Utilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsia
La preeclampsia es la primera causa de muerte materna directa en Colombia y la segunda a nivel mundial. El desarrollo de estrategias de predicción y prevención puede disminuir las complicaciones y secuelas ocasionadas por dicha enfermedad. El Doppler de arterias uterinas entre las semanas 11 y 13+6...
- Autores:
-
Otero Rosales, María Camila
Olarte Marín, Cristhian David
Padilla Serpa, Johan Danilo
Morales Duarte, Paula Andrea
Quintero Roa, Eliana Maribel
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2021
- Institución:
- Universidad Autónoma de Bucaramanga - UNAB
- Repositorio:
- Repositorio UNAB
- Idioma:
- spa
- OAI Identifier:
- oai:repository.unab.edu.co:20.500.12749/25926
- Palabra clave:
- Preeclampsia
Ultrasonografía
Ultrasonografía Prenatal
Arteria Uterina
Atención Prenatal
Diagnóstico Prenatal
Retardo del Crecimiento Fetal
Pruebas Prenatales no Invasivas
Medical sciences
Life sciences
Pre-Eclampsia
Ultrasonography
Ultrasonography Prenatal
Uterine Artery
Prenatal Care
Prenatal Diagnosis
Fetal Growth Retardation
Noninvasive Prenatal Testing
Health sciences
Ciências médicas
Ciências da vida
Ciências da saúde
Pré-Eclâmpsia
Ultrassonografia
Ultrassonografia Pré-Natal
Artéria Uterina
Cuidado Pré-Natal
Diagnóstico Pré-Natal
Retardo do Crescimento Fetal
Teste Pré-Natal não Invasivo
Ciencias médicas
Ciencias de la vida
Ciencias de la salud
- Rights
- License
- http://creativecommons.org/licenses/by-nc-nd/2.5/co/
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| dc.title.spa.fl_str_mv |
Utilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsia |
| dc.title.translated.eng.fl_str_mv |
Usefulness of the USG Doppler evaluation of the uterine arteries between weeks 11 and 13+6 and its application in risk calculators to predict preeclampsia |
| dc.title.translated.por.fl_str_mv |
Utilidade da avaliação USG Doppler das artérias uterinas entre as semanas 11 e 13+6 e sua aplicação em calculadoras de risco para prever pré-eclâmpsia |
| title |
Utilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsia |
| spellingShingle |
Utilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsia Preeclampsia Ultrasonografía Ultrasonografía Prenatal Arteria Uterina Atención Prenatal Diagnóstico Prenatal Retardo del Crecimiento Fetal Pruebas Prenatales no Invasivas Medical sciences Life sciences Pre-Eclampsia Ultrasonography Ultrasonography Prenatal Uterine Artery Prenatal Care Prenatal Diagnosis Fetal Growth Retardation Noninvasive Prenatal Testing Health sciences Ciências médicas Ciências da vida Ciências da saúde Pré-Eclâmpsia Ultrassonografia Ultrassonografia Pré-Natal Artéria Uterina Cuidado Pré-Natal Diagnóstico Pré-Natal Retardo do Crescimento Fetal Teste Pré-Natal não Invasivo Ciencias médicas Ciencias de la vida Ciencias de la salud |
| title_short |
Utilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsia |
| title_full |
Utilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsia |
| title_fullStr |
Utilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsia |
| title_full_unstemmed |
Utilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsia |
| title_sort |
Utilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsia |
| dc.creator.fl_str_mv |
Otero Rosales, María Camila Olarte Marín, Cristhian David Padilla Serpa, Johan Danilo Morales Duarte, Paula Andrea Quintero Roa, Eliana Maribel |
| dc.contributor.author.none.fl_str_mv |
Otero Rosales, María Camila Olarte Marín, Cristhian David Padilla Serpa, Johan Danilo Morales Duarte, Paula Andrea Quintero Roa, Eliana Maribel |
| dc.subject.spa.fl_str_mv |
Preeclampsia Ultrasonografía Ultrasonografía Prenatal Arteria Uterina Atención Prenatal Diagnóstico Prenatal Retardo del Crecimiento Fetal Pruebas Prenatales no Invasivas |
| topic |
Preeclampsia Ultrasonografía Ultrasonografía Prenatal Arteria Uterina Atención Prenatal Diagnóstico Prenatal Retardo del Crecimiento Fetal Pruebas Prenatales no Invasivas Medical sciences Life sciences Pre-Eclampsia Ultrasonography Ultrasonography Prenatal Uterine Artery Prenatal Care Prenatal Diagnosis Fetal Growth Retardation Noninvasive Prenatal Testing Health sciences Ciências médicas Ciências da vida Ciências da saúde Pré-Eclâmpsia Ultrassonografia Ultrassonografia Pré-Natal Artéria Uterina Cuidado Pré-Natal Diagnóstico Pré-Natal Retardo do Crescimento Fetal Teste Pré-Natal não Invasivo Ciencias médicas Ciencias de la vida Ciencias de la salud |
| dc.subject.keywords.eng.fl_str_mv |
Medical sciences Life sciences Pre-Eclampsia Ultrasonography Ultrasonography Prenatal Uterine Artery Prenatal Care Prenatal Diagnosis Fetal Growth Retardation Noninvasive Prenatal Testing Health sciences |
