Giannakou Konstantinos
Department of Health Sciences, School of Sciences, European University Cyprus, Nicosia, Cyprus.
Obstet Med. 2021 Dec;14(4):220-224. doi: 10.1177/1753495X20984015. Epub 2021 Jan 26.
Pre-eclampsia is a leading cause of neonatal and maternal mortality and morbidity that complicates approximately 2-8% of all pregnancies worldwide. The precise cause of pre-eclampsia is not completely understood, with several environmental, genetic, and maternal factors involved in its pathogenesis and pathophysiology. An accurate predictor of pre-eclampsia will facilitate early recognition, close surveillance according to the individual risk and early intervention, and reduce the negative consequences of the disorder. Current evidence shows that no single test predicts pre-eclampsia with sufficient accuracy to be clinically useful. A combination of markers into multiparametric models may provide a more useful and feasible predictive tool for pre-eclampsia screening in the routine care setting than a test of either component alone. This review presents a summary of the current advances on prediction of pre-eclampsia, highlighting their performance and applicability. Key priorities when conducting research on predicting pre-eclampsia are also analyzed.
子痫前期是导致新生儿和孕产妇死亡及发病的主要原因,在全球所有妊娠中,约有2%-8%会出现子痫前期并发症。子痫前期的确切病因尚未完全明确,其发病机制和病理生理学涉及多种环境、遗传和母体因素。子痫前期的准确预测指标将有助于早期识别、根据个体风险进行密切监测和早期干预,并减少该疾病的负面影响。目前的证据表明,没有单一检测方法能够以足够的准确性预测子痫前期,从而在临床上发挥作用。与单独检测任何一个指标相比,将多种标志物组合成多参数模型可能为常规护理环境中的子痫前期筛查提供更有用、更可行的预测工具。本综述总结了子痫前期预测方面的当前进展,重点介绍了它们的性能和适用性。还分析了开展子痫前期预测研究时的关键优先事项。