<?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>1816-8949</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Ciencias Médicas (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[An. Fac. Cienc. Méd. (Asunción)]]></abbrev-journal-title>
<issn>1816-8949</issn>
<publisher>
<publisher-name><![CDATA[EFACIM. Editorial de la Facultad de Ciencias Médicas - Universidad Nacional de Asunción]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1816-89492025000300052</article-id>
<article-id pub-id-type="doi">10.18004/anales/2025.058.03.52</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Características clínicas y desenlace de pacientes obstétricas en cuidados intensivos en Paraguay: estudio observacional retrospectivo.]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical Characteristics and Outcomes of Obstetric Patients in Intensive Care in Paraguay: A Retrospective Observational Study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes]]></surname>
<given-names><![CDATA[Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pederzani]]></surname>
<given-names><![CDATA[Ma|rcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fontclara]]></surname>
<given-names><![CDATA[Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomez]]></surname>
<given-names><![CDATA[Fredy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguayo]]></surname>
<given-names><![CDATA[Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo]]></surname>
<given-names><![CDATA[Jessica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caballero]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Añazco]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarilla]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueredo]]></surname>
<given-names><![CDATA[Belinda]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social, Hospital General de San Lorenzo Unidad de Cuidados Intensivos Adultos]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas, Departamento de cuidados intensivos]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>58</volume>
<numero>3</numero>
<fpage>52</fpage>
<lpage>61</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1816-89492025000300052&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1816-89492025000300052&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1816-89492025000300052&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La mortalidad materna es un indicador clave de la calidad de los sistemas de salud. En las últimas décadas se ha observado una disminución global de esta mortalidad, tendencia que también se refleja en el Paraguay, aunque persisten desafíos significativos en la atención de las pacientes obstétricas críticamente enfermas.  Objetivos: Describir las características clínicas y desenlaces de las pacientes obstétricas ingresadas en las unidades de cuidados intensivos polivalentes de dos hospitales públicos de Paraguay durante el período 2018-2023.  Metodología: Se realizó un estudio de diseño observacional, descriptivo y retrospectivo en dos hospitales públicos de referencia de Paraguay entre enero de 2018 y diciembre de 2023. Se incluyó a todas las pacientes obstétricas ingresadas a las unidades de cuidados intensivos polivalentes durante el período de estudio.  Resultados: Se analizaron las fichas clínicas de 95 pacientes obstétricas, que representó el 2,08% del total de ingresos a las unidades de cuidados intensivos. La mediana de edad fue de 28 años (rango intercuartílico; RIC:10). La mayoría de las pacientes eran puérperas (63,7%), predominando el puerperio quirúrgico. Las comorbilidades más frecuentes fueron hipertensión arterial (27,45%) y el antecedente de enfermedad hipertensiva del embarazo (21,56%). Las principales causas de ingreso fueron la enfermedad hipertensiva del embarazo (62,5% de los ingresos obstétricos) y la hemorragia puerperal (26,8%). El 39,56% de las pacientes requirió ventilación mecánica invasiva, con una mediana de estancia en la unidad de cuidados intensivos de 4 días (RIC: 4). La mediana del score APACHE II fue 10 (RIC: 5) y del score SOFA inicial fue 2 (RIC: 3). La mortalidad observada fue de 3,29% (IC 95%: 0,7-9,3).  Conclusiones: Las pacientes obstétricas representan un bajo porcentaje de los ingresos a cuidados intensivos en los hospitales estudiados. Se caracterizó por ser una población joven, predominantemente puérperas, cuyas principales causas de ingreso fueron la enfermedad hipertensiva del embarazo y la hemorragia puerperal. La mortalidad observada fue baja en comparación con estudios similares de la región.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Maternal mortality is a key indicator of the quality of health systems. Over recent decades, a global decline in maternal mortality has been observed, a trend also reflected in Paraguay; however, significant challenges persist in the care of critically ill obstetric patients.  Objectives:  To describe the clinical characteristics and outcomes of obstetric patients admitted to polyvalent intensive care units in two public hospitals in Paraguay during the period 2018-2023.  Methodology:  An observational, descriptive, retrospective study was conducted in two public referral hospitals in Paraguay between January 2018 and December 2023. All obstetric patients admitted to polyvalent intensive care units during the study period were included.  Results:  The clinical records of 95 obstetric patients were analyzed, representing 2.08% of total admissions to the intensive care units. The median age was 28 years (interquartile range (IQR): 10). The majority of patients were postpartum (63.7%), with a predominance of surgical puerperium. The most frequent comorbidities were arterial hypertension (27.45%) and a history of hypertensive disorders of pregnancy (21.56%). The main causes of admission were hypertensive disorders of pregnancy (62.5% of obstetric admissions) and postpartum hemorrhage (26.8%). Invasive mechanical ventilation was required by 39.56% of patients, with a median length of stay in the intensive care unit of 4 days (IQR: 4). The median APACHE II score was 10 (IQR: 5), and the initial SOFA score was 2 (IQR: 3). Observed mortality was 3.29% (95% CI: 0.7-9.3)  Conclusions:  Obstetric patients accounted for a low percentage of intensive care admissions in the hospitals studied. The population was characterized as young and predominantly postpartum, with the main causes of admission being hypertensive disorders of pregnancy and postpartum hemorrhage. Observed mortality was low compared to similar studies in the region.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mortalidad materna]]></kwd>
<kwd lng="es"><![CDATA[cuidados intensivos]]></kwd>
<kwd lng="es"><![CDATA[obstetricia]]></kwd>
<kwd lng="es"><![CDATA[comorbilidad]]></kwd>
<kwd lng="es"><![CDATA[morbilidad]]></kwd>
<kwd lng="en"><![CDATA[maternal mortality]]></kwd>
<kwd lng="en"><![CDATA[intensive care]]></kwd>
<kwd lng="en"><![CDATA[obstetrics]]></kwd>
<kwd lng="en"><![CDATA[comorbidity]]></kwd>
<kwd lng="en"><![CDATA[morbidity]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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