnancy-related disorder was identified by a rapid radioimmunoassay or serum chorionic gonadotropin in 151 out of 600 women (25%) with lower abdominal pain or bleeding, while a routine pregnancy test in urine was positive in only 7% of these cases. In 60 patients with ectopic pregnancy the rapid hCG-RIA was positive in 90% as compared with 10% for the routine pregnancy test. In patients with evidence of intrauterine pregnancy (80 cases) the rapid hCG-RIA was positive in 99% and routine pregnancy test in 39%. The clinical sensitivity of the hCG-RIA was 95%, specificity 96% and predictive value 88%. These figures should introduce a considerable improvement in the routine diagnosis of early intra- and extrauterine pregnancy-related disorders.
D006063:Chorionic Gonadotropin; D004630:Emergencies; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011271:Pregnancy, Ectopic / Q000175:diagnosis; D011379:Prognosis; D011863:Radioimmunoassay; D013997:Time Factors; D014592:Uterine Hemorrhage / Q000175:diagnosis
D006063:Chorionic Gonadotropin
Verbesserte Diagnostik Schwangerschafts-assoziierter gynäkologischer Notfallsituastionen durch einen schnellen beta-HCG-Test.