Study (reference) | Country | Study design | No. of participants (excluded)* | Diagnosis of PPROM; confirmation of PPROM | GA range in inclusion criteria (weeks) | Clinical management of PPROM | Index test(s) | Reference standard | Number with outcome/total (prevalence %) | ||
---|---|---|---|---|---|---|---|---|---|---|---|
Antibiotics | Steroids | Tocolytics | |||||||||
Farb et al. 1983 [26] | USA | Prospective cohort | 31 (7) | Examination or nitrazine positive or fern test positive | 20 to 36 | NR | Yes | Yes | CRP | HCA and funisitis | 5/24 (21) |
Hawrylyshyn et al. 1983 [27] | Canada | Prospective cohort | 54 (2) | Nitrazine positive or pooling of AF | 20 to 34 | None | Yes | Selective | CRP | HCA | 26/52 (50) |
Ismail et al. 1985 [28] | USA | Prospective cohort | 100 (0) | Pooling of AF or nitrazine positive | 26 to 35 | NR | No | No | CRP | HCA and funisitis | 63/100 (63) |
Fisk et al. 1987 [29] | Saudi Arabia | Prospective cohort | 55 (4) | Speculum examination—pooling of AF | 26 to 36 | NR | Selective, < 34 weeks | Selective, < 32 weeks | CRP | HCA | 30/51 (59) |
Danielian 1991 [30] | NR | Prospective cohort | 17 (6) | NR | 26–? (preterm) | NR | NR | NR | CRP | HCA | 4/11 (36) |
Yoon et al. 1996 [31] | South Korea | Prospective cohort | 91 (28) | Pooling on speculum examination and nitrazine positive and fern test positive | 20 to 37 | NR | NR | NR | CRP | HCA and funisitis | 35/63 (56) |
Torbe 2007 [32] | ?Poland | Prospective cohort | 48 (0) | NR | 24 to 34 | Yes | Yes | None | CRP, PCT | HCA | 14/48 (29) |
Murtha et al. 2007 [33] | USA | Prospective cohort | 122 (15) | Pooling of AF and nitrazine positive and ferning positive | 22 to 34 | Yes (all) | Selective (23 to 34 weeks) | NR | IL6 | Funisitis | 54/107 (50) |
Smith et al. 2012 [34] | USA | Retrospective cohort | 73 (0) | NR | 20–37 | Selective | Selective | NR | CRP | HCA | 26/73 (36) |
Perrone et al. 2012 [35] | Italy | Prospective cohort | 66 (0) | Speculum exam; IGFBP-1 test | 24 to 33 | Yes | Yes | Yes | CRP | HCA and funisitis | 24/66 (36) |
India | Prospective cohort | 45 (0) | NR | 24 to 34 | Yes | Yes | NR | IL6 | HCA and funisitis | 22/45 (49) | |
Canzoneri et al. 2012 [38] | USA | Prospective cohort | 39 (0) | Pooling of AF and nitrazine positive and ferning positive | 22 to 34 | Yes (all) | Selective | No | IL6 | funisitis | 21/39 (54) |
Oludag et al. 2014 [39] | Turkey | Prospective cohort | 32 (0) | Speculum examination | 24 to 34 | Yes | Yes | NR | CRP, PCT | HCA | 13/32 (41) |
Aksakal et al. 2014 [40] | Turkey | Prospective cohort | 50 (0) | Speculum examination or positive amnisure test | 24 to 37 | All | Selective, < 34 weeks | None | CRP | HCA and funisitis | 24/50 (48) |
Ronzino-Dubost et al. 2016 [41] | France | Prospective cohort | 44 (14) | Speculum examination; IGFBP-1 test | 24 to 34 | Yes | Yes | Selective | CRP, PCT | HCA and funisitis | 11/30 (37) |
Thornburg et al. 2016 [42] | USA | Prospective | 48 | Speculum examination; fern and nitrazine test | 23 to 33+6 | Yes | Yes | Selective | PCT | HCA and funisitis | 19/27 (70) |
Kim et al. 2016 [43] | South Korea | Retrospective cohort | 181 (35) | Pooling of AF on speculum examination | 20 to 33+6 | Yes | Yes | NR | CRP | HCA and funisitis | 74/146 (51) |
Stepan et al. 2016 [44] | Czech Republic | Prospective cohort | 427 (41) | Speculum examination; IGFBP1 test when necessary | 24 to 36+6 | Yes | Yes | Yes | CRP | HCA and funisitis | 238/386(62) |
Kayem et al. 2017 [45] | France | Prospective cohort | 184 (46) | History and speculum; other bedside test if necessary | < 37 | Selective | NR | NR | CRP | HCA | 85/138 (62) |
Iran | Prospective cohort | 48 (?) | Speculum examination; nitrazine and fern test | 28 to 33 | Yes | NR | NR | PCT | HCA | 19/48 (40) | |
Martinez-Portilla 2019 et al. [48] | Mexico | Prospective cohort | 64 | Speculum examination, IGFBP-1 test | 26 to 36+6 | Yes | Yes | Yes | IL6 | HCA | 31/47 (66) |
Asadi et al. 2019 [49] | Iran | Prospective, cohort | 75 (23) | Pooling on speculum, fern and nitrazine tests | 24 to 34 | Yes | Selective | Selective | CRP, PCT | HCA | 29/52 (56) |
Park et al. 2019 [50] | South Korea | Retrospective cohort | 82 | Speculum; nitrazine test | 23 to 34 | Selective | Selective | Selective | CRP, IL6 | HCA and funisitis | 35/82 (43) |
Totals | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | 902/1717(37) |