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Prediction of Adverse Maternal Outcomes in Women with Early-Onset Preeclampsia with Severe Features in Mexico: Validation of the Full-PIERS Model.
Ponce Nájera, Eduardo; Montoya Hinojosa, Marcela; Lozano Galván, Rogelio Armando; González Oropeza, Diego.
Afiliação
  • Ponce Nájera E; Department of Obstetrics, Hospital Regional Materno Infantil del Estado de Nuevo León, Monterrey 67140, Mexico.
  • Montoya Hinojosa M; Resident of the Multicenter Program of Medical Specialties, Tecnológico de Monterrey and Servicios de Salud de Nuevo León, Nuevo Leon, Mexico.
  • Lozano Galván RA; Department of Obstetrics, Hospital Regional Materno Infantil del Estado de Nuevo León, Monterrey 67140, Mexico.
  • González Oropeza D; Escuela de Medicina y Ciencias de la Salud Tecnológico de Monterrey, Nuevo León, Mexico.
Obstet Gynecol Int ; 2024: 5520312, 2024.
Article em En | MEDLINE | ID: mdl-38779127
ABSTRACT

Objective:

Validate the full-PIERS model in predicting adverse maternal outcomes in women with early-onset preeclampsia with severe features in our population.

Methods:

Retrospective cohort study. We applied the full-PIERS model on 130 women with severe early-onset preeclampsia who were treated at a second-level hospital in Nuevo León, México. We validated the full-PIERS model in its ability to discriminate through the AUROC.

Results:

The full-PIERS model applied to the data obtained in our study had good discrimination, revealing an AUC of 0.718 (95% CI 0.515-0.921; P = 0.017). A cut-off of 7.95 was identified as the cut-off point with the best diagnostic performance, with the highest Youden index, presenting a sensitivity of 54.5% and specificity of 99.2% for the development of complications.

Conclusion:

The full-PIERS model can predict adverse maternal outcomes in women admitted to our hospital with severe early-onset preeclampsia within 48 hours of admission.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: Mexico Idioma: En Revista: Obstet Gynecol Int Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE País/Região como assunto: Mexico Idioma: En Revista: Obstet Gynecol Int Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Estados Unidos