TY - JOUR T1 - Hyperbaric index in the primary prevention of hypertensive complications in high-risk pregnancy JO - Nefrología (English Edition) T2 - AU - González,Alfonso Otero AU - Moya,Silvia Uribe AU - Arenas Moncaleano,Ivan Gilberto AU - Borrajo Prol,María Paz AU - García García,María Jesús AU - López Sánchez,Luis SN - 20132514 M3 - 10.1016/j.nefroe.2016.01.003 DO - 10.1016/j.nefroe.2016.01.003 UR - https://revistanefrologia.com/en-hyperbaric-index-in-primary-prevention-articulo-S2013251416000043 AB - IntroductionPreeclampsia (PE) is a major cause of fetal morbidity and mortality. In the Western World, PE affects 2–7% of pregnancies and is responsible for 50,000 deaths annually. Early detection is a priority as it can change the clinical course, but there are no biomarkers or instrumental methods with high sensitivity and specificity. Only the hyperbaric index has a sensitivity and specificity of 99% for early identification of pregnant women at risk of developing PE, but its use is not widespread. ObjectiveTo assess the usefulness of the hyperbaric index in the primary prevention of hypertensive pregnancy complications in a public healthcare area. Material and methodsThis is a retrospective study of pregnancies that occurred in our area during the period 2007–2012 (N=11,784). The diagnosis was established by the hyperbaric index and pregnant women at risk were treated with ASA at night. ResultsIn pregnant patients referred to the nephrology clinic (38.2%), diagnosed as high-risk for PE, and treated with 100mg ASA/night (from week 17), the incidence of PE episodes was reduced by 96.94%. ER -