Excess Base Comparison Between Pregnant Subjects With Severe Preeclampsia vs. Normotensive Pregnant Women
Comparison of Base Excess in Arterial Blood Gases Between Patients With Severe Preeclampsia and Normotensive Pregnant Patients
The study's primary goal is to compare the base excess (BE) values-an indicator of metabolic changes-in two groups of patients at Santo Tomás Hospital: those with severe preeclampsia and healthy, pregnant individuals. Researchers will measure these values using an arterial blood gas test before delivery or surgery.
This is a prospective cohort study. The researchers will analyze various blood gas parameters, including pH, lactate, and BE, and then correlate the BE values with clinical variables and negative maternal outcomes.
The expected outcome is that a abnormal BE values will be linked to a greater severity of preeclampsia. If this association is confirmed, BE could serve as an additional marker for predicting the severity of the condition and may lay the groundwork for future research on diagnostic and therapeutic standards based on blood gas analysis.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Adriana Martinz, MD
- Email: amartinzmd@gmail.com
Study Contact Backup
- Name: Francisco Jordan, MD
- Phone Number: +507 6983-0029
- Email: fcojordan19@gmail.com
Study Locations
-
-
Provincia de Panamá
-
Panama City, Provincia de Panamá, Panama
- Saint Thomas Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Gestational age: 24-40 weeks
- Cases: Diagnosis of severe preeclampsia
- Control: Normal blood pressure
Exclusion Criteria:
- Metabolic conditions that could hinder the results (diabetic ketoacidosis, sepsis, renal failure).
- Clinical conditions that could hinder the results (diarrhea, vomit)
- Recent use of bicarbonate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Severe preeclampsia
Pregnant subjects with severe preeclampsia
|
Determination of Excess Base in arterial blood gases before delivery / termination of pregnancy
|
|
Experimental: Normotensive
Pregnant subjects with normal blood pressure
|
Determination of Excess Base in arterial blood gases before delivery / termination of pregnancy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Value of excess base
Time Frame: Immediately before delivery
|
Total measure of excess base measured by gasometry in an arterial blood sample
|
Immediately before delivery
|
|
Hypertensive crisis
Time Frame: From admission to day three (3) after delivery
|
Elevation of the blood pressure above 160 (systolic) and 110 (diastolic).
|
From admission to day three (3) after delivery
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lactate
Time Frame: Immediately before delivery
|
Concentration of lactate measured by gasometry in a sample of arterial blood.
|
Immediately before delivery
|
|
Bicarbonate
Time Frame: Immediately before delivery
|
Concentration of bicarbonate measured by gasometry in arterial blood gases
|
Immediately before delivery
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Osvaldo Reyes, MD, Saint Thomas Hospital, Panama
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Pregnancy Complications
- Hypertension, Pregnancy-Induced
- Pre-Eclampsia
- Investigative Techniques
- Clinical Laboratory Techniques
- Diagnostic Techniques and Procedures
- Diagnosis
- Diagnostic Techniques, Respiratory System
- Respiratory Function Tests
- Blood Chemical Analysis
- Clinical Chemistry Tests
- Blood Gas Analysis
Other Study ID Numbers
Other Study ID Numbers
- 4558
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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