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dc.contributor.authorPriso, Eugene Belley
dc.contributor.authorNjamen, Theophile Nana
dc.contributor.authorTchente, Charlotte Nguefack
dc.contributor.authorKana, Albert Justin
dc.contributor.authorLandry, Tchuenkam
dc.contributor.authorTchawa, Ulrich Flore Nyaga
dc.contributor.authorHentchoya, Romuald
dc.contributor.authorBeyiha, Gerard
dc.contributor.authorHalle, Marie Patrice
dc.contributor.authorAminde, Leopold
dc.contributor.authorDzudie, Anastase
dc.date.accessioned2019-09-18T03:23:32Z
dc.date.available2019-09-18T03:23:32Z
dc.date.issued2015
dc.identifier.issn1937-8688en_US
dc.identifier.doi10.11604/pamj.2015.21.103.7061en_US
dc.identifier.urihttp://hdl.handle.net/10072/387474
dc.description.abstractINTRODUCTION: Hypertensive disorders in pregnancy (HDP) are a major cause of maternal morbidity and mortality. We aimed at determining the trends in admission, profiles and outcomes of women admitted for preeclampsia and eclampsia to an intensive care unit (ICU) in Cameroon. METHODS: A retrospective study involving 74 women admitted to the ICU of the Douala General Hospital for severe preeclampsia and eclampsia from January 2007 to December 2014. Clinical profiles and outcome data were obtained from patient records. Statistical analysis was performed using SPSS version 20. RESULTS: Of the 74 women admitted to ICU (72.5% for eclampsia), mean age was 30.2years and the majority (90.5%) were aged 20-39 years. While overall trend in admission for HDP increased over the years, mortality remained stable. Mean gestational age (GA) on admission was 34.0 weeks (33.5 for preeclampsia vs 35.4 for eclampsia). Most patients presented with complications of which acute kidney injury was most frequent (66.7%). Visual problems were more common in patients with eclampsia compared to preeclampsia (p = 0.01). HELLP syndrome and acute pulmonary oedema (APO) were predominant in patients with preeclampsia, while cerebrovascular accidents (CVA) occurred more in patients with eclampsia. Overall mortality was 24.3%. Presence of APO was associated with mortality in multivariable analysis (O.R.= 0.03, p = 0,01). CONCLUSION: Trends in admission for HDP were increasing with high but stable mortality rate. Patients presented late most of whom with complications. Interventions improving antenatal care services and multidisciplinary management approach may improve maternal outcome in patients with HDP.en_US
dc.languageEnglishen_US
dc.language.isoeng
dc.publisherAfrican Field Epidemiology Networken_US
dc.relation.ispartofpagefrom103:1en_US
dc.relation.ispartofpageto103:11en_US
dc.relation.ispartofjournalPan African Medical Journalen_US
dc.relation.ispartofvolume21en_US
dc.subject.keywordsScience & Technologyen_US
dc.subject.keywordsLife Sciences & Biomedicineen_US
dc.subject.keywordsPublic, Environmental & Occupational Healthen_US
dc.subject.keywordsHypertensionen_US
dc.subject.keywordspregnancyen_US
dc.titleTrend in admissions, clinical features and outcome of preeclampsia and eclampsia as seen from the intensive care unit of the Douala General Hospital, Cameroonen_US
dc.typeJournal articleen_US
dcterms.bibliographicCitationPriso, EB; Njamen, TN; Tchente, CN; Kana, AJ; Landry, T; Tchawa, UFN; Hentchoya, R; Beyiha, G; Halle, MP; Aminde, L; Dzudie, A, Trend in admissions, clinical features and outcome of preeclampsia and eclampsia as seen from the intensive care unit of the Douala General Hospital, Cameroon, Pan African Medical Journal, 2015, 21, pp. 103:1-103:11en_US
dcterms.dateAccepted2015-05-25
dcterms.licensehttp://creativecommons.org/licenses/by/2.0en_US
dc.date.updated2019-09-17T04:36:21Z
dc.description.versionVersion of Record (VoR)en_US
gro.rights.copyright© Eugene Belley Priso et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_US
gro.hasfulltextFull Text
gro.griffith.authorAminde, Leopold N.


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