Factores de riesgo de preeclampsia, una actualización desde la medicina basada en evidencias

Guevara-Ríos, Enrique; Gonzales-Medina, Carlos

doi:10.33421/inmp.2019140

Cited by 10 publications

(8 citation statements)

References 24 publications

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“…Las investigaciones previas han dado a conocer que la nuliparidad 14 , el antecedente de preeclampsia [14][15][16] , el antecedente de hipertensión arterial crónica 6,13 , las enfermedades autoinmunitarias 16,17 , las edades extremas 6,15,18 , el índice de masa corporal (IMC) alto 16,19,20 , la elevación de la presión arterial media (PAM) 21,22 , el índice de pulsatilidad de las arterias uterinas 20,22-25 y los valores aumentados de proteinuria 10,25 estarían asociados al desarrollo de preeclampsia. Por ello, se analizó el AUC de cada variable, resultando que la proteinuria en 24 horas mostraba una de las mayores AUC, con 0,87, cercana al valor encontrado en el estudio de Alegría y Gonzales 3 , en el cual se obtuvo un AUC de 0,96; en ambos casos se observó un buen rendimiento, lo cual podría deberse a que esta variable estaba relacionada con los criterios diagnósticos de la enfermedad 26 .…”

Section: Discussionunclassified

Evaluación del rendimiento diagnóstico de un nomograma de predicción de preeclampsia

Jurado¹,

Melissa²

2024

RECHOG

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Section: Discussionunclassified

Evaluación del rendimiento diagnóstico de un nomograma de predicción de preeclampsia

Jurado¹,

Melissa²

2024

RECHOG

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“…El Colegio Americano de Ginecología y Obstetricia (ACOG), en el 2019 establece una serie de directrices en relación a los elementos de riesgo relacionados con las crisis hipertensivas, información que comparte con las directrices expuestas por Chimbo et al, en su revisión bibliográfica, publicada en el 2018 en la Revista Latinoamericana de Hipertensión en el año 2018: (Chimbo, 2018;Lacunza, 2019;Pereira et al, 2020) (Guevara & Gonzales, 2019) -Nuliparidad: se relaciona fisiopatológicamente con la inadecuada respuesta inmunológica placentaria (RR: 2.1 (95% CI, 1.9-2.4).…”

Section: Etiopatogenia De Preeclampsia Y Eclampsiaunclassified

Manejo de crisis hipertensivas en la mujer gestante

Romero¹,

Ortega²,

Manzanillas³

et al. 2023

Investigación Multidisciplinaria Desde Una Visión Multidisciplinar. Libro 1

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Introduction: Hypertensive diseases of pregnancy, until today, continue to be essential factors concerning morbidity and mortality in pregnant women and pediatrics in Ecuador and most Latin American countries. Different strategies have been developed, and through the exposure of current guidelines for the diagnosis and management of preeclampsia and eclampsia, it has been possible to solve, to a large extent, the health problems in the population related to the development of these diseases. Objective: This bibliographic review aims to compile current information on preeclampsia through analysis and final writing. Methodology: The PRISMA 2020 declaration was used as a strategic basis for the compilation, analysis, justification, and bibliographic essay of this research work. Results: A total of forty-five publications of moderate and high quality were obtained through a series of steps consisting of four processes of filtering and screening references. Conclusion: Hypertensive crises in pregnant women produce 15% mortality and morbidity in both maternal and fetal. In addition, it has been noticed that there are different risk factors for the pregnant woman to present this pathology. There are several drugs for antihypertensive management; nifedipine and labetalol are the first choices, and the first option drug is magnesium sulfate to prevent preeclampsia or eclampsia or control severe preeclampsia.

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“…En cuanto a los múltiples factores de riesgo para desarrollar preeclampsia, se destacan: embarazo múltiple, nuliparidad, preeclampsia en gestaciones anteriores, diabetes gestacional, hipertensión crónica, trombofilias, lupus eritematoso sistémico, índice de masa corporal antes del embarazo mayor de 30, síndrome antifosfolípido, edad materna mayor de 35 años, enfermedad renal, apnea obstructiva del sueño y el uso de tecnología de reproducción asistida [15].…”

Section: Generalidades Preeclampsiaunclassified

Complicaciones anestésicas en gestantes con preeclampsia

Marisancén-Carrasquilla¹,

Martínez-Sánchez²,

Durango-Sánchez³

et al. 2022

Rev. chil. anest.

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Introduction: preeclampsia is a hypertensive disorder characterized by hypertension after 20 weeks of gestation, in most cases associated with proteinuria, and may be related to target organ dysfunction. Objective: To perform a literature review regarding complications related to either neuroaxial techniques or general anesthesia in patients with PE. Methods: A literature search was carried out by consulting multiple databases in both Spanish and English, with different combinations of MeSH terms. An analysis and summary of the information reviewed was performed after careful evaluation of the literature. Results: Both neuraxial techniques and general anesthesia in patients with PE could lead to a series of complications which will vary in severity and frequency, with estimates of adverse events of any type of approximately 10% described in the literature. Among the complications that occur with the use of neuraxial techniques are: hypotension, urinary retention and post-puncture headache among others. On the other hand, some of the potential complications with the use of general anesthesia are the development of intracerebral hemorrhage due to increased blood pressure during laryngoscopy, development of pulmonary edema or difficulty with the airway management. The development of hemodynamic instability, drug allergy, nausea and vomiting, cardiac arrest, and mortality are potential complications of both anesthetic techniques. Conclusions: Neuraxial techniques are considered the method of choice even in patients with preeclampsia, as long as there is no contraindication for its use, considering the risk-benefit balance between the potential complications of both anesthetic techniques.

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Factores de riesgo de preeclampsia, una actualización desde la medicina basada en evidencias

Cited by 10 publications

References 24 publications

Evaluación del rendimiento diagnóstico de un nomograma de predicción de preeclampsia

Evaluación del rendimiento diagnóstico de un nomograma de predicción de preeclampsia

Manejo de crisis hipertensivas en la mujer gestante

Complicaciones anestésicas en gestantes con preeclampsia

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