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Article Dans Une Revue Anaesthesia Critical Care & Pain Medicine Année : 2021

Guidelines for the management of women with severe pre-eclampsia

1 CHU Trousseau [APHP]
2 CHU Tenon [AP-HP]
3 Hôpital Necker - Enfants Malades [AP-HP]
4 UNIROUEN UFR Santé - UNIROUEN - UFR Santé
5 Hôpital Mère- Enfant - Service de Gynécologie-Obstétrique et Médecine de la Reproduction [CHU Nantes]
6 PhAN - Physiopathologie des Adaptations Nutritionnelles
7 SAINBIOSE - Santé Ingénierie Biologie Saint-Etienne
8 Service de gynécologie et obstétrique [CHI Poissy-Saint Germain]
9 BREED - Biologie de la Reproduction, Environnement, Epigénétique & Développement
10 HCL - Hospices Civils de Lyon
11 Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
12 Pôle Anesthésie Réanimation [CHU de Toulouse]
13 Centre Hospitalier Tourcoing
14 Hôpital Jeanne de Flandre [Lille]
15 Department of Anesthesiology, Intensive care and Perioperative medicine - Hautepierre Hospital, Strasbourg
16 Hôpital Cochin [AP-HP]
17 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
18 IDESP - Institut Desbrest de santé publique
19 CHI Créteil
20 AP-HP - Hôpital Antoine Béclère [Clamart]
21 Hôpital Lariboisière-Fernand-Widal [APHP]
22 CHU Dijon - Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand
23 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
24 AMU - Aix Marseille Université
25 CRESS (U1153 / UMR_A 1125) - Centre for Research in Epidemiology and Statistics | Centre de Recherche Épidémiologie et Statistiques
26 EPOPé [CRESS - U1153 / UMR_A 1125] - Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique
27 CHU Bordeaux
Marc Garnier
  • Fonction : Auteur
Julien Burey
  • Fonction : Auteur
Lionel Bouvet
  • Fonction : Auteur
  • PersonId : 774158
  • IdRef : 080789153
Laurent Zieleskiewicz
Loïc Sentilhes

Résumé

Objective: To provide national guidelines for the management of women with severe pre-eclampsia.Design: A consensus committee of 26 experts was formed. A formal conflict-of-interest (COI) policy was developed at the onset of the process and enforced throughout. The entire guidelines process was conducted independently of any industrial funding. The authors were advised to follow the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE®) system to guide assessment of quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasised.Methods: The last SFAR and CNGOF guidelines on the management of women with severe pre-eclampsia were published in 2009. The literature is now sufficient for an update. The aim of this expert panel guidelines is to evaluate the impact of different aspects of the management of women with severe preeclampsia on maternal and neonatal morbidities separately. The experts studied questions within 7 domains. Each question was formulated according to the PICO (Patients Intervention Comparison Outcome) model and the evidence profiles were produced. An extensive literature review and recommendations were carried out and analysed according to the GRADE® methodology.Results: The SFAR/CNGOF experts panel provided 25 recommendations: 8 have a high level of evidence (GRADE 1+/-), 9 have a moderate level of evidence (GRADE 2+/-), and for 7 recommendations, the GRADE method could not be applied, resulting in expert opinions. No recommendation was provided for 3 questions. After one scoring round, strong agreement was reached between the experts for all the recommendations.Conclusions: There was strong agreement among experts who made 25 recommendations to improve practices for the management of women with severe pre-eclampsia.
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Dates et versions

hal-03418679 , version 1 (08-11-2021)

Identifiants

Citer

Marie-Pierre Bonnet, Marc Garnier, Hawa Keita, Vincent Compère, Chloé Arthuis, et al.. Guidelines for the management of women with severe pre-eclampsia. Anaesthesia Critical Care & Pain Medicine, 2021, 40 (5), pp.100901. ⟨10.1016/j.accpm.2021.100901⟩. ⟨hal-03418679⟩
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