[Epidemio-clinical, therapeutics and evolutionary characteristics for severe eclampsia in intensive care at Cocody University Hospital (Abidjan - Côte d'Ivoire)].

Autor: Bekoin-Abhé CM; service de réanimation-CHU de Cocody, BV 13 Abidjan, tel : + 225 22 48 12 50., Kohou-Koné LL; Institut de cardiologie d'Abidjan., Bazago GBYE; service de réanimation-CHU de Cocody, BV 13 Abidjan, tel : + 225 22 48 12 50., Mobio MP; service de réanimation-CHU de Cocody, BV 13 Abidjan, tel : + 225 22 48 12 50., Coulibaly KT; service de réanimation-CHU de Cocody, BV 13 Abidjan, tel : + 225 22 48 12 50., Tetchi YD; service de réanimation-CHU de Cocody, BV 13 Abidjan, tel : + 225 22 48 12 50.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2021; Vol. 36 (3), pp. 16-19.
Abstrakt: Objective: to describe the epidemio-clinical and evolutionary characteristics of severe eclampsia in the intensive care unit.
Patients and Method: retrospective descriptive and analytical study from 2014 to 2018 carried out in intensive care of the Cocody University Hospital including severe eclamptics with organic failure.
Results: The average prevalence was 12.1%. The mean age was 24.3±6.7 years. Primigravidae and primiparae were the most exposed. The mean time to admission was 16.9±16.7 hours. The mean Glasgow score at admission was 10.2±2.2 and 17.5% of patients had severe hypertension. Associated complications were dominated by the HELLP syndrom (33.6%). Specific treatment was magnesium sulphate (82.1%). Treatment non-compliance was 31.6%. The average length of hospitalization was 3.8±4.3 days. Mortality was 15.3%. Age = 25 years, primigravida, Glasgow score < 8, associated complications, non-use of MgSO4 and therapeutic non-observance were statistically significantly associated with maternal death.
Conclusion: Eclampsia remains a critical issue for maternal health. Prevention relies on early management and awareness during antenatal consultations.
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Databáze: MEDLINE
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