Cribado con doppler de las arterias uterinas para la predicción de complicaciones de la gestación
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"documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Clin Invest Ginecol Obstet. 2003;30:177" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 9251 "formatos" => array:3 [ "EPUB" => 26 "HTML" => 7998 "PDF" => 1227 ] ] "es" => array:6 [ "idiomaDefecto" => true "titulo" => "Editorial" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "177" ] ] "contienePdf" => array:1 [ "es" => true ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210573X03772542?idApp=UINPBA00004N" "url" => "/0210573X/0000003000000006/v1_201307111216/S0210573X03772542/v1_201307111216/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Cribado con doppler de las arterias uterinas para la predicción de complicaciones de la gestación" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "178" "paginaFinal" => "184" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Arenas, J. Fernández-iñarea, C. Rodríguez-mon, B. Duplá, E. Díez, A. González-garcía" "autores" => array:6 [ 0 => array:3 [ "nombre" => "J." "apellidos" => "Arenas" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "J." "apellidos" => "Fernández-iñarea" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "C." "apellidos" => "Rodríguez-mon" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "B." "apellidos" => "Duplá" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "E." "apellidos" => "Díez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "A." "apellidos" => "González-garcía" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Servicio de Obstetricia y Ginecología. Hospital de Cabueñes. Gijón. Asturias. España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2003-05-20" "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Summary" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The role of uterine artery Doppler in the prediction of pre-eclampsia and uterine growth retardation has been known since the middle of the 1980s, but as yet it does not have a definitive place in obstetric practice.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">With the aim of assessing its value as a screening. test for these pathologies a prospective study of 319 pregnancies in an unselected population in the 20th week of pregnancy was made. The parameter of the impedance to flow was the mean resistance index for the two uterine arteries with different cut-off levels.The prevalence of pre-eclampsia was 3.44%, growth retardation 8.15%, and of premature birth 6.89%.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">For a resistance index ≥ 0.59 (P-75) the following results are obtained:</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">1</span>. Prediction of pre-eclampsia: sensitivity, 72.7%; specifity, 73.7%; predictive value of positive tests, 8.98%; predictive value of negative tests, 98.6%; odds ratio, 7.47 (1.74-36.51).</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">2</span>. Prediction of foetal growth retardation: sensitivity, 46.15%; specificity, 73.72%; predictive value of positive tests, 13.48%; predictive value of negative tests, 93.1%; odds ratio, 2.40 (1.31-8.97).