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Assessment of the diagnostic value of a urinary adipsin rapid strip test for pre‐eclampsia: A prospective multicenter study
Author(s) -
Peng Bing,
Zhang Li,
Yan Jianying,
Qi Hongbo,
Zhang Weiyuan,
Fan Ling,
Hu Yayi,
Lin Li,
Li Xiaotian,
Hu Rong,
Xie Lan,
Zhang Jianping,
Wu Yanqiao,
Li Li,
Zhou Rong
Publication year - 2017
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13156
Subject(s) - medicine , eclampsia , gold standard (test) , urinary system , diagnostic test , diagnostic accuracy , prospective cohort study , obstetrics , radiology , surgery , pregnancy , pediatrics , genetics , biology
Aim The purpose of the present study was to evaluate the clinical value of the rapid strip test of urinary adipsin for the quick diagnosis of pre‐eclampsia. Methods In a multicenter diagnostic test study, we studied the diagnostic accuracy of the rapid strip test of urinary adipsin in women presenting with pre‐eclampsia. A total of 204 pre‐eclampsia patients and 254 healthy pregnant women were recruited for this study, respectively. The rapid strip test of urinary adipsin was used to detect the adipsin in the urine of each patient. Results The diagnostic value of the rapid strip test of urinary adipsin for pre‐eclampsia was demonstrated by its high sensitivity and specificity (95.10% and 97.64%, respectively). The diagnostic accuracy was 96.51%. The consistency analysis showed that the kappa value was 0.93 compared with the gold standard diagnosis of pre‐eclampsia. Conclusion The rapid strip test of urinary adipsin is a non‐invasive test for the diagnosis of pre‐eclampsia with high sensitivity and specificity. It could help the quick diagnosis of pre‐eclampsia in clinical practice greatly.