Priority 9 from the Hyperemesis Gravidarum PSP

UNCERTAINTY: What clinical measurements and markers are most useful in assessing, diagnosing, managing and monitoring hyperemesis? (JLA PSP Priority 9)
Overall ranking 9
JLA question ID 0090/9
Explanatory note Not available for this PSP

Niemeijer, M. N.; Grooten, I. J.; Vos, N.; Bais, J. M.; van der Post, J. A.; Mol, B. W.; Roseboom, T. J.; Leeflang, M. M.; Painter, R. C.; 2014 Diagnostic markers for hyperemesis gravidarum: a systematic review and metaanalysis American Journal of Obstetrics & Gynecology - Volume 211, Issue 2, pp. 150.e1-150.15: Systematic review concludes no support for the use of ketonuria in the diagnosis of HG. H pylori serology might be useful in specific patients.

Health Research Classification System category Reproductive health and childbirth
Extra information provided by this PSP
Original uncertainty examples What anthropometric measures and nutritonal markers are most useful in assessing and monitoring hyperemesis management? (??weight, mid upper arm circumference, transferrin, amylase etc?????) ~ What clinical indicators determine the threshold for hospital admission in women with HG? ~ What diagnostic criteria/guidelines would provide the best treatment/outcomes? i.e. instead of waiting for significant weight loss and dehydration or “penalizing”proactive care that reduces these indicators 
Submitted by Patients x 7 ~ Healthcare professionals x 3 ~ Offspring x 1 ~ Unknown x 1
PSP information
PSP unique ID 0090
PSP name Hyperemesis Gravidarum
Total number of uncertainties identified by this PSP. 65  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 9 October 2019