Characterization of severe preeclampsia in intensive care

Authors

  • Dianelys Breijo Crespo Especialista de 1er Grado en Medicina Intensiva y Emergencias.
  • Liutmila Martínez-Quintana Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río, Cuba. https://orcid.org/0009-0009-0937-1530
  • Alexanders García-Balmaseda Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río, Cuba. https://orcid.org/0009-0002-3544-8107
  • Yamilka Miranda-Pérez Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río, Cuba. https://orcid.org/0009-0003-5991-3891
  • Amanda de la Caridad Arencibia-Piloto Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río, Cuba. https://orcid.org/0009-0004-9473-5135
  • Sergio Pardo-Gonzáles Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente “Abel Santamaría Cuadrado”. Pinar del Río, Cuba. https://orcid.org/0009-0005-1443-5800

Keywords:

DeCS: MOBILE APP; PRIMARY HEALTH CARE; HEALTH EDUCATION; ICTUS; MHEALTH

Abstract

Introduction: severe preeclampsia represents one of the leading causes of maternal morbidity and mortality worldwide.

Objective: to characterize severe preeclampsia in the intensive care unit.

Methods: a descriptive, observational, retrospective longitudinal study was conducted in patients with severe preeclampsia admitted to the intensive care unit of Abel Santamaría Cuadrado Hospital between January 2020 and March 2024. A simple random probabilistic sample of 112 patients who met the selection criteria was chosen. Documentary review of medical records provided the information analyzed.

Results: the mean age was 27,5 ± 6,5 years, with white skin color predominating in 58,03 %. Severe preeclampsia was more frequent in nulliparous women (65,18 %) and during the puerperium (38,40 %).   Average hospital stay was 5,8 ± 3,6  days, with a mortality rate of 3,57 %. The most frequent cause of admission was elevated blood pressure (44,64 %), followed by renal dysfunction (14,29 %). The hypodynamic phenotype was observed in early-onset cases, while the hyperdynamic phenotype appeared in late-onset cases and during the puerperium. The most frequent complication was eclampsia (30,36 %), followed by acute renal failure (23,21 %) and hemorrhage (17,86 %). Better blood pressure control was achieved using both oral and parenteral routes in 55,36 %.

Conclusions: characterization of severe preeclampsia in intensive care allowed optimization of multidisciplinary management, aiming to improve maternal-fetal outcomes.

 

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Published

2025-12-10

How to Cite

1.
Breijo Crespo D, Martínez-Quintana L, García-Balmaseda A, Miranda-Pérez Y, Arencibia-Piloto A de la C, Pardo-Gonzáles S. Characterization of severe preeclampsia in intensive care. Rev Ciencias Médicas [Internet]. 2025 Dec. 10 [cited 2026 Feb. 16];29(1):e6935. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/6935

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Vol. 29 No. 1 (2025): Publicación Continua

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ORIGINAL ARTICLES

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Copyright (c) 2025 Dianelys Breijo Crespo, Liutmila Martínez-Quintana, Alexanders García-Balmaseda, Yamilka Miranda-Pérez, Amanda de la Caridad Arencibia-Piloto, Sergio Pardo-Gonzáles

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