| dc.subject.keywords.por.fl_str_mv |
Ciências médicas Ciências da vida Ciências da saúde Pré-Eclâmpsia Ultrassonografia Ultrassonografia Pré-Natal Artéria Uterina Cuidado Pré-Natal Diagnóstico Pré-Natal Retardo do Crescimento Fetal Teste Pré-Natal não Invasivo |
| dc.subject.lemb.spa.fl_str_mv |
Ciencias médicas Ciencias de la vida |
| dc.subject.proposal.spa.fl_str_mv |
Ciencias de la salud |
| description |
La preeclampsia es la primera causa de muerte materna directa en Colombia y la segunda a nivel mundial. El desarrollo de estrategias de predicción y prevención puede disminuir las complicaciones y secuelas ocasionadas por dicha enfermedad. El Doppler de arterias uterinas entre las semanas 11 y 13+6 como prueba independiente o en combinación con factores maternos o pruebas bioquímicas permite tasas de detección de preeclampsia temprana ≥ 90% a partir de la implementación de distintos cribados. La validez de dicha prueba diagnóstica presenta una sensibilidad del 47.8% y especificidad del 92.1% para la detección de preeclampsia temprana; con una sensibilidad del 26.4% y especificidad del 93.4% para predecir preeclampsia en cualquier etapa. División de los temas tratados. En esta revisión de tema se aborda la utilidad de esta medición, se habla de la realización de la técnica en cuestión y, por último, se revisan las herramientas estandarizadas que están disponibles en la actualidad junto con su accesibilidad y precisión. Conclusiones. La evidencia empírica que respalda la validez de las herramientas disponibles hoy en día para el tamizaje de preeclampsia a través de la evaluación por ultrasonografía Doppler de las arterias uterinas es significativa. Al ser Colombia un país que presenta una prevalencia alta de preeclampsia, conocer la utilidad de esta medición favorece una vigilancia temprana y oportuna, lo que disminuye los posibles desenlaces desfavorables para las maternas. |
| publishDate |
2021 |
| dc.date.issued.none.fl_str_mv |
2021-11-12 |
| dc.date.accessioned.none.fl_str_mv |
2024-08-05T19:36:08Z |
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2024-08-05T19:36:08Z |
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Article |
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http://purl.org/coar/resource_type/c_6501 |
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http://purl.org/coar/version/c_970fb48d4fbd8a85 |
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info:eu-repo/semantics/article |
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Artículo |
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http://purl.org/coar/resource_type/c_2df8fbb1 |
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http://purl.org/redcol/resource_type/ART |
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i-ISSN 0123-7047 e-ISSN 2382-4603 |
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http://hdl.handle.net/20.500.12749/25926 |
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instname:Universidad Autónoma de Bucaramanga UNAB |
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https://doi.org/10.29375/01237047.3953 |
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i-ISSN 0123-7047 e-ISSN 2382-4603 instname:Universidad Autónoma de Bucaramanga UNAB reponame:Repositorio Institucional UNAB repourl:https://repository.unab.edu.co |
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http://hdl.handle.net/20.500.12749/25926 https://doi.org/10.29375/01237047.3953 |
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https://revistas.unab.edu.co/index.php/medunab/article/view/3953/3546 |
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https://revistas.unab.edu.co/index.php/medunab/issue/view/277 |
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Lakshmy S, Ziyaulla T, Rose N. The need for implementation of first trimester screening for preeclampsia and fetal growth restriction in low resource settings. J Matern-Fetal Neo M [Internet]. 2020;34(24):4082-9. doi: https://doi.org/10.1080/147 67058.2019.1704246 Instituto Nacional de Salud; Boletín Epidemiológico Semanal [Internet]. Semana Epidemiológica 23.. 2019. Recuperado a partir de: https://www.ins.gov.co/ buscador-eventos/BoletinEpidemiologico/2019%20 Bolet%C3%ADn%20epidemiol%C3%B3gico%20 semana%2023.pdf El-Sayed AAF. Preeclampsia: A review of the pathogenesis and possible management strategies based on its pathophysiological derangements. Taiwan J Obstet Gynecol [Internet]. 