</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">3</span>. Prediction of premature birth: sensitivity, 54.54%; specificity, 74.07%; predictive value of positive tests, 13.48%; predictive value of negative test, 95.65%; odds ratio, 3.42 (1.31-8.97).</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Its routine use as a screening test is proposed, makinguse of the routine ultrasound scan at 20 weeks.</p>" ] "en" => array:2 [ "titulo" => "Resumen" "resumen" => "<p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">El papel del Doppler de las arterias uterinas en la predicción de preeclampsia y crecimiento intrauterino restringido se conoce desde mediados de la década de 1980, pero aún no ha encontrado un lugar definitivo en la práctica obstétrica.</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Con el propósito de evaluar su utilidad como prueba de cribado para estas patologías, se realizó un estudio prospectivo en una población no seleccionada de 319 gestantes en la semana 20. El parámetro de medida de la impedancia al flujo fue el índice de resistencia medio para las dos arterias uterinas utilizando diferentes niveles de corte. La prevalencia de preeclampsia fue del 3,44%, la de crecimiento intrauterino restringido del 8,15% y la de parto pretérmino del 6,89%.</p><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">Para un índice de resistencia ≥ 0,59 (percentil 75) se obtienen los siguientes resultados:</p><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">1</span>. Predicción de preeclampsia: sensibilidad del 72,7%; especificidad del 73,7%; valor predictivo positivo (VPP) del 8,98%; valor predictivo negativo (VPN) del 98,6%, y <span class="elsevierStyleItalic">odds ratio</span> (OR) de 7,47 (intervalo de confianza [IC], 1,74-36,51).</p><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">2</span>. Predicción de CIR: sensibilidad del 46,15%; especificidad del 73,72%; VPPdel 13,48%; VPN del 93,1%, y OR de 2,40 (IC del 95%, 0,99-5,81).</p><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">3</span>. Predicción de parto pretérmino: sensibilidad del 54,54%; especificidad del 74,07%; VPP del 13,48%; VPN del 95,65%, y OR de 3,42 (IC de 95%, 1,31-8,97).</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">Se propone su uso habitual como prueba de cribado aprovechando la ecografía ordinaria protocolizada de la semana 20.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:34 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 3 | 2 | 5 |
| 2024 Octubre | 8 | 13 | 21 |
| 2024 Septiembre | 6 | 7 | 13 |
| 2024 Agosto | 5 | 8 | 13 |
| 2024 Julio | 10 | 11 | 21 |
| 2024 Junio | 15 | 23 | 38 |
| 2024 Mayo | 10 | 16 | 26 |
| 2024 Abril | 10 | 13 | 23 |
| 2024 Marzo | 14 | 34 | 48 |
| 2024 Febrero | 15 | 21 | 36 |
| 2024 Enero | 11 | 31 | 42 |
| 2023 Diciembre | 18 | 23 | 41 |
| 2023 Noviembre | 15 | 39 | 54 |
| 2023 Octubre | 41 | 42 | 83 |
| 2023 Septiembre | 19 | 19 | 38 |
| 2023 Agosto | 5 | 25 | 30 |
| 2023 Julio | 7 | 14 | 21 |
| 2023 Junio | 10 | 4 | 14 |
| 2023 Mayo | 10 | 4 | 14 |
| 2023 Abril | 10 | 8 | 18 |
| 2023 Marzo | 8 | 5 | 13 |
| 2023 Febrero | 10 | 2 | 12 |
| 2023 Enero | 14 | 3 | 17 |
| 2022 Diciembre | 13 | 5 | 18 |
| 2022 Noviembre | 22 | 15 | 37 |
| 2022 Octubre | 18 | 17 | 35 |
| 2022 Septiembre | 22 | 18 | 40 |
| 2022 Agosto | 25 | 20 | 45 |
| 2022 Julio | 15 | 12 | 27 |
| 2022 Junio | 9 | 7 | 16 |
| 2022 Mayo | 14 | 9 | 23 |
| 2022 Abril | 30 | 18 | 48 |
