Doppler de arterias uterinas en embarazadas hipertensas crónicas como predictor de preeclampsia con criterios de severidad sobreagregada y necesidad de cuidados intensivos.
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| Title: | Doppler de arterias uterinas en embarazadas hipertensas crónicas como predictor de preeclampsia con criterios de severidad sobreagregada y necesidad de cuidados intensivos. |
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| Alternate Title: | Uterine artery Doppler in chronic hypertensive pregnant women as a predictor of preeclampsia with criteria of over-aggregated severity and need for intensive care. |
| Authors: | Carolina Bohórquez-Camargo, Diana1 dianabohorquez07@hotmail.com, Guerrero-Solano, Angélica María1, Hernán Becerra-Mojica, Carlos1, Alfonso Díaz-Martínez, Luis1 |
| Source: | Ginecología y Obstetricia de México. Aug2021, Vol. 89 Issue 8, p611-621. 11p. |
| Subjects: | UTERINE artery, DOPPLER ultrasonography, HYPERTENSION in pregnancy, PREGNANT women, RISK factors of preeclampsia, CRITICAL care medicine |
| Geographic Terms: | COLOMBIA |
| Abstract (English): | OBJECTIVE: To evaluate the usefulness of Doppler ultrasound of the uterine arteries performed between 18 and 23 weeks in chronically hypertensive pregnant women as a predictor of preeclampsia with criteria of severity or need for intensive care. MATERIALS AND METHODS: Prospective cohort study of diagnostic technology evaluation carried out in an institution in eastern Colombia with pregnant patients, chronic hypertensive, attended between April 2013 and September 2020. followed until the end of pregnancy, in whom Doppler ultrasound of the uterine arteries was performed between 18 to 23 weeks of pregnancy and subsequent evaluation of three outcomes: occurrence of preeclampsia, preeclampsia with severity criteria or need for intensive care. Markers of diagnostic performance and concordance beyond chance were estimated. RESULTS: 104 patients with age limits of 18 and 44 years were captured. Of the Doppler ultrasound scans performed, 31 (29.8%) were positive. After these, 73 (70.1%) patients had preeclampsia; 27 (37.0%) reached term, 17 (23.2%) terminated between 34.0 and 36.6 weeks, 21 (28.8%) between 24.0 and 33.6 weeks, and 8 (10.9%) before fetal viability. The negative predictive value for intensive care was 97.0%. In patients with positive proteinuria at the time of ultrasound, the sensitivity and positive predictive value was 100.0%. A positive report implied a relative risk of 2.18 (95%CI: 1.59-2.98) for severe preeclampsia and 5.61 (95%CI: 1.32-23.90) for the need for intensive care. CONCLUSION: Doppler ultrasound of the uterine arteries in chronically hypertensive pregnant women is predictive of risk of severe preeclampsia and need for intensive care, particularly if they have significant proteinuria at the time of examination. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | OBJETIVO: Evaluar la utilidad de la ecografía de Doppler de las arterias uterinas practicada entre las semanas 18 a 23 en embarazadas hipertensas crónicas como predictora de preeclampsia con criterios de severidad o necesidad de atención en cuidados intensivos. MATERIALES Y MÉTODOS: Estudio de cohorte, prospectivo, de evaluación de tecnología diagnóstica llevado a cabo en una institución del Oriente colombiano con pacientes embarazadas, hipertensas crónicas, atendidas entre abril de 2013 y septiembre de 2020, seguidas hasta la finalización del embarazo, en quienes se realizó ecografía de Doppler de las arterias uterinas entre las 18 a 23 semanas de embarazo y posterior evaluación de tres desenlaces: aparición de preeclampsia sobreagregada, preeclampsia con criterios de severidad o necesidad de atención en cuidados intensivos. Se estimaron marcadores de rendimiento diagnóstico y concordancia más allá del azar. RESULTADOS: Se captaron 104 pacientes con límites de edad de 18 y 44 años. De las ecografías de Doppler practicadas 31 (29.8%) resultaron positivas. Luego de