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• W1980222069 abstract "Describir la incidencia y el perfil clínico y epidemiológico de las pacientes con preeclampsia grave que requieren ingreso en Cuidados Intensivos. Estudio observacional prospectivo de una serie de casos. UCI específica de enfermedad gineco-obstétrica de 8 camas, perteneciente a un hospital universitario de nivel 3, con una dotación de 55 camas de UCI en total. Un total de 262 pacientes ingresadas por preeclampsia grave, eclampsia o síndrome HELLP. Análisis descriptivo de la población y de las complicaciones en UCI así como de la mortalidad intrahospitalaria. La edad media fue de 30,47 ± 5,7 años, con una distribución diagnóstica al ingreso de 78% de pacientes con preeclampsia grave, 16% por síndrome HELLP y 6% por eclampsia, que sucedió en la semana gestacional 31,85 ± 4,45. El 63% de las pacientes fueron primigestas y presentaron escasa prevalencia de enfermedades previas. La tasa de complicaciones fue del 14% (fracaso cardiaco en 9%, insuficiencia renal aguda en 5% y coagulopatía en 2%). La mortalidad materna fue 1,5% (4 pacientes) y se relacionó con la no-primigestación, la presencia de complicaciones y un nivel superior de la transaminasa GOT a 71 mg/dl. La preeclampsia grave tiene una baja tasa de mortalidad (1,5%), no así de complicaciones (14%) y se presenta con mayor frecuencia en nulíparas durante el tercer trimestre de gestación. To describe the incidence and clinical and epidemiological profile of patients with severe preeclampsia admitted to Intensive Care. A prospective, observational case series. A specific obstetric 8-bed ICU belonging to a university hospital with a total of 55 ICU beds. A total of 262 patients admitted due to severe preeclampsia, eclampsia or HELLP syndrome. Descriptive analysis of the population and complications in the ICU and hospital mortality. The mean patient age was 30.47 ± 5.7 years, with the following diagnóstico at admission: A total of 78% of the patients with severe preeclampsia, 16% with HELLP syndrome, and 6% with eclampsia, occurring in gestational week 31.85 ± 4.45. In turn, 63% of the patients were nulliparous and had a low prevalence of previous diseases. The global complications rate was 14% (9% heart failure, 5% acute renal failure and 2% coagulopathy). Maternal mortality was 1.5% (4 patients), and was associated with non-nulliparous status, the presence of complications, and toast > 71 mg/dl. Severe preeclampsia has a low mortality rate (1.5%), though the complications rate is considerable (14%). The condition develops more often in nulliparous women during the third trimester of pregnancy." @default.
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• W1980222069 date "2011-11-01" @default.
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• W1980222069 title "Análisis de la morbimortalidad materna de las pacientes con preeclampsia grave, eclampsia y síndrome HELLP que ingresan en una Unidad de Cuidados Intensivos gineco-obstétrica" @default.
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• W1980222069 doi "https://doi.org/10.1016/j.medin.2011.05.011" @default.
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