| 2022 Marzo | 37 | 10 | 47 |
| 2022 Febrero | 32 | 5 | 37 |
| 2022 Enero | 35 | 16 | 51 |
| 2021 Diciembre | 22 | 22 | 44 |
| 2021 Noviembre | 35 | 14 | 49 |
| 2021 Octubre | 72 | 20 | 92 |
| 2021 Septiembre | 39 | 15 | 54 |
| 2021 Agosto | 21 | 12 | 33 |
| 2021 Julio | 30 | 15 | 45 |
| 2021 Junio | 24 | 18 | 42 |
| 2021 Mayo | 20 | 17 | 37 |
| 2021 Abril | 56 | 21 | 77 |
| 2021 Marzo | 33 | 12 | 45 |
| 2021 Febrero | 25 | 12 | 37 |
| 2021 Enero | 27 | 15 | 42 |
| 2020 Diciembre | 19 | 10 | 29 |
| 2020 Noviembre | 66 | 40 | 106 |
| 2020 Octubre | 66 | 12 | 78 |
| 2020 Septiembre | 75 | 7 | 82 |
| 2020 Agosto | 18 | 11 | 29 |
| 2020 Julio | 20 | 8 | 28 |
| 2020 Junio | 11 | 12 | 23 |
| 2020 Mayo | 30 | 10 | 40 |
| 2020 Abril | 24 | 5 | 29 |
| 2020 Marzo | 29 | 17 | 46 |
| 2020 Febrero | 28 | 11 | 39 |
| 2020 Enero | 19 | 55 | 74 |
| 2019 Diciembre | 64 | 46 | 110 |
| 2019 Noviembre | 24 | 28 | 52 |
| 2019 Octubre | 26 | 30 | 56 |
| 2019 Septiembre | 26 | 47 | 73 |
| 2019 Agosto | 15 | 29 | 44 |
| 2019 Julio | 29 | 38 | 67 |
| 2019 Junio | 45 | 41 | 86 |
| 2019 Mayo | 138 | 131 | 269 |
| 2019 Abril | 66 | 89 | 155 |
| 2019 Marzo | 17 | 34 | 51 |
| 2019 Febrero | 13 | 35 | 48 |
| 2019 Enero | 16 | 21 | 37 |
| 2018 Diciembre | 6 | 20 | 26 |
| 2018 Noviembre | 15 | 38 | 53 |
| 2018 Octubre | 10 | 13 | 23 |
| 2018 Septiembre | 16 | 49 | 65 |
| 2018 Agosto | 18 | 90 | 108 |
| 2018 Julio | 10 | 51 | 61 |
| 2018 Junio | 11 | 63 | 74 |
| 2018 Mayo | 22 | 40 | 62 |
| 2018 Abril | 10 | 31 | 41 |
| 2018 Marzo | 10 | 16 | 26 |
| 2018 Febrero | 12 | 11 | 23 |
| 2018 Enero | 5 | 11 | 16 |
| 2017 Diciembre | 8 | 13 | 21 |
| 2017 Noviembre | 10 | 16 | 26 |
| 2017 Octubre | 14 | 7 | 21 |
| 2017 Septiembre | 17 | 12 | 29 |
| 2017 Agosto | 11 | 6 | 17 |
| 2017 Julio | 12 | 16 | 28 |
| 2017 Junio | 10 | 16 | 26 |
| 2017 Mayo | 21 | 9 | 30 |
| 2017 Abril | 9 | 19 | 28 |
| 2017 Marzo | 10 | 17 | 27 |
| 2017 Febrero | 18 | 6 | 24 |
| 2017 Enero | 14 | 4 | 18 |
| 2016 Diciembre | 22 | 6 | 28 |
| 2016 Noviembre | 81 | 2 | 83 |
| 2016 Octubre | 43 | 5 | 48 |
| 2016 Septiembre | 36 | 13 | 49 |
| 2016 Agosto | 13 | 13 | 26 |
| 2016 Julio | 27 | 1 | 28 |
| 2016 Junio | 34 | 4 | 38 |
| 2016 Mayo | 44 | 10 | 54 |
| 2016 Abril | 35 | 7 | 42 |
| 2016 Marzo | 44 | 4 | 48 |
| 2016 Febrero | 50 | 7 | 57 |
| 2016 Enero | 30 | 14 | 44 |
| 2015 Diciembre | 39 | 7 | 46 |
| 2015 Noviembre | 39 | 2 | 41 |
| 2015 Octubre | 51 | 4 | 55 |
| 2015 Septiembre | 57 | 4 | 61 |
| 2015 Agosto | 54 | 10 | 64 |
| 2015 Julio | 62 | 5 | 67 |
| 2015 Junio | 51 | 2 | 53 |
| 2015 Mayo | 59 | 4 | 63 |
| 2015 Abril | 45 | 11 | 56 |
| 2015 Marzo | 78 | 5 | 83 |
| 2015 Febrero | 41 | 4 | 45 |
| 2015 Enero | 45 | 5 | 50 |
| 2014 Diciembre | 50 | 7 | 57 |
| 2014 Noviembre | 50 | 5 | 55 |
| 2014 Octubre | 62 | 7 | 69 |
| 2014 Septiembre | 54 | 3 | 57 |
| 2014 Agosto | 47 | 3 | 50 |
| 2014 Julio | 45 | 2 | 47 |
| 2014 Junio | 50 | 7 | 57 |
| 2014 Mayo | 49 | 7 | 56 |
| 2014 Abril | 35 | 3 | 38 |
| 2014 Marzo | 41 | 6 | 47 |
| 2014 Febrero | 58 | 2 | 60 |
| 2014 Enero | 41 | 3 | 44 |
| 2013 Diciembre | 49 | 1 | 50 |
| 2013 Noviembre | 44 | 4 | 48 |
| 2013 Octubre | 52 | 6 | 58 |
| 2013 Septiembre | 33 | 10 | 43 |
| 2013 Agosto | 55 | 7 | 62 |
| 2013 Julio | 31 | 0 | 31 |
| 2003 Mayo | 982 | 0 | 982 |
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