A5030112451- Maternal and fetal healthcare
- Global Maternal and Child Health
- Pregnancy and preeclampsia studies
- Respiratory Support and Mechanisms
- Neonatal Respiratory Health Research
- Cardiac, Anesthesia and Surgical Outcomes
- Maternal and Perinatal Health Interventions
- Cardiovascular Issues in Pregnancy
- Birth, Development, and Health
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Family and Patient Care in Intensive Care Units
- Trauma and Emergency Care Studies
- COVID-19 Clinical Research Studies
- COVID-19 Impact on Reproduction
- Hemodynamic Monitoring and Therapy
- Complement system in diseases
- Pregnancy-related medical research
- Maternal and Neonatal Healthcare
- SARS-CoV-2 and COVID-19 Research
- COVID-19 and healthcare impacts
- Trauma Management and Diagnosis
- Venous Thromboembolism Diagnosis and Management
- Renal function and acid-base balance
University of Cartagena
2016-2025
Corporación Universitaria Rafael Nuñez
2015-2025
Universidad Simón Bolívar
2021
Université de Montréal
2020
Fundacion Favaloro Hospital Universitario
2019
Sociedad Española de Cuidados Intensivos Pediátricos
2016
Sociedad Colombiana de Anestesiología y Reanimación
2015
Federación Colombiana de Obstetricia y Ginecología
2015
Oregon Health & Science University
2013
Instituto Nacional de Salud
2013
This study aimed to describe the clinical characteristics of maternal deaths associated with COVID-19 registered in a collaborative Latin-American multi-country database.This was an observational implemented from March 1st 2020 November 29th 2021 eight Latin American countries. Information based on Perinatal System Center for Perinatology, Women and Reproductive Health. We summarized categorical variables as frequencies percentages continuous into median interquartile ranges.We identified...
In February 2021, Colombia began mass vaccination against COVID-19 using mainly BNT162b2 and CoronaVac vaccines. We aimed to estimate vaccine effectiveness (VE) prevent symptomatic cases, hospitalization, critical care admission, deaths in a cohort of 796,072 insured subjects older than 40 years northern Colombia, setting with high SARS-CoV-2 transmission. identified individuals vaccinated between March 1st 2021 August 15th 2021. included hospitalizations, admissions, patients confirmed as...
Objective This report details the complexities of diagnosing and treating rapid-onset multisystemic hemophagocytic lymphohistiocytosis (HLH) during pregnancy, as evidenced by a fatal case in early pregnancy with severe hematological obstetric complications. Case presentation A 20-year-old pregnant woman her second presented at 8 weeks gestation abdominal pain, fever, rectal bleeding. Laboratory tests revealed leukopenia, thrombocytopenia, anemia, leading to immediate transfusion intensive...
The purpose of this research was to evaluate the discrimination and calibration mortality prediction Simplified Acute Physiology Score 2, 3, Mortality Probability Model II, III in peripartum women.A retrospective cohort study.Rafael Calvo Maternity Hospital, a large teaching hospital Cartagena (Colombia).All obstetric patients admitted ICU from 2006 2011.None.Seven hundred twenty-six critical care were included. All scores showed good (area under receiver operator characteristic curve >...
Acute Physiology and Chronic Health Evaluation II (APACHE II) score has shown low prognostic ability to predict death in the obstetric population. The objective of this study was evaluate whether an updated form APACHE would perform better predicting mortality critically ill patients. A retrospective cohort pregnant postpartum women (up 42 days after delivery) who were admitted intensive care unit (ICU) carried out at ICU Rafael Calvo Maternity Hospital, a large hospital Colombia. Data...
AbstractAbstractA one-day point prevalence study to investigate the patterns of antibiotic use was undertaken in 43 Latin American (LA) intensive care units. Of 510 patients admitted, 231 received treatment on day (45%); 125 cases (54%) due nosocomial-acquired infections. The most frequent infection reported noso-comial pneumonia (43%). Only 122 (53%) were cultures performed before starting treatment. 33% isolated microorganisms Enterobacteriaceae (40% extended-spectrum...
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 eclampsia (HEEH). Result: A total of 217 cases admitted. The admitting diagnoses pre-eclampsia without (39.2%), (33.6%), (20.3%) Eclampsia or HEEH (6.9%). Groups similar respect parity (p = 0.25), gestational age 0.11),...
Maternal mortality is an important indicator of health in populations around the world. The distribution maternal ratio globally shows that middle- and low-income countries have ∼99% burden. Most Latin America are considered to be or countries, as well areas major inequities among different social classes. Medical problems pregnancy remain cause morbidity this region. Previous data indicate need for a call action adequate diagnosis care medical diseases obstetric care. impact nonobstetric...
Globally, the nature of maternal mortality and morbidity is shifting from direct obstetric causes to an increasing proportion indirect due chronic conditions ageing population. Obstetric medicine can address important gap in care women by broadening its scope include colleagues, communities countries that do not yet have established training, education resources. We present concept global highlighting three low- middle-income country experiences as well example successful collaboration. The...
Despite notable advancements in minimizing maternal mortality during recent decades, a pronounced disparity persists between high-income nations and low-to middle-income countries (LMICs), particularly intensive high-care for pregnant postpartum individuals. This divergence is multifactorial influenced by factors such as the availability accessibility of community-based maternity healthcare services, quality preventive care, timeliness accessing hospital or critical resource availability,...
Research benefits from the incorporation of patient-important outcomes. We interviewed individuals after a critical illness during pregnancy to identify outcomes for development core outcome set (COS).
To analyze the costs of high thromboembolic risk patients who require low molecular weight heparins (LMWHs) as a thromboprophylaxis strategy.
Tigecycline is the first of a new class antibiotics named glycylcyclines and it was approved for treatment complicated intra-abdominal infections skin structure community-acquired bacterial pneumonia. Notwithstanding this, tigecycline's pharmacological microbiological profile encourage physicians' use drug in other infections. The aim this study to characterize indications type, pathogens, outcomes patients who were treated with tigecycline. We analyzed tigecycline prescriptions 209 23 Latin...
Abstract Aims: The 2009 H1N1 pandemic illustrated the higher morbidity and mortality from viral infections in peripartum women. We describe clinical features of women who recently died Colombia. Methods: This is a case series study that was gathered through retrospective record review all maternal deaths country. national database confirmed pregnancy up to 42 days after delivery reviewed during season 2009. Women with were by laboratory virology. Demographic, clinical, data reviewed....
<span>Cada una de las decisiones alrededor pacientes obstétricas críticas requiere un equipo multidisciplinario especialistas en cuidado crítico adultos y medicina materno-fetal para el difícil entendimiento manejo la historia natural enfermedades sus complicaciones durante gestación, parto puerperio. No existen guías detalladas Colombia que describan los planes acción frente a paciente embarazada condiciones críticas; ahí importancia consenso permita establecer nivel requerido por...