2017;56(5):593- 8. doi: https://doi.org/10.1016/j.tjog.2017.08.004 Sotiriadis A, Hernandez-Andrade E, da Silva Costa F, Ghi T, Glanc P, Khalil A, et al. ISUOG Practice Guidelines: Role of ultrasound in screening for and follow-up of pre-eclampsia. Ultrasound Obstet Gynecol. [Internet]. 2019;53(1):7-22. doi: https://doi. org/10.1002/uog.20105 Campbell S, Griffin DR, Pearce JM, Diaz-Recasens J, Cohen-Overbeek TE, Willson K, et al. New doppler technique for assessing uteroplacental blood flow. Lancet [Internet]. 1983;321(8326):675-677. doi: https://doi.org/10.1016/s0140-6736(83)91970-0 Acolet D, Springett A, Golightly S. Perinatal Mortality 2006 [Internet]. Confidential Enquiry into Maternal and Child Health; 2008. Recuperado a partir de: https://www.oaa-anaes.ac.uk/assets/_managed/editor/ File/Reports/2006_Perinatal_mortality.pdf Farré MT, Borrell A, Ravenau W, Azulay M, Cararach V, Fortuny A. Estudio Doppler de las arterias uterinas: predicción de complicaciones perinatales. Prog Obstet Ginecol [Internet]. 2001;44(12):537-43. doi: https:// doi.org/10.1016/S0304-5013(01)75714-7 Papageorghiou A, Yu CKH, Bindra R, Pandis G, Nicolaides KH. Multicenter screening for pre- eclampsia and fetal growth restriction by transvaginal uterine artery Doppler at 23 weeks of gestation. Ultrasound Obstet Gynecol. 2001;18(5):441-9. doi: https://doi.org/10.1046/j.0960-7692.2001.00572.x Martin AM, Bindra R, Curcio P, Cicero S, Nicolaides KH. Screening for pre-eclampsia and fetal growth restriction by uterine artery Doppler at 11-14 weeks of gestation. Ultrasound Obstet Gynecol [Internet]. 2001;18(6):583-6. doi: https://doi.org/10.1046/ j.0960-7692.2001.00594.x Velauthar L, Plana MN, Kalidindi M, Zamora J, Thilaganathan B, Illanes SE, et al. First-trimester uterine artery Doppler and adverse pregnancy outcome: A meta-analysis involving 55974 women. Ultrasound Obstet Gynecol [Internet]. 2014;43(5): 500-7. doi: https://doi.org/10.1002/uog.13275 von Dadelszen P, Payne B, Li J, Ansermino JM, Pipkin F, Côté AM, et al. Prediction of adverse maternal outcomes in pre-eclampsia: development and validation of the fullPIERS model. Lancet [Internet]. 2011;377(9761):219-27. doi: https://doi.org/10.1016/ S0140-6736(10)61351-7 Chaiworapongsa T, Chaemsaithong P, Yeo L, Romero R. Pre-eclampsia part 1: current understanding of its pathophysiology. Nat Rev Nephrol [Internet]. 2014;10:466-80. doi: https://doi.org/10.1038/ nrneph.2014.102 Orabona R, Donzelli C, Falchetti M, Santoro A, Valcamonico A, Frusca T. Placental histological patterns and uterine artery Doppler velocimetry in pregnancies complicated by early or late pre- eclampsia. Ultrasound Obstet Gynecol [Internet]. 2016;47(5):580-5. doi: https://doi.org/10.1002/ uog.15799 Bujold E, Roberge S, Lacasse Y, Bureau M, Audibert F, Marcoux S, et al. Prevention of Preeclampsia and Intrauterine Growth Restriction with Aspirin Started in Early Pregnancy: A Meta-Analysis. Obstet Gynecol [Internet]. 2010;116(2p1):402-14. doi: https://doi. org/10.1097/aog.0b013e3181e9322a Dugoff L, Lynch AM, Cioffi-Ragan D, Hobbins JC, Schultz LK, Malone FD, et al. First trimester uterine artery Doppler abnormalities predict subsequent intrauterine growth restriction. Am J Obstet [Internet]. 2005;193(3):1208-12. doi: https://doi.org/10.1016/j. ajog.2005.06.05 Plasencia W, Barber M, Álvarez E, Segura J, Valle L, Garcia-Hernandez J. Comparative Study of Transabdominal and Transvaginal Uterine Artery Doppler Pulsatility Indices at 11-13 + 6 Weeks. Hypertens Pregnancy. 2011;30(4):414-20. doi: https:// doi.org/10.3109/10641955.2010.506232 Cortés-Yepes H. Doppler de arterias uterinas en el primer trimestre del embarazo para la detección de los trastornos hipertensivos asociados con el embarazo: estudio de cohorte. Bogotá (Colombia) 2007-2008. Rev Colomb Obstet Ginecol. [Internet]. 2009;60(4):328-33. doi: https://doi.org/10.18597/ rcog.315 Khalil A, Nicolaides KH. How to record uterine artery Doppler in the first trimester. Ultrasound Obstet Gynecol [Internet]. 2013;42:478-9. doi: https://doi. org/10.1002/uog.12366 Witlin AG, Saade GR, Mattar F, Sibai BM. Predictors of neonatal outcome in women with severe preeclampsia or eclampsia between 24 and 33 weeks' gestation. Am J Obstet [Internet]. 2000;182(3):607- 11. doi: https://doi.org/10.1067/mob.2000.104224 Demers ME, Dubé S, Bourdages M, Gasse C, Boutin A, Girard M et al. Comparative Study of Abdominal Versus Transvaginal Ultrasound for Uterine Artery Doppler Velocimetry at 11 to 13 Weeks. J Ultrasound Med [Internet]. 2018;37(7):1771-6. doi: https://doi. org/10.1002/jum.14530 Tayyar A, Guerra L, Wright A, Wright D, Nicolaides KH. Uterine artery pulsatility index in the three trimesters of pregnancy: Effects of maternal characteristics and medical history. Ultrasound Obstet Gynecol [Internet]. 