title: [Maternal complications in preeclamptic patients with hyperuricemia managed in Intensive Care Unit].
abstract: BACKGROUND
  Hyperuricemia is a factor related to a higher frequency of complications in patients with preeclampsia.
  
  
  OBJECTIVE
  To determine maternal complications in preeclamptic patients with hyperuricemia managed in the intensive care unit of a high-specialty hospital.
  
  
  METHODS
  Cross-sectional study. Clinical files of 127 preeclamptic patients with criteria of severe disease were reviewed. Maternal complications were studied only in patients with hyperuricemia defined as a serum uric acid (UA) level > 4 mg/dL upon admission. Descriptive statistics were used.
  
  
  RESULTS
  Frequency of patients with hyperuricemia was 88.1% (112 cases). Median value of UA was 6.6 ± 1.5 mg/dL (range 4.6-12.4), maternal age 28.1 ± 5.98 years, parity 2 and gestational age 32.9 ± 3.7 weeks. Cesarean section was performed in 98.21%. Frequency of maternal complications was 50% (56 cases): HELLP syndrome 40.1% (45 cases), acute renal injury 6.2% (7 cases), abruptio placentae 1 .7% (2 cases), hemorrhage due to uterine atony 0.8% (1 case) and acute pulmonary edema 0.8% (1 case). There were no cases of multiorgan failure syndrome and maternal mortality was 0%. None of the patients experienced worsening of their condition.
  
  
  CONCLUSIONS
  There was an elevated frequency of patients with hyperuricemia and maternal complications. Reported complications were different from those reported in previous studies. All patients were successfully intervened with the administered medical treatment and may be a reflection of the beneficial effect of intensive care treatment.
authors.forename: J G
authors.initials: JG
authors.lastname: Vázquez-Rodríguez
authors.forename: E I
authors.initials: EI
authors.lastname: Rico-Trejo
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D033461:Hyperuricemia / Q000628:therapy*; D007362:Intensive Care Units; D011225:Pre-Eclampsia / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy; D012189:Retrospective Studies