hcg blood test levels chart
Marill KA; Ingmire TE; Nelson BK
The objectives of this abstraction were to actuate the optimal blow amount (CV) and account of a distinct serum beta animal chorionic gonadotropin hormone (HCG) akin in assessing the likelihood of ectopic abundance (ECP). A attendant blueprint analysis was performed at an burghal canton hospital. The optimal CV was bent by comparing all accessible patients diagnosed with ECP and patients diagnosed with threatened aborticide (TA) in the Emergency Department (ED) who afterwards delivered a babyish at the aforementioned hospital. The account of the analysis was adjourned in a accumulation of all accepted patients who presented to the ED with lower belly or pelvic affliction or vaginal bleeding amid 6 and 13 weeks estimated gestational age (EGA). There were 212 ECPs with abstinent HCGs. Alone nine presented afterwards 13 weeks EGA. The beggarly HCG amount was 5,378 mIU/mL. There was no cogent alternation amid HCG and EGA. There were 132 TAs with abstinent HCGs who afterwards delivered. Alone four TAs presented afore 6 weeks EGA. Regarding the TA patients who presented amid 6 and 13 weeks EGA, there were 81 with a beggarly HCG of 83,810 mIU/mL. Amid 6 and 13 weeks EGA, HCG was not decidedly activated with EGA. The absolute ECP accumulation was compared with the TA accumulation with 6-13 anniversary EGA. A receiver-operating appropriate ambit with nine HCG blow ethics was constructed. Clinically, the optimal CV was 40K. At this level, a analysis for the action "absence of ECP" had a specificity of 99%, and alone two of 212 ECPs in our accumulation would analysis false-positive with an HCG amount over 40K. When the analysis was activated to a accumulation of 175 women who presented with affliction or bleeding amid 6 and 13 weeks EGA, the acuteness and absolute predictive amount for an intrauterine abundance were 24% and 99.9 %, respectively. However, if this analysis was activated to all patients behindhand of analytic findings, and again an ultrasound (U/S) algorithm was activated to the patients who had an HCG of beneath than 40K, it would predictably access the amount of ECPs falsely articular as intrauterine pregnancies (IUPs) by 1%, behindhand of the false-positive amount of the U/S algorithm itself. Given the abeyant anguish and bloodshed of undiagnosed ectopic pregnancy, ultimately neither this analysis nor any added that is beneath than 100% specific for IUP can be recommended instead of an antecedent U/S appraisal for patients who present at accident for ECP.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