2015;45(6):689-97. doi: https:// doi.org/10.1002/uog.14789 Rivas M, González X, Guevara H. Valores de referencia del índice de pulsatilidad de la arteria uterina durante el embarazo. Rev Obstet Ginecol Venez [Internet]. 2016;76(3):225-31. Recuperado a partir de: http://ve.scielo.org/scielo.php?script=sci_ arttext&pid=S0048-77322016000400002&lng=es Ferreira AEGMT, Mauad Filho F, Abreu PSG, Mauad FM, Araujo Júnior E, Martins WP. Reproducibility of first- and second-trimester uterine artery pulsatility index measured by transvaginal and transabdominal ultrasound. Ultrasound Obstet Gynecol [Internet]. 2015;46(5):546-52. doi: https://doi.org/10.1002/ uog.14762 Peixoto A, Rodrigues Da Cunha Caldas T, Tonni G, Almeida Morelli P, Santos L, Martins W, et al. Reference range for uterine artery Doppler pulsatility index using transvaginal ultrasound at 20-24w6d of gestation in a low-risk Brazilian population. J Turk Ger Gynecol Assoc. 2016;17:16-20. doi: https://doi. org/10.5152/jtgga.2016.16192 Gómez O, Martínez JM, Figueras F, Del Río M, Borobio V, Puerto B, et al. Uterine artery Doppler at 11-14 weeks of gestation to screen for hypertensive disorders and associated complications in an unselected population. Ultrasound Obstet Gynecol [Internet]. 2005;26(5):490-4. doi: https://doi. org/10.1002/uog.1976 Poon LC, Shennan A, Hyett JA, Kapur A, Hadar E, Divakar H, et al. The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre-eclampsia: A pragmatic guide for first-trimester screening and prevention. Int J Gynecol Obstet [Internet]. 2019;145(S1):1-33. doi: https://doi. org/10.1002/ijgo.12802 O'Gorman N, Wright D, Syngelaki A, Akolekar R, Wright A, Poon LC, et al. Competing risks model in screening for preeclampsia by maternal factors and biomarkers at 11-13 weeks gestation. Am J Obstet Gynecol [Internet]. 2016;214(1):103.e1-12. doi: https://doi.org/10.1016/j.ajog.2015.08.034 O'Gorman N, Wright D, Poon LC, Rolnik DL, Syngelaki A, Wright A, et al. Accuracy of competing- risks model in screening for pre-eclampsia by maternal factors and biomarkers at 11-13 weeks' gestation. Ultrasound Obstet Gynecol [Internet]. 2017;49(6):751-755. doi: https://doi.org/10.1002/ uog.17399 O'Gorman N, Wright D, Poon L, Rolnik D, Syngelaki A, de Alvarado M, et al. Multicenter screening for pre-eclampsia by maternal factors and biomarkers at 11-13 weeks' gestation: Comparison with NICE guidelines and ACOG recommendations. Ultrasound Obstet Gynecol [Internet]. 2017;49(6):756-60. doi: https://doi.org/10.1002/uog.17455 ACOG. First-Trimester Risk Assessment for Early- Onset Preeclampsia. Committee opinion No. 638. Obstet Gynecol. 2015;126:e25-7. doi: https://doi. org/10.1097/aog.0000000000001049 National Collaborating Centre for Women's and Children's Health (UK). Hypertension in Pregnancy: The Management of Hypertensive Disorders During Pregnancy. London: RCOG Press; 2010 Aug. (NICE Clinical Guidelines, No. 107.) Recuperado a partir de: https://www.ncbi.nlm.nih.gov/books/NBK62652/ Akolekar R, Syngelaki A, Poon L, Wright D, Nicolaides K. Competing Risks Model in Early Screening for Preeclampsia by Biophysical and Biochemical Markers. Fetal Diagn Ther. 2013;33(1):8- 15. doi: https://doi.org/10.1159/000341264 Rolnik DL, Wright D, Poon LCY, Syngelaki A, O'Gorman N, de Paco Matallana C, et al. ASPRE trial: Performance of screening for preterm pre- eclampsia. Ultrasound Obstet Gynecol [Internet]. 2017;50(4):492-5. doi: https://doi.org/10.1002/ uog.18816 Skråstad R, Hov G, Blaas H, Romundstad P, Salvesen K. Risk assessment for preeclampsia in nulliparous women at 11-13 weeks gestational age: Prospective evaluation of two algorithms. BJOG [Internet]. 2015;122(13):1781-8. doi: https://doi. org/10.1111/1471-0528.13194 Lakovschek IC, Ulrich D, Jauk S, Csapo B, Kolovetsiou-Kreiner V, Mayer-Pickel K, et al. Risk assessment for preterm preeclampsia in first trimester: Comparison of three calculation algorithms. Eur J Obstet Gynecol [Internet]. 2018;231:241-7. doi: https://doi.org/10.1016/j.ejogrb.2018.11.006 Duley L. The Global Impact of Pre-eclampsia and Eclampsia. Semin Perinatol [Internet]. 2009;33(3):130-7. doi: https://doi.org/10.1053/j. semperi.2009.02.010 O'Gorman N, Nicolaides K, Poon L. The Use of Ultrasound and other Markers for Early Detection of Preeclampsia. Womens Health. 2016;12(2):199-207. doi: https://doi.org/10.2217/whe.15.95 Wright A, Wright D, Syngelaki A, Georgantis A, Nicolaides KH. Two-stage screening for preterm preeclampsia at 11-13 weeks' gestation. Am J Obstet Gynecol [Internet]. 2019;220(2):197.e1-11. doi: https://doi.org/10.1016/j.ajog.2018.10.092 Tan MY, Syngelaki A, Poon LC, Rolnik DL, O'Gorman N, Delgado JL, et al. Screening for pre- eclampsia by maternal factors and biomarkers at 11-13weeks' gestation. Ultrasound Obstet Gynecol [Internet]. 2018;52(2):186-195. doi: https://doi. org/10.1002/uog.19112 Ridding G, Schluter PJ, Hyett JA, McLennan AC. Uterine Artery Pulsatility Index Assessment at 11-13 Weeks' Gestation. Fetal Diagn Ther [Internet]. 2014;36:299-304. doi: https://doi. org/10.1159/000361021 |