éstas, 73 (70.1%) pacientes tuvieron preeclampsia; 27 (37.0%) llegaron al término del embarazo, 17 (23.2%) lo finalizaron entre las 34.0 y las 36.6 semanas, 21 (28.8%) entre las 24.0 y 33.6 semanas, y 8 (10.9%) antes de la viabilidad fetal. El valor predictivo negativo para cuidado intensivo fue de 97.0%. En las pacientes con proteinuria positiva, al momento de la ecografía, la sensibilidad y valor predictivo positivo fue de 100.0%. Un reporte positivo implicó un riesgo relativo de 2.18 (IC95%: 1.59-2.98) para preeclampsia severa y 5.61 (IC95%: 1.32-23.90) para necesidad de atención en cuidados intensivos. CONCLUSIÓN: La ecografía de Doppler de las arterias uterinas en embarazadas hipertensas crónicas es predictora de riesgo de preeclampsia severa y necesidad de cuidados intensivos, en particular si tienen proteinuria significativa al momento del examen. [ABSTRACT FROM AUTHOR] |
| Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Items | – Name: Title Label: Title Group: Ti Data: Doppler de arterias uterinas en embarazadas hipertensas crónicas como predictor de preeclampsia con criterios de severidad sobreagregada y necesidad de cuidados intensivos. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Uterine artery Doppler in chronic hypertensive pregnant women as a predictor of preeclampsia with criteria of over-aggregated severity and need for intensive care. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Carolina+Bohórquez-Camargo%2C+Diana%22">Carolina Bohórquez-Camargo, Diana</searchLink><relatesTo>1</relatesTo><i> dianabohorquez07@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Guerrero-Solano%2C+Angélica+María%22">Guerrero-Solano, Angélica María</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Hernán+Becerra-Mojica%2C+Carlos%22">Hernán Becerra-Mojica, Carlos</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Alfonso+Díaz-Martínez%2C+Luis%22">Alfonso Díaz-Martínez, Luis</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Ginecología+y+Obstetricia+de+México%22">Ginecología y Obstetricia de México</searchLink>. Aug2021, Vol. 89 Issue 8, p611-621. 11p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22UTERINE+artery%22">UTERINE artery</searchLink><br /><searchLink fieldCode="DE" term="%22DOPPLER+ultrasonography%22">DOPPLER ultrasonography</searchLink><br /><searchLink fieldCode="DE" term="%22HYPERTENSION+in+pregnancy%22">HYPERTENSION in pregnancy</searchLink><br /><searchLink fieldCode="DE" term="%22PREGNANT+women%22">PREGNANT women</searchLink><br /><searchLink fieldCode="DE" term="%22RISK+factors+of+preeclampsia%22">RISK factors of preeclampsia</searchLink><br /><searchLink fieldCode="DE" term="%22CRITICAL+care+medicine%22">CRITICAL care medicine</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22COLOMBIA%22">COLOMBIA</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: OBJECTIVE: To evaluate the usefulness of Doppler ultrasound of the uterine arteries performed between 18 and 23 weeks in chronically hypertensive pregnant women as a predictor of preeclampsia with criteria of severity or need for intensive care. MATERIALS AND METHODS: Prospective cohort study of diagnostic technology evaluation carried out in an institution in eastern Colombia with pregnant patients, chronic hypertensive, attended between April 2013 and September 2020. followed until the end of pregnancy, in whom Doppler ultrasound of the uterine arteries was performed between 18 to 23 weeks of pregnancy and subsequent evaluation of three outcomes: occurrence of preeclampsia, preeclampsia with severity criteria or need for intensive care. Markers of diagnostic performance and concordance beyond chance were estimated. RESULTS: 104 patients with age limits of 18 and 44 years were captured. Of the Doppler ultrasound scans performed, 31 (29.8%) were positive. After these, 73 (70.1%) patients had preeclampsia; 27 (37.0%) reached term, 17 (23.2%) terminated between 34.0 and 36.6 weeks, 21 (28.8%) between 24.0 and 33.6 weeks, and 8 (10.9%) before fetal viability. The negative predictive value for intensive care was 97.0%. In patients with positive proteinuria at the time of ultrasound, the sensitivity and positive predictive value was 100.0%. A positive report implied a relative risk of 2.18 (95%CI: 1.59-2.98) for severe preeclampsia and 5.61 (95%CI: 1.32-23.90) for the need for intensive care. CONCLUSION: Doppler ultrasound of the uterine arteries in chronically hypertensive pregnant women is predictive of risk of severe preeclampsia and need for intensive care, particularly if they have significant proteinuria at the time of examination. