<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092021000100023</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Infección por SARS-CoV-2 en mujeres con preeclampsia severa en una unidad de cuidados intensivos. Pronóstico y correlación con la carga viral]]></article-title>
<article-title xml:lang="en"><![CDATA[SARS-CoV-2 infection in women with severe preeclampsia in a Intensive Care Unit. Prognostic and correlation with viral load]]></article-title>
<article-title xml:lang="pt"><![CDATA[Infecção por SARS-CoV-2 em mulheres com pré-eclâmpsia grave em uma unidade de terapia intensiva. Prognóstico e correlação com carga viral]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozano Zúñiga]]></surname>
<given-names><![CDATA[Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos Núñez]]></surname>
<given-names><![CDATA[Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández Pacheco]]></surname>
<given-names><![CDATA[José Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutiérrez Marín]]></surname>
<given-names><![CDATA[Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Helguera Repetto]]></surname>
<given-names><![CDATA[Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Juárez]]></surname>
<given-names><![CDATA[Moisés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espino y Sosa]]></surname>
<given-names><![CDATA[Salvador]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Perinatología Isidro Espinosa de los Reyes  ]]></institution>
<addr-line><![CDATA[CDMX ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>35</volume>
<numero>1</numero>
<fpage>23</fpage>
<lpage>27</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092021000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092021000100023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092021000100023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Comparar el pronóstico de mujeres que ingresaron a la Unidad de Cuidados Intensivos del Instituto Nacional de Perinatología por preeclampsia severa e infección por SARS-CoV-2 midiendo la correlación entre la carga viral y las complicaciones maternas.  Material y métodos:  Estudio de una cohorte de mujeres con preeclampsia ingresadas en una unidad de cuidados intensivos por muestreo no probabilístico por caso consecutivo de 105 mujeres en el periodo del 1 de marzo de 2020 al 15 de octubre de 2020, a quienes se determinó recuento de plaquetas, aminotransferasas, cociente proteínas/creatinina en orina casual (mg/dL), urea y creatinina, y datos demográficos en las primeras horas de ingreso.  Resultados:  No hubo diferencias en el número de complicaciones maternas entre las mujeres con preeclampsia severa con COVID-19 positivo (27.5%) versus las mujeres COVID-19 negativo (23.6%), p = 0.58. Una prueba de COVID-19 positiva no incrementó el riesgo de complicaciones maternas OR 1.31 (IC95%, 0.495-3.47). Fue mayor el grado de proteinuria en las mujeres con prueba positiva. Se consideró neumonía asociada con COVID-19 en 27.5% de las mujeres positivas. Se observó una mejor correlación entre las variables de presión arterial y cociente AST/ALT en mujeres con neumonía y carga viral.  Conclusiones:  El presente estudio muestra que en mujeres con preeclampsia severa atendidas en la unidad de cuidados intensivos no se incrementan las complicaciones maternas cuando hay infección por SARS-CoV-2.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To compare the prognosis of women admitted to the intensive care unit of the National Institute of Perinatology for severe preeclampsia and SARS-CoV-2 infection, measuring the correlation between viral load and maternal complications.  Material and methods:  Study of a cohort of women with pre-eclampsia admitted to an Intensive Care Unit, by non-probabilistic sampling per consecutive case of 105 women in the period from March 1, 2020 to October 15, 2020, for whom a count of platelets, aminotransferases, protein/creatinine ratio in casual urine (mg/dL), urea and creatinine, and demographic data in the first hours of admission.  Results:  There were no differences in the number of maternal complications between COVID-19-positive women with severe preeclampsia (27.5%) versus COVID-19-negative women (23.6%), p = 0.58. A positive COVID-19 test did not increase the risk of maternal complications OR 1.31 (95% CI, 0.495-3.47). The degree of proteinuria was higher in women with a positive test. Pneumonia associated with COVID-19 was considered in 27.5% of positive women. There was a better correlation between the variables of blood pressure and the AST/ALT ratio in women with pneumonia and viral load.  Conclusions:  The present study shows that in women with severe preeclampsia treated in the intensive care unit, maternal complications do not increase when there is SARS-CoV-2 infection.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Objetivo:  Comparar o prognóstico de mulheres admitidas na unidade de terapia intensiva do Instituto Nacional de Perinatologia por PE grave e infecção por SARS-CoV-2, medindo a correlação entre carga viral e complicações maternas.  Material e métodos:  Estudo de uma coorte de mulheres com pré-eclâmpsia internadas na unidade de terapia intensiva, por amostragem não probabilística por caso consecutivo de 105 mulheres no período de 1o de março de 2020 a 15 de outubro de 2020, em quem foi determinada a contagem de plaquetas, aminotransferases, relação proteína/creatinina urinária casual (mg/dL), uréia e creatinina e dados demográficos nas primeiras horas de internação.  Resultados:  Não houve diferença no número de complicações maternas entre mulheres COVID-19-positivas com PE grave (27.5%) e mulheres COVID-19-negativas (23.6%), p = 0.58. Um teste COVID-19 positivo não aumentou o risco de complicações maternas OR 1.31 (IC 95%, 0.495-3.47). O grau de proteinúria foi maior em mulheres com teste positivo. Pneumonia associada ao COVID-19 foi considerada em 27.5% das mulheres positivas. Houve melhor correlação entre as variáveis de pressão arterial e relação AST/ALT nas mulheres com pneumonia e carga viral.  Conclusões:  O presente estudo mostra que em mulheres com EP grave tratadas em unidade de terapia intensiva, as complicações maternas não aumentam quando há infecção por SARS-CoV-2.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Preeclampsia severa]]></kwd>
<kwd lng="es"><![CDATA[terapia intensiva]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[complicaciones maternas]]></kwd>
<kwd lng="en"><![CDATA[Severe preeclampsia]]></kwd>
<kwd lng="en"><![CDATA[intensive care]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[maternal complications]]></kwd>
<kwd lng="pt"><![CDATA[Pré-eclâmpsia grave]]></kwd>
<kwd lng="pt"><![CDATA[terapia intensiva]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[complicações maternas]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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