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Otero Rosales, María Camila89c387f4-ba48-4730-80a9-58dfefd7fd7aOlarte Marín, Cristhian David8d7e12f3-df89-4f36-a956-ded4fcfbbc4fPadilla Serpa, Johan Danilo30a2fde9-4e57-4c7c-9499-4dd14b2c1e57Morales Duarte, Paula Andrea75068b53-cc98-41c7-a819-74f277da043fQuintero Roa, Eliana Maribela44abc81-167e-4019-bebe-b6a358a86b7b2024-08-05T19:36:08Z2024-08-05T19:36:08Z2021-11-12i-ISSN 0123-7047e-ISSN 2382-4603http://hdl.handle.net/20.500.12749/25926instname:Universidad Autónoma de Bucaramanga UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.cohttps://doi.org/10.29375/01237047.3953La preeclampsia es la primera causa de muerte materna directa en Colombia y la segunda a nivel mundial. El desarrollo de estrategias de predicción y prevención puede disminuir las complicaciones y secuelas ocasionadas por dicha enfermedad. El Doppler de arterias uterinas entre las semanas 11 y 13+6 como prueba independiente o en combinación con factores maternos o pruebas bioquímicas permite tasas de detección de preeclampsia temprana ≥ 90% a partir de la implementación de distintos cribados. La validez de dicha prueba diagnóstica presenta una sensibilidad del 47.8% y especificidad del 92.1% para la detección de preeclampsia temprana; con una sensibilidad del 26.4% y especificidad del 93.4% para predecir preeclampsia en cualquier etapa. División de los temas tratados. En esta revisión de tema se aborda la utilidad de esta medición, se habla de la realización de la técnica en cuestión y, por último, se revisan las herramientas estandarizadas que están disponibles en la actualidad junto con su accesibilidad y precisión. Conclusiones. La evidencia empírica que respalda la validez de las herramientas disponibles hoy en día para el tamizaje de preeclampsia a través de la evaluación por ultrasonografía Doppler de las arterias uterinas es significativa. Al ser Colombia un país que presenta una prevalencia alta de preeclampsia, conocer la utilidad de esta medición favorece una vigilancia temprana y oportuna, lo que disminuye los posibles desenlaces desfavorables para las maternas.Preeclampsia is the primary cause of direct maternal death in Colombia and the second globally. The development of prediction and prevention strategies can reduce complications and consequences caused by this disease. The uterine arteries Doppler between weeks 11 and 13+6 as an independent test or in combination with maternal factors or biochemical tests allows for early detection rates for preeclampsia of ≥90% from the implementation of different sieving. The validity of this diagnostic test has a sensitivity of 47.8% and specificity of 92.1% for the early detection of preeclampsia; with a sensitivity of 26.4% and specificity of 93.4% to predict preeclampsia at any stage. Division of Covered Topics. This topic review covers the usefulness of this measurement. It discusses the performance of the technique in question and, lastly, the standardized tools currently available are reviewed together with the accessibility and accuracy. Conclusions. The empirical evidence that supports the validity of the tools available today for the screening of preeclampsia via Doppler ultrasound evaluation of the uterine arteries is significant. As Colombia is a country with a high prevalence of preeclampsia, knowing the usefulness of this measurement favors early and timely surveillance, which reduces possible unfavorable outcomes for mothers.A pré-eclâmpsia é a principal causa de morte materna direta na Colômbia e a segunda no mundo. O desenvolvimento de estratégias de predição e prevenção pode reduzir as complicações e sequelas causadas pela doença. O Doppler da artéria uterina entre as semanas 11 e 13+6 como um teste independente ou em combinação com fatores maternos ou testes bioquímicos permite taxas de detecção de pré-eclâmpsia precoce≥90% a partir da implementação de diferentes exames. A validade desse teste diagnóstico tem sensibilidade de 47,8% e especificidade de 92,1% para a detecção de pré-eclâmpsia precoce; com uma sensibilidade de 26,4% e especificidade