Journal Articles Gynécologie Obstétrique Fertilité & Sénologie Year : 2019

Concordance entre la lecture optique automatisée et la lecture visuelle double pour deux tests de rupture des membranes

Abstract

Objectives: To assess concordance between double human and automated optical reading (AOR) concerning two biological tests for rupture of membranes (ROM) METHODS: We conducted a monocentric, prospective, observational study comparing Actim Prom® (Alere SAS, Jouy-en Josas, France) and Hiprom Duo® (Fumouze, Levallois-Perret, France). Each test was performed simultaneously in patients with suspected ROM and read independently by 2 biologists and AOR device. ROM was clinically confirmed in case of recurrent leakage or spontaneous labour with no perceived membranes within 48hours. Results: Concerning Actim Prom®, concordance was 100 %, 92.5 % and 91.6 % between biologists, biologists-AOR device and biologists or AOR vs. clinical presentation respectively. Concerning Hiprom Duo®, concordance was 97.2 % between biologists, 97.2 % between biologist 1 and AOR, 95.3 % between biologist 2 and AOR, 63.5 % between clinical presentation and human reading, 62.3 % between clinical presentation and AOR. False positive cases were significantly associated with modified cervix (21 % vs. 46 %, P=0.006). Conclusion: We demonstrated excellent correlation between biologists and good or excellent correlation between AOR and human reading supporting the use of AOR in clinical practice.
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hal-02077272 , version 1 (22-10-2021)

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M. Four, C. Chauffour, Amélie Delabaere, B. Pereira, V. Sapin, et al.. Concordance entre la lecture optique automatisée et la lecture visuelle double pour deux tests de rupture des membranes. Gynécologie Obstétrique Fertilité & Sénologie, 2019, 47 (1), pp.18-22. ⟨10.1016/j.gofs.2018.11.012⟩. ⟨hal-02077272⟩
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