Blood Pressure Changes in Adolescents with Preeclampsia: A Multicentre, Case-Control Study in Latin American Hospitals

• DOI: 10.1016/j.jogc.2020.06.024
• Publication Date: 2020-07-18T06:11:48Z
• Authors: Paulino Vigil-De ...; Sandra Ximena Ola...; Carlos Mata Herná...; Santiago Cabrera; Osvaldo Reyes-Tejada; Patricia Asturiza...; Jorge Collantes-C...; Jorge Cerrato-Fer...
• Keywords: pregnancy in adolescence; systolic blood pressure; pre-eclampsia; Adolescent; diastolic blood pressure; Blood Pressure; Blood Pressure Monitoring, Ambulatory; Sensitivity and Specificity; Hospitals; eclampsia; 3. Good health; Young Adult; 03 medical and health sciences; Latin America; 0302 clinical medicine; Pre-Eclampsia; Predictive Value of Tests; Pregnancy; Case-Control Studies; Hypertension; Pregnancy in Adolescence; Humans; Female

ObjectiveTo determine the minimum blood pressure increases that would confirm or exclude, with greatest predictive values, hypertensive disorders of pregnancy (HDP) in pregnant adolescents after 24 weeks gestation.MethodsWe conducted a case-control study women aged ≤19 years and without HDP. Using systolic diastolic increases, analysis was performed, area under curve calculated.ResultsThe cases controls had 45.3 ± 17.5 mm Hg 6.4 7.9 Hg, respectively (P = 0.001) 30.8 11.7 3.5 5.7 0.001). Systolic ≥20 showed sensitivity specificity. A combined an increase greater positive likelihood ratio 35.4 (95% CI 22.4–55.9) negative 0.10 0.07–0.13), 0.98 0.96–0.99).ConclusionsSystolic must be considered diagnostic criteria for preeclampsia gestational hypertension among past gestation.