de 93,4% para prever pré-eclâmpsia em qualquer fase. Divisão dos tópicos abordados. Esta revisão de tópicos aborda a utilidade desta medição, discute a realização da técnica em questão e, por fim, são revisadas as ferramentas padronizadas que estão disponíveis atualmente, juntamente com sua acessibilidade e precisão. Conclusões. A evidência empírica que apoia a validade das ferramentas disponíveis atualmente para rastreamento de pré-eclâmpsia por meio da avaliação de ultrassom Doppler das artérias uterinas é significativa. Como a Colômbia é um país com alta prevalência de pré-eclâmpsia, conhecer a utilidade dessa medição favorece a vigilância precoce e oportuna, o que reduz possíveis resultados desfavoráveis para mulheres maternas.application/pdfspahttps://revistas.unab.edu.co/index.php/medunab/article/view/3953/3546https://revistas.unab.edu.co/index.php/medunab/issue/view/277Lakshmy S, Ziyaulla T, Rose N. The need for implementation of first trimester screening for preeclampsia and fetal growth restriction in low resource settings. J Matern-Fetal Neo M [Internet]. 2020;34(24):4082-9. doi: https://doi.org/10.1080/147 67058.2019.1704246Instituto Nacional de Salud; Boletín Epidemiológico Semanal [Internet]. Semana Epidemiológica 23.. 2019. Recuperado a partir de: https://www.ins.gov.co/ buscador-eventos/BoletinEpidemiologico/2019%20 Bolet%C3%ADn%20epidemiol%C3%B3gico%20 semana%2023.pdfEl-Sayed AAF. Preeclampsia: A review of the pathogenesis and possible management strategies based on its pathophysiological derangements. Taiwan J Obstet Gynecol [Internet]. 2017;56(5):593- 8. doi: https://doi.org/10.1016/j.tjog.2017.08.004Sotiriadis A, Hernandez-Andrade E, da Silva Costa F, Ghi T, Glanc P, Khalil A, et al. ISUOG Practice Guidelines: Role of ultrasound in screening for and follow-up of pre-eclampsia. Ultrasound Obstet Gynecol. [Internet]. 2019;53(1):7-22. doi: https://doi. org/10.1002/uog.20105Campbell S, Griffin DR, Pearce JM, Diaz-Recasens J, Cohen-Overbeek TE, Willson K, et al. New doppler technique for assessing uteroplacental blood flow. Lancet [Internet]. 1983;321(8326):675-677. doi: https://doi.org/10.1016/s0140-6736(83)91970-0Acolet D, Springett A, Golightly S. Perinatal Mortality 2006 [Internet]. Confidential Enquiry into Maternal and Child Health; 2008. Recuperado a partir de: https://www.oaa-anaes.ac.uk/assets/_managed/editor/ File/Reports/2006_Perinatal_mortality.pdfFarré MT, Borrell A, Ravenau W, Azulay M, Cararach V, Fortuny A. Estudio Doppler de las arterias uterinas: predicción de complicaciones perinatales. Prog Obstet Ginecol [Internet]. 2001;44(12):537-43. doi: https:// doi.org/10.1016/S0304-5013(01)75714-7Papageorghiou A, Yu CKH, Bindra R, Pandis G, Nicolaides KH. Multicenter screening for pre- eclampsia and fetal growth restriction by transvaginal uterine artery Doppler at 23 weeks of gestation. Ultrasound Obstet Gynecol. 2001;18(5):441-9. doi: https://doi.org/10.1046/j.0960-7692.2001.00572.xMartin AM, Bindra R, Curcio P, Cicero S, Nicolaides KH. Screening for pre-eclampsia and fetal growth restriction by uterine artery Doppler at 11-14 weeks of gestation. Ultrasound Obstet Gynecol [Internet]. 2001;18(6):583-6. doi: https://doi.org/10.1046/ j.0960-7692.2001.00594.xVelauthar L, Plana MN, Kalidindi M, Zamora J, Thilaganathan B, Illanes SE, et al. First-trimester uterine artery Doppler and adverse pregnancy outcome: A meta-analysis involving 55974 women. Ultrasound Obstet Gynecol [Internet]. 2014;43(5): 500-7. doi: https://doi.org/10.1002/uog.13275von Dadelszen P, Payne B, Li J, Ansermino JM, Pipkin F, Côté AM, et al. Prediction of adverse maternal outcomes in pre-eclampsia: development and validation of the fullPIERS model. Lancet [Internet]. 2011;377(9761):219-27. doi: https://doi.org/10.1016/ S0140-6736(10)61351-7Chaiworapongsa T, Chaemsaithong P, Yeo L, Romero R. Pre-eclampsia part 1: current understanding of its pathophysiology. Nat Rev Nephrol [Internet]. 2014;10:466-80. doi: https://doi.org/10.1038/ nrneph.2014.102Orabona R, Donzelli C, Falchetti M, Santoro A, Valcamonico A, Frusca T. Placental histological patterns and uterine artery Doppler velocimetry in pregnancies complicated by early or late pre- eclampsia. Ultrasound Obstet Gynecol [Internet]. 2016;47(5):580-5. doi: https://doi.org/10.1002/ uog.15799Bujold E, Roberge S, Lacasse Y, Bureau M, Audibert F, Marcoux S, et al. Prevention of Preeclampsia and Intrauterine Growth Restriction with Aspirin Started in Early Pregnancy: A Meta-Analysis. Obstet Gynecol [Internet]. 