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Pre-eclampsia-eclampsia admitted to critical care unit.
J Matern Fetal Neonatal Med. 2012 Oct; 25(10):2051-4.JM

Abstract

OBJECTIVE

To evaluate women with hypertensive disorder admitted to critical care unit.

METHODS

This study was carried out in Cartagena, Colombia, between January 2006 and December 2009. Patients were divided into 4 groups; severe pre-eclampsia, eclampsia, HELLP syndrome and HELLP with eclampsia (HEEH).

RESULT

A total of 217 cases were admitted. The admitting diagnoses were severe pre-eclampsia without HELLP syndrome (39.2%), HELLP syndrome without eclampsia (33.6%), eclampsia without HELLP syndrome (20.3%) and Eclampsia with HELLP syndrome or HEEH (6.9%). Groups were similar with respect to parity (p = 0.25), gestational age (p = 0.11), cesarean section (p = 0.58), mechanical ventilation (p = 0.54), level of systolic (p = 0.48) and diastolic blood pressure (p = 0.15) and inotropic support (p = 0.32). Average total duration of hospitalization was significantly different among groups, more time in women with HEEH (p = 0.001). Multiple organ dysfunctions was diagnosed > 70% of all women admitted to intensive care, but was significantly more frequent in patients with HELLP syndrome and HEEH (p = 0.001). There were 5 maternal deaths (2.3%). Causes of maternal death were intracranial hemorrhage (3), intra-abdominal bleeding (1) and pulmonary complications (1).

CONCLUSION

Women with HELLP syndrome with or without eclampsia are associated with major morbidity and mortality. Therefore, the maternal outcome in eclampsia is influenced for HELLP syndrome.

Authors+Show Affiliations

Critical Care Unit, Clínica de Maternidad Rafael Calvo, Grupo de Investigación en Cuidados Intensivos y Obstetricia, Universidad de Cartagena, Cartagena, Colombia.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22468797

Citation

Rojas-Suarez, José, and Paulino Vigil-De Gracia. "Pre-eclampsia-eclampsia Admitted to Critical Care Unit." The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, vol. 25, no. 10, 2012, pp. 2051-4.
Rojas-Suarez J, Vigil-De Gracia P. Pre-eclampsia-eclampsia admitted to critical care unit. J Matern Fetal Neonatal Med. 2012;25(10):2051-4.
Rojas-Suarez, J., & Vigil-De Gracia, P. (2012). Pre-eclampsia-eclampsia admitted to critical care unit. The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 25(10), 2051-4. https://doi.org/10.3109/14767058.2012.678432
Rojas-Suarez J, Vigil-De Gracia P. Pre-eclampsia-eclampsia Admitted to Critical Care Unit. J Matern Fetal Neonatal Med. 2012;25(10):2051-4. PubMed PMID: 22468797.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pre-eclampsia-eclampsia admitted to critical care unit. AU - Rojas-Suarez,José, AU - Vigil-De Gracia,Paulino, Y1 - 2012/04/28/ PY - 2012/4/4/entrez PY - 2012/4/4/pubmed PY - 2013/3/19/medline SP - 2051 EP - 4 JF - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians JO - J Matern Fetal Neonatal Med VL - 25 IS - 10 N2 - OBJECTIVE: To evaluate women with hypertensive disorder admitted to critical care unit. METHODS: This study was carried out in Cartagena, Colombia, between January 2006 and December 2009. Patients were divided into 4 groups; severe pre-eclampsia, eclampsia, HELLP syndrome and HELLP with eclampsia (HEEH). RESULT: A total of 217 cases were admitted. The admitting diagnoses were severe pre-eclampsia without HELLP syndrome (39.2%), HELLP syndrome without eclampsia (33.6%), eclampsia without HELLP syndrome (20.3%) and Eclampsia with HELLP syndrome or HEEH (6.9%). Groups were similar with respect to parity (p = 0.25), gestational age (p = 0.11), cesarean section (p = 0.58), mechanical ventilation (p = 0.54), level of systolic (p = 0.48) and diastolic blood pressure (p = 0.15) and inotropic support (p = 0.32). Average total duration of hospitalization was significantly different among groups, more time in women with HEEH (p = 0.001). Multiple organ dysfunctions was diagnosed > 70% of all women admitted to intensive care, but was significantly more frequent in patients with HELLP syndrome and HEEH (p = 0.001). There were 5 maternal deaths (2.3%). Causes of maternal death were intracranial hemorrhage (3), intra-abdominal bleeding (1) and pulmonary complications (1). CONCLUSION: Women with HELLP syndrome with or without eclampsia are associated with major morbidity and mortality. Therefore, the maternal outcome in eclampsia is influenced for HELLP syndrome. SN - 1476-4954 UR - https://www.unboundmedicine.com/medline/citation/22468797/Pre_eclampsia_eclampsia_admitted_to_critical_care_unit_ L2 - https://www.tandfonline.com/doi/full/10.3109/14767058.2012.678432 DB - PRIME DP - Unbound Medicine ER -