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2005, Number 2

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Med Crit 2005; 19 (2)

Morbidity and mortality associated with HELLP syndrome in Yucatan

Salazar EDC, Negreros CA, Díaz CI, Garrido HEM

Language: Spanish
References: 17
Page: 45-49
PDF size: 61.83 Kb.


ABSTRACT

Introduction: HELLP syndrome is a multisystemic disease and may be associated with preeclampsia or eclampsia; its mortality is high.
Objective: To know the morbidity and mortality due to HELLP syndrome in Yucatan.
Design: Descriptive and multicentric study.
Setting: ICUs of three hospitals, Merida Yucatan; Mexico.
Patients: Forty patients (mean age 25 ± 7 yrs) with HELLP syndrome, during a 14-month period. Methods: It was used the 3-class system of classification (Mississippi). Clinical features, gestational age, resolution of pregnancy, laboratory findings and morbidity and maternal mortality was evaluated.
Results: Of the total of 40 patients, 17 (42.5%), 18 (45%) and 5 (12.5%) corresponded to class I, II and III, respectively. Twenty (50%) patients suffered preeclampsia and 12 (30%) eclampsia; in the rest of patients was not detected hypertensive disease associated to pregnancy. Nine (22.5%) patients developed acute renal failure. The mortality rate was 7.5%.
Conclusions: In this study, HELLP syndrome was associated to a low mortality rate.


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