2010;116(2p1):402-14. doi: https://doi. org/10.1097/aog.0b013e3181e9322aDugoff L, Lynch AM, Cioffi-Ragan D, Hobbins JC, Schultz LK, Malone FD, et al. First trimester uterine artery Doppler abnormalities predict subsequent intrauterine growth restriction. Am J Obstet [Internet]. 2005;193(3):1208-12. doi: https://doi.org/10.1016/j. ajog.2005.06.05Plasencia W, Barber M, Álvarez E, Segura J, Valle L, Garcia-Hernandez J. Comparative Study of Transabdominal and Transvaginal Uterine Artery Doppler Pulsatility Indices at 11-13 + 6 Weeks. Hypertens Pregnancy. 2011;30(4):414-20. doi: https:// doi.org/10.3109/10641955.2010.506232Cortés-Yepes H. Doppler de arterias uterinas en el primer trimestre del embarazo para la detección de los trastornos hipertensivos asociados con el embarazo: estudio de cohorte. Bogotá (Colombia) 2007-2008. Rev Colomb Obstet Ginecol. [Internet]. 2009;60(4):328-33. doi: https://doi.org/10.18597/ rcog.315Khalil A, Nicolaides KH. How to record uterine artery Doppler in the first trimester. Ultrasound Obstet Gynecol [Internet]. 2013;42:478-9. doi: https://doi. org/10.1002/uog.12366Witlin AG, Saade GR, Mattar F, Sibai BM. Predictors of neonatal outcome in women with severe preeclampsia or eclampsia between 24 and 33 weeks' gestation. Am J Obstet [Internet]. 2000;182(3):607- 11. doi: https://doi.org/10.1067/mob.2000.104224Demers ME, Dubé S, Bourdages M, Gasse C, Boutin A, Girard M et al. Comparative Study of Abdominal Versus Transvaginal Ultrasound for Uterine Artery Doppler Velocimetry at 11 to 13 Weeks. J Ultrasound Med [Internet]. 2018;37(7):1771-6. doi: https://doi. org/10.1002/jum.14530Tayyar A, Guerra L, Wright A, Wright D, Nicolaides KH. Uterine artery pulsatility index in the three trimesters of pregnancy: Effects of maternal characteristics and medical history. Ultrasound Obstet Gynecol [Internet]. 2015;45(6):689-97. doi: https:// doi.org/10.1002/uog.14789Rivas M, González X, Guevara H. Valores de referencia del índice de pulsatilidad de la arteria uterina durante el embarazo. Rev Obstet Ginecol Venez [Internet]. 2016;76(3):225-31. Recuperado a partir de: http://ve.scielo.org/scielo.php?script=sci_ arttext&pid=S0048-77322016000400002&lng=esFerreira AEGMT, Mauad Filho F, Abreu PSG, Mauad FM, Araujo Júnior E, Martins WP. Reproducibility of first- and second-trimester uterine artery pulsatility index measured by transvaginal and transabdominal ultrasound. Ultrasound Obstet Gynecol [Internet]. 2015;46(5):546-52. doi: https://doi.org/10.1002/ uog.14762Peixoto A, Rodrigues Da Cunha Caldas T, Tonni G, Almeida Morelli P, Santos L, Martins W, et al. Reference range for uterine artery Doppler pulsatility index using transvaginal ultrasound at 20-24w6d of gestation in a low-risk Brazilian population. J Turk Ger Gynecol Assoc. 2016;17:16-20. doi: https://doi. org/10.5152/jtgga.2016.16192Gómez O, Martínez JM, Figueras F, Del Río M, Borobio V, Puerto B, et al. Uterine artery Doppler at 11-14 weeks of gestation to screen for hypertensive disorders and associated complications in an unselected population. Ultrasound Obstet Gynecol [Internet]. 2005;26(5):490-4. doi: https://doi. org/10.1002/uog.1976Poon LC, Shennan A, Hyett JA, Kapur A, Hadar E, Divakar H, et al. The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre-eclampsia: A pragmatic guide for first-trimester screening and prevention. Int J Gynecol Obstet [Internet]. 2019;145(S1):1-33. doi: https://doi. org/10.1002/ijgo.12802O'Gorman N, Wright D, Syngelaki A, Akolekar R, Wright A, Poon LC, et al. Competing risks model in screening for preeclampsia by maternal factors and biomarkers at 11-13 weeks gestation. Am J Obstet Gynecol [Internet]. 2016;214(1):103.e1-12. doi: https://doi.org/10.1016/j.ajog.2015.08.034O'Gorman N, Wright D, Poon LC, Rolnik DL, Syngelaki A, Wright A, et al. Accuracy of competing- risks model in screening for pre-eclampsia by maternal factors and biomarkers at 11-13 weeks' gestation. Ultrasound Obstet Gynecol [Internet]. 2017;49(6):751-755. doi: https://doi.org/10.1002/ uog.17399O'Gorman N, Wright D, Poon L, Rolnik D, Syngelaki A, de Alvarado M, et al. Multicenter screening for pre-eclampsia by maternal factors and biomarkers at 11-13 weeks' gestation: Comparison with NICE guidelines and ACOG recommendations. Ultrasound Obstet Gynecol [Internet]. 2017;49(6):756-60. doi: https://doi.org/10.1002/uog.17455ACOG. First-Trimester Risk Assessment for Early- Onset Preeclampsia. Committee opinion No. 638. Obstet Gynecol. 