Discriminatory Accuracy of Preeclampsia Risk Factors in Primary Care.

Background: Although it is common to use risk factors in the screening for preeclampsia, they do not always accurately identify patients who truly have this condition.

Aim Of The Study: To determine the discriminatory accuracy of known preeclampsia risk factors, both individually and in combination.

Methods: We studied patients undergoing prenatal care who were diagnosed with preeclampsia or eclampsia (n = 160 cases) in primary care and those who were not (n = 430 controls).

Comparison of the discriminatory accuracy of four risk criteria for preeclampsia.

Objectives: Several criteria have been proposed to categorize the risk of preeclampsia, with notable differences between these criteria. We compared the discriminatory accuracy of criteria for categorizing preeclampsia risk established by four institutions, namely, the World Health Organization (WHO), National Institute for Health and Care Excellence (NICE), American College of Obstetricians and Gynecologists (ACOG), and National Center for Technological Excellence in Health (CENETEC), and estimated the concordance between these criteria.

Study Design: We performed a secondary data analysis of 590 Mexican obstetric patients who received prenatal care in primary care between 2016 and 2017; 160 had a diagnosis of preeclampsia.