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: OBJETIVO: Evaluar la utilidad de la ecografía de Doppler de las arterias uterinas practicada entre las semanas 18 a 23 en embarazadas hipertensas crónicas como predictora de preeclampsia con criterios de severidad o necesidad de atención en cuidados intensivos. MATERIALES Y MÉTODOS: Estudio de cohorte, prospectivo, de evaluación de tecnología diagnóstica llevado a cabo en una institución del Oriente colombiano con pacientes embarazadas, hipertensas crónicas, atendidas entre abril de 2013 y septiembre de 2020, seguidas hasta la finalización del embarazo, en quienes se realizó ecografía de Doppler de las arterias uterinas entre las 18 a 23 semanas de embarazo y posterior evaluación de tres desenlaces: aparición de preeclampsia sobreagregada, preeclampsia con criterios de severidad o necesidad de atención en cuidados intensivos. Se estimaron marcadores de rendimiento diagnóstico y concordancia más allá del azar. RESULTADOS: Se captaron 104 pacientes con límites de edad de 18 y 44 años. De las ecografías de Doppler practicadas 31 (29.8%) resultaron positivas. Luego de éstas, 73 (70.1%) pacientes tuvieron preeclampsia; 27 (37.0%) llegaron al término del embarazo, 17 (23.2%) lo finalizaron entre las 34.0 y las 36.6 semanas, 21 (28.8%) entre las 24.0 y 33.6 semanas, y 8 (10.9%) antes de la viabilidad fetal. El valor predictivo negativo para cuidado intensivo fue de 97.0%. En las pacientes con proteinuria positiva, al momento de la ecografía, la sensibilidad y valor predictivo positivo fue de 100.0%. Un reporte positivo implicó un riesgo relativo de 2.18 (IC95%: 1.59-2.98) para preeclampsia severa y 5.61 (IC95%: 1.32-23.90) para necesidad de atención en cuidados intensivos. CONCLUSIÓN: La ecografía de Doppler de las arterias uterinas en embarazadas hipertensas crónicas es predictora de riesgo de preeclampsia severa y necesidad de cuidados intensivos, en particular si tienen proteinuria significativa al momento del examen. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Ginecología y Obstetricia de México is the property of Federacion Mexicana de Ginecologia y Obstetricia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.24245/gom.v89i8.5473 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 11 StartPage: 611 Subjects: – SubjectFull: UTERINE artery Type: general – SubjectFull: DOPPLER ultrasonography Type: general – SubjectFull: HYPERTENSION in pregnancy Type: general – SubjectFull: PREGNANT women Type: general – SubjectFull: RISK factors of preeclampsia Type: general – SubjectFull: CRITICAL care medicine Type: general – SubjectFull: COLOMBIA Type: general Titles: – TitleFull: Doppler de arterias uterinas en embarazadas hipertensas crónicas como predictor de preeclampsia con criterios de severidad sobreagregada y necesidad de cuidados intensivos. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Carolina Bohórquez-Camargo, Diana – PersonEntity: Name: NameFull: Guerrero-Solano, Angélica María – PersonEntity: Name: NameFull: Hernán Becerra-Mojica, Carlos – PersonEntity: Name: NameFull: Alfonso Díaz-Martínez, Luis IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: Aug2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 03009041 Numbering: – Type: volume Value: 89 – Type: issue Value: 8 Titles: – TitleFull: Ginecología y Obstetricia de México Type: main |
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