<?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>S2448-89092024000700562</article-id>
<article-id pub-id-type="doi">10.35366/119527</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Detección de preeclampsia severa a la exploración de los reflejos osteotendinosos: actualización en la escala de triage obstétrico]]></article-title>
<article-title xml:lang="en"><![CDATA[Detection of severe preeclampsia by exploration of osteotendine reflexes: update in the obstetric triage scale]]></article-title>
<article-title xml:lang="pt"><![CDATA[Detecção de pré-eclâmpsia grave pela exploração dos reflexos osteotendinos: atualização na escala de triagem obstétrica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Venegas Basurto]]></surname>
<given-names><![CDATA[Fabián Aarón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montelongo]]></surname>
<given-names><![CDATA[Felipe de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galindo Ayala]]></surname>
<given-names><![CDATA[Jonathan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Rosas]]></surname>
<given-names><![CDATA[Ana Itzel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Osnaya Rodríguez]]></surname>
<given-names><![CDATA[Sergio Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera Morales]]></surname>
<given-names><![CDATA[Blanca Estela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social ISEM Hospital General Las Américas]]></institution>
<addr-line><![CDATA[Ecatepec Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social ISEM Hospital General Las Américas]]></institution>
<addr-line><![CDATA[Ecatepec Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona 197 Universidad Autónoma del Estado de México]]></institution>
<addr-line><![CDATA[Texcoco Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Regional 196 ]]></institution>
<addr-line><![CDATA[Ecatepec Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>38</volume>
<numero>7</numero>
<fpage>562</fpage>
<lpage>567</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092024000700562&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092024000700562&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092024000700562&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  en México, en el año 2021 se reportó una tasa de mortalidad materna de 53.1% por cada 100,000 habitantes, teniendo como segunda causa de muerte después de COVID-19 a la preeclampsia (PE). La hiperreflexia es una manifestación temprana de complicaciones neurológicas de esta enfermedad pudiendo ser explorada de manera temprana. la escala de triage obstétrico (ETO) permite clasificar a las pacientes de acuerdo a su gravedad para su atención a partir de diferentes signos y síntomas, sin incluir los reflejos osteotendinosos profundos.  Objetivos:  comparar la ETO actual con la ETO modificada para incrementar la precisión en la detección de la PE.  Material y métodos:  se trata de un estudio prospectivo, transversal, descriptivo y analítico realizado en pacientes obstétricas, del 01 de mayo al 31 de agosto de 2024 con la aplicación de la ETO y la ETO modificada en un área de triage obstétrico.  Resultados:  de 221 pacientes registradas en el estudio se reportó una media de edad de 25.43 ± 10.43 años, ingresándose como código rojo 22 casos (9.9%) activándose código mater, de los cuales 17 pacientes (77%) presentaban algún grado de hiperreflexia y sólo tres casos (9%) activaron el código mater con hiperreflexia; se observó una asociación significativa entre los grados de hiperreflexia y la presencia de cefalea (&#967;2: 21.116 (p = 0.002)), fosfenos (&#967;2: 27.902 (p &lt; 0.001)), epigastralgia (&#967;2: 21.188 (p &lt; 0.001)) y se observó una r = 0.486 (p &lt; 0.001) entre la hiperreflexia y la tensión arterial sistólica (TAS) lo que indica una relación positiva moderada entre ambas variables.  Conclusiones:  la aplicación de la ETO modificada es más precisa para detectar la enfermedad de PE severa, la hiperreflexia tiene una asociación significativa con el desarrollo de esta enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  in Mexico, in 2021, a maternal mortality rate of 53.1 per 100,000 inhabitants was reported, with preeclampsia (PE) as the second cause of death after COVID-19. Hyperreflexia is an early manifestation of neurological complications of this disease and can be explored early. The obstetric triage scale (ETS) allows patients to be classified according to their severity for care based on different signs and symptoms, not including deep tendon reflexes.  