Índice hiperbárico en la prevención primaria de las complicaciones hipertensivas del embarazo de alto riesgo / Hyperbaric index in the primary prevention of hypertensive complications in high-risk pregnancy
Nefrología (Madr.)
; 35(6): 572-577, nov.-dic. 2015. tab, ilus, graf
Article
in Spanish
| IBECS
| ID: ibc-145703
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Introducción La preeclampsia (PE) es una importante causa de morbimortalidad fetal, que en el mundo occidental afecta al 2-7% de los embarazos y es responsable de 50.000 muertes anuales. La detección precoz es prioritaria, ya que puede cambiar su curso clínico, pero no se dispone de biomarcadores ni métodos instrumentales de alta sensibilidad y especificidad, solamente el índice hiperbárico tiene una sensibilidad y una especificidad del 99% para la identificación precoz de las gestantes en riesgo de desarrollo de PE, pero está escasamente difundido. Objetivo:
Valorar la utilidad del índice hiperbárico en la prevención primaria de las complicaciones hipertensivas del embarazo en un área sanitaria. Material ymétodos:
Estudio retrospectivo realizado entre los embarazos habidos en nuestra área durante el periodo 2007-2012 (N=11.784). El diagnóstico se estableció mediante el índice hiperbárico y las gestantes en riesgo fueron tratadas con AAS nocturno.Resultados:
En las gestantes remitidas a consulta de Nefrología (38,2%), diagnosticadas de alto riesgo de PE y tratadas con AAS 100mg nocturno (desde la semana 17) se redujo la incidencia de episodios de PE un 96,94% (AU)ABSTRACT
Introduction:
Preeclampsia (PE) is a major cause of fetal morbidity and mortality. In the Western World, PE affects 2-7% of pregnancies and is responsible for 50,000 deaths annually. Early detection is a priority as it can change the clinical course, but there are no biomarkers or instrumental methods with high sensitivity and specificity. Only the hyperbaric index has a sensitivity and specificity of 99% for early identification of pregnant women at risk of developing PE, but its use is not widespread.Objective:
To assess the usefulness of the hyperbaric index in the primary prevention of hypertensive pregnancy complications in a public healthcare area. Material andmethods:
This is a retrospective study of pregnancies that occurred in our area during the period 2007-2012 (N=11,784). The diagnosis was established by the hyperbaric index and pregnant women at risk were treated with ASA at night.Results:
In pregnant patients referred to the nephrology clinic (38.2%), diagnosed as high-risk for PE, and treated with 100mg ASA/night (from week 17), the incidence of PE episodes was reduced by 96.94% (AU)
Full text:
Available
Collection:
National databases
/
Spain
Health context:
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
/
SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases
Health problem:
Goal 9: Noncommunicable diseases and mental health
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Target 3.1: Reduce maternal mortality
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Target 3.4: Reduce premature mortality due to noncommunicable diseases
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Arterial Hypertension
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Cardiovascular Disease
Database:
IBECS
Main subject:
Pre-Eclampsia
/
Oximetry
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Hypertension, Pregnancy-Induced
/
Hypertension
Type of study:
Etiology study
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Observational study
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Prognostic study
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Risk factors
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Screening study
Limits:
Female
/
Humans
/
Pregnancy
Language:
Spanish
Journal:
Nefrología (Madr.)
Year:
2015
Document type:
Article
Institution/Affiliation country:
Centro Hospitalario Universitario de Ourense/España