Algoritmo para la asignación etiológica de la prematuridad

The etiology of preterm birth is difficult to classify. It is usually divided into three clinical types according to its clinical presentation: medically indicated; caused by ruptured membranes; and spontaneous or idiopathic. However, this classification is controversial, imprecise and can result in...

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Autores: Álvarez Serra, Javier Amadeo, Balaguer Santamaría, Albert, Iriondo Sanz, Martín, Martín Ancel, Ana, Gómez Roig, Ma. Dolores, Iglesias Platas, Isabel, Krauel, Xavier
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2009
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/223861
Acceso en línea:https://hdl.handle.net/2445/223861
Access Level:acceso abierto
Palabra clave:Investigació qualitativa
Perinatologia
Neonatologia
Etiologia
Qualitative research
Perinatology
Neonatology
Etiology
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spelling Algoritmo para la asignación etiológica de la prematuridadÁlvarez Serra, Javier AmadeoBalaguer Santamaría, AlbertIriondo Sanz, MartínMartín Ancel, AnaGómez Roig, Ma. DoloresIglesias Platas, IsabelKrauel, XavierInvestigació qualitativaPerinatologiaNeonatologiaEtiologiaQualitative researchPerinatologyNeonatologyEtiologyThe etiology of preterm birth is difficult to classify. It is usually divided into three clinical types according to its clinical presentation: medically indicated; caused by ruptured membranes; and spontaneous or idiopathic. However, this classification is controversial, imprecise and can result in multiple interpretations when applied. OBJECTIVE: To design an etiologically based classification of preterm birth, and to design a system to easily assign each case during the perinatal period. METHODS: Review of literature, qualitative analysis using consensus methods through nominal group technique, and quantitative analysis of a pilot study using a first version of the algorithm. RESULTS: A classification is made to establish a general division between the 'primary cause' and 'associated causes' of preterm birth, that allows remote causes or risk factors to be included. The primary cause includes seven categories: inflammatory (ruptured membranes and related); vascular (intrauterine growth restriction and related); maternal-local; maternal-systemic; fetal pathology; fetal distress; idiopathic. The medically indicated preterm birth is defined as a previous or independent category and so is compatible with the other, previously mentioned causes . An algorithm was designed to make it easier to classify the primary cause of preterm birth using a flowchart. CONCLUSIONS: A pragmatic classification of preterm birth is proposed that may help to achieve better precision and agreement between clinicians.Elsevier2009info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/223861Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaEspañolReproducció del document publicat a: https://doi.org/10.1016/j.anpedi.2009.06.009Anales de Pediatria, 2009, vol. 71, num.4, p. 284-290https://doi.org/10.1016/j.anpedi.2009.06.009(c) Asociación Española de Pediatría, 2009info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2238612026-05-27T06:46:51Z
dc.title.none.fl_str_mv Algoritmo para la asignación etiológica de la prematuridad
title Algoritmo para la asignación etiológica de la prematuridad
spellingShingle Algoritmo para la asignación etiológica de la prematuridad
Álvarez Serra, Javier Amadeo
Investigació qualitativa
Perinatologia
Neonatologia
Etiologia
Qualitative research
Perinatology
Neonatology
Etiology
title_short Algoritmo para la asignación etiológica de la prematuridad
title_full Algoritmo para la asignación etiológica de la prematuridad
title_fullStr Algoritmo para la asignación etiológica de la prematuridad
title_full_unstemmed Algoritmo para la asignación etiológica de la prematuridad
title_sort Algoritmo para la asignación etiológica de la prematuridad
dc.creator.none.fl_str_mv Álvarez Serra, Javier Amadeo
Balaguer Santamaría, Albert
Iriondo Sanz, Martín
Martín Ancel, Ana
Gómez Roig, Ma. Dolores
Iglesias Platas, Isabel
Krauel, Xavier
author Álvarez Serra, Javier Amadeo
author_facet Álvarez Serra, Javier Amadeo
Balaguer Santamaría, Albert
Iriondo Sanz, Martín
Martín Ancel, Ana
Gómez Roig, Ma. Dolores
Iglesias Platas, Isabel
Krauel, Xavier
author_role author
author2 Balaguer Santamaría, Albert
Iriondo Sanz, Martín
Martín Ancel, Ana
Gómez Roig, Ma. Dolores
Iglesias Platas, Isabel
Krauel, Xavier
author2_role author
author
author
author
author
author
dc.subject.none.fl_str_mv Investigació qualitativa
Perinatologia
Neonatologia
Etiologia
Qualitative research
Perinatology
Neonatology
Etiology
topic Investigació qualitativa
Perinatologia
Neonatologia
Etiologia
Qualitative research
Perinatology
Neonatology
Etiology
description The etiology of preterm birth is difficult to classify. It is usually divided into three clinical types according to its clinical presentation: medically indicated; caused by ruptured membranes; and spontaneous or idiopathic. However, this classification is controversial, imprecise and can result in multiple interpretations when applied. OBJECTIVE: To design an etiologically based classification of preterm birth, and to design a system to easily assign each case during the perinatal period. METHODS: Review of literature, qualitative analysis using consensus methods through nominal group technique, and quantitative analysis of a pilot study using a first version of the algorithm. RESULTS: A classification is made to establish a general division between the 'primary cause' and 'associated causes' of preterm birth, that allows remote causes or risk factors to be included. The primary cause includes seven categories: inflammatory (ruptured membranes and related); vascular (intrauterine growth restriction and related); maternal-local; maternal-systemic; fetal pathology; fetal distress; idiopathic. The medically indicated preterm birth is defined as a previous or independent category and so is compatible with the other, previously mentioned causes . An algorithm was designed to make it easier to classify the primary cause of preterm birth using a flowchart. CONCLUSIONS: A pragmatic classification of preterm birth is proposed that may help to achieve better precision and agreement between clinicians.
publishDate 2009
dc.date.none.fl_str_mv 2009
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/223861
url https://hdl.handle.net/2445/223861
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1016/j.anpedi.2009.06.009
Anales de Pediatria, 2009, vol. 71, num.4, p. 284-290
https://doi.org/10.1016/j.anpedi.2009.06.009
dc.rights.none.fl_str_mv (c) Asociación Española de Pediatría, 2009
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Asociación Española de Pediatría, 2009
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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