2015;126:e25-7. doi: https://doi. org/10.1097/aog.0000000000001049National Collaborating Centre for Women's and Children's Health (UK). Hypertension in Pregnancy: The Management of Hypertensive Disorders During Pregnancy. London: RCOG Press; 2010 Aug. (NICE Clinical Guidelines, No. 107.) Recuperado a partir de: https://www.ncbi.nlm.nih.gov/books/NBK62652/Akolekar R, Syngelaki A, Poon L, Wright D, Nicolaides K. Competing Risks Model in Early Screening for Preeclampsia by Biophysical and Biochemical Markers. Fetal Diagn Ther. 2013;33(1):8- 15. doi: https://doi.org/10.1159/000341264Rolnik DL, Wright D, Poon LCY, Syngelaki A, O'Gorman N, de Paco Matallana C, et al. ASPRE trial: Performance of screening for preterm pre- eclampsia. Ultrasound Obstet Gynecol [Internet]. 2017;50(4):492-5. doi: https://doi.org/10.1002/ uog.18816Skråstad R, Hov G, Blaas H, Romundstad P, Salvesen K. Risk assessment for preeclampsia in nulliparous women at 11-13 weeks gestational age: Prospective evaluation of two algorithms. BJOG [Internet]. 2015;122(13):1781-8. doi: https://doi. org/10.1111/1471-0528.13194Lakovschek IC, Ulrich D, Jauk S, Csapo B, Kolovetsiou-Kreiner V, Mayer-Pickel K, et al. Risk assessment for preterm preeclampsia in first trimester: Comparison of three calculation algorithms. Eur J Obstet Gynecol [Internet]. 2018;231:241-7. doi: https://doi.org/10.1016/j.ejogrb.2018.11.006Duley L. The Global Impact of Pre-eclampsia and Eclampsia. Semin Perinatol [Internet]. 2009;33(3):130-7. doi: https://doi.org/10.1053/j. semperi.2009.02.010O'Gorman N, Nicolaides K, Poon L. The Use of Ultrasound and other Markers for Early Detection of Preeclampsia. Womens Health. 2016;12(2):199-207. doi: https://doi.org/10.2217/whe.15.95Wright A, Wright D, Syngelaki A, Georgantis A, Nicolaides KH. Two-stage screening for preterm preeclampsia at 11-13 weeks' gestation. Am J Obstet Gynecol [Internet]. 2019;220(2):197.e1-11. doi: https://doi.org/10.1016/j.ajog.2018.10.092Tan MY, Syngelaki A, Poon LC, Rolnik DL, O'Gorman N, Delgado JL, et al. Screening for pre- eclampsia by maternal factors and biomarkers at 11-13weeks' gestation. Ultrasound Obstet Gynecol [Internet]. 2018;52(2):186-195. doi: https://doi. org/10.1002/uog.19112Ridding G, Schluter PJ, Hyett JA, McLennan AC. Uterine Artery Pulsatility Index Assessment at 11-13 Weeks' Gestation. Fetal Diagn Ther [Internet]. 2014;36:299-304. doi: https://doi. org/10.1159/000361021http://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Vol. 24 Núm. 3 (2021): diciembre 2021 - marzo 2022: COVID-19, Embolia y Trombosis, Neoplasias; 375-383PreeclampsiaUltrasonografíaUltrasonografía PrenatalArteria UterinaAtención PrenatalDiagnóstico PrenatalRetardo del Crecimiento FetalPruebas Prenatales no InvasivasMedical sciencesLife sciencesPre-EclampsiaUltrasonographyUltrasonography PrenatalUterine ArteryPrenatal CarePrenatal DiagnosisFetal Growth RetardationNoninvasive Prenatal TestingHealth sciencesCiências médicasCiências da vidaCiências da saúdePré-EclâmpsiaUltrassonografiaUltrassonografia Pré-NatalArtéria UterinaCuidado Pré-NatalDiagnóstico Pré-NatalRetardo do Crescimento FetalTeste Pré-Natal não InvasivoCiencias médicasCiencias de la vidaCiencias de la saludUtilidad de la evaluación USG Doppler de las arterias uterinas entre las semanas 11 y 13+6 y su aplicación en las calculadoras de riesgo para predecir preeclampsiaUsefulness of the USG Doppler evaluation of the uterine arteries between weeks 11 and 13+6 and its application in risk calculators to predict preeclampsiaUtilidade da avaliação USG Doppler das artérias uterinas entre as semanas 11 e 13+6 e sua aplicação em calculadoras de risco para prever pré-eclâmpsiaArticleinfo:eu-repo/semantics/articleArtículohttp://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/resource_type/c_6501http://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85Universidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludORIGINALArtículo.pdfArtículo.pdfArtículoapplication/pdf483272https://repository.unab.edu.co/bitstream/20.500.12749/25926/1/Art%c3%adculo.pdf99e08d7fe3a1039e208f4a907287a4c3MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8183https://repository.unab.edu.co/bitstream/20.500.12749/25926/2/license.txt737346e09d47a3db691f1370de49426aMD52open accessTHUMBNAILArtículo.pdf.jpgArtículo.pdf.jpgIM Thumbnailimage/jpeg11770https://repository.unab.edu.co/bitstream/20.500.12749/25926/3/Art%c3%adculo.pdf.jpgeda1ed202abb736d0c54f5dec10eb714MD53open access20.500.12749/25926oai:repository.unab.edu.co:20.500.12749/259262024-08-05 22:00:47.889open accessRepositorio Institucional | Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.coTGFzIHB1YmxpY2FjaW9uZXMgZGUgbGEgcmV2aXN0YSBNZWRVTkFCIGVzdMOhbiBiYWpvIHVuYSBMaWNlbmNpYSBkZSBBdHJpYnVjacOzbiBkZSBCaWVuZXMgQ29tdW5lcyBDcmVhdGl2b3MgKENyZWF0aXZlIENvbW1vbnMsIENDKSB0aXBvIDQuMCwgY29uIGRlcmVjaG9zIGRlIGF0cmlidWNpw7NuIHkgbm8gY29tZXJjaWFs |