Objectives:  to compare the current ETO with the modified ETO to increase the accuracy in the detection of PE.  Material and methods:  this is a prospective, cross-sectional, descriptive and analytical study carried out on obstetric patients, from May 1 to August 31, 2024 with the application of the ETO and the modified ETO in an obstetric triage area.  Results:  of the 221 patients registered in the study, a mean age of 25.43 years (± 10.43) was reported, with 9.9% (22 cases) being entered as red code, activating the Mater Code, of which 77% (17 patients) presented some degree of hyperreflexia and only 3 cases (9%) activated the Mater Code only with hyperreflexia; A significant association was observed between the degrees of hyperreflexia and the presence of headache (&#967;2: 21.116 (p = 0.002)), phosphenes (&#967;2: 27.902 (p &lt; 0.001)), epigastric pain (&#967;2: 21.188 (p &lt; 0.001)) and an r = 0.486 (p &lt; 0.001) was observed between hyperreflexia and systolic blood pressure (SBP) which indicates a moderate positive relationship between both variables.  Conclusions:  the application of the modified ETO is more accurate to detect severe PE disease, hyperreflexia has a significant association with the development of this disease.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  no México, em 2021, foi relatada uma taxa de mortalidade materna de 53.1 por 100.000 habitantes, sendo a pré-eclâmpsia (PE) a segunda causa de morte depois da COVID-19. A hiperreflexia é uma manifestação precoce das complicações neurológicas desta doença e pode ser explorada precocemente. A escala de triagem obstétrica (ETO) permite classificar os pacientes de acordo com sua gravidade para sua atenção a partir de diferentes sinais e sintomas, sem incluir os reflexos osteotendinosos profundos.  Objetivo:  comparar a ETO atual com a ETO modificada para aumentar a precisão na detecção do PE.  Material e métodos:  trata-se de um estudo prospectivo, transversal, descritivo e analítico realizado em pacientes obstétricos, de 01 de maio a 31 de agosto de 2024 com a aplicação da ETO e da ETO modificada em uma área de triagem obstétrica.  Resultados:  dos 221 pacientes registrados no estudo, a média de idade foi de 25.43 anos (± 10.43), entraram como código vermelho activando o Código Mater, dos quais 77% (17 pacientes) tinham algum grau de hiperreflexia e apenas três casos (9%) activaram o Código Mater apenas com hiperreflexia; foi observada uma associação significativa entre os graus de hiperreflexia e a presença de cefaleia (&#967;2: 21.116 (p = 0.002)), fosfenos (&#967;2: 27.902 (p &lt; 0.001)), epigastralgia (&#967;2: 21.188 (p &lt; 0.001)) e foi observado um r = 0.486 (p &lt; 0.001) entre hiperreflexia e pressão arterial sistólica (PAS) indicando uma relação positiva moderada entre as duas variáveis.  Conclusões:  a aplicação da ETO modificada é mais precisa para detectar a PE grave, a hiperreflexia tem uma associação significativa com o desenvolvimento desta doença.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[hiperreflexia]]></kwd>
<kwd lng="es"><![CDATA[reflejos osteotendinosos]]></kwd>
<kwd lng="es"><![CDATA[preeclampsia]]></kwd>
<kwd lng="es"><![CDATA[eclampsia]]></kwd>
<kwd lng="es"><![CDATA[muerte materna]]></kwd>
<kwd lng="es"><![CDATA[triage]]></kwd>
<kwd lng="en"><![CDATA[hyperreflexia]]></kwd>
<kwd lng="en"><![CDATA[osteotendinous reflexes]]></kwd>
<kwd lng="en"><![CDATA[preeclampsia]]></kwd>
<kwd lng="en"><![CDATA[eclampsia]]></kwd>
<kwd lng="en"><![CDATA[maternal death]]></kwd>
<kwd lng="en"><![CDATA[triage]]></kwd>
<kwd lng="pt"><![CDATA[hiperreflexia]]></kwd>
<kwd lng="pt"><![CDATA[reflexos osteotendinosos]]></kwd>
<kwd lng="pt"><![CDATA[pré-eclâmpsia]]></kwd>
<kwd lng="pt"><![CDATA[eclâmpsia]]></kwd>
<kwd lng="pt"><![CDATA[morte materna]]></kwd>
<kwd lng="pt"><![CDATA[triagem]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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<article-title xml:lang=""><![CDATA[Incidencia de eclampsia en cuidados intensivos en Matamoros, Tamaulipas, México]]></article-title>
<source><![CDATA[Med Int Méx]]></source>
<year>2020</year>
<volume>36</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>485-91</page-range></nlm-citation>
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</back>
</article>
