Parrales-Bravo Franklin, Cevallos-Torres Lorenzo, Vasquez-Cevallos Leonel, Caicedo-Quiroz Rosangela, Tolozano-Benites Roberto, Gómez-Rodríguez Víctor
Grupo de Investigación en Inteligencia Artificial, Facultad de Ciencias Matemáticas y Físicas, Universidad de Guayaquil, Guayaquil 090514, Ecuador.
Centro de Estudios para el Cuidado Integral y la Promoción de la Salud, Universidad Bolivariana del Ecuador, Km 5 ½ vía Durán-Yaguachi, Durán 092405, Ecuador.
Diagnostics (Basel). 2025 Apr 11;15(8):978. doi: 10.3390/diagnostics15080978.
Preeclampsia is one of the leading causes of maternal and perinatal morbidity and mortality worldwide. The incidence of preeclampsia in Ecuador is approximately 51 cases per 1000 pregnancies. Despite advances in medicine, its diagnosis and management remain a challenge due to its multifactorial nature and variability in its clinical presentation. Data analytics offers an innovative approach to address these challenges, allowing for better understanding of the disease and more informed decision-making. This work review examines peer-reviewed studies published during the last decade that employed descriptive, diagnostic, predictive, and prescriptive analytics to evaluate preeclampsia in Ecuador. The review focuses on studies conducted in healthcare institutions across coastal and highland regions, with an inclusion criterion requiring sample sizes greater than 100 patients. Emphasis is placed on the statistical methods used, main findings, and the technological capabilities of the facilities where the analyses were performed. Critical evaluation of methodology limitations and a comparative discussion of findings with global literature on preeclampsia are included. The synthesis of these studies highlights both progress and gaps in predictive analytics for preeclampsia and suggests pathways for future research.
子痫前期是全球孕产妇和围产期发病及死亡的主要原因之一。厄瓜多尔子痫前期的发病率约为每1000例妊娠中有51例。尽管医学取得了进展,但其诊断和管理仍然是一项挑战,因为其具有多因素性质且临床表现存在差异。数据分析提供了一种创新方法来应对这些挑战,有助于更好地了解该疾病并做出更明智的决策。本综述考察了过去十年发表的同行评审研究,这些研究采用描述性、诊断性、预测性和规范性分析来评估厄瓜多尔的子痫前期。该综述重点关注在沿海和高地地区的医疗机构开展的研究,纳入标准要求样本量大于100名患者。重点在于所使用的统计方法、主要发现以及进行分析的机构的技术能力。包括对方法局限性的批判性评估以及与全球子痫前期文献的研究结果比较讨论。这些研究的综合突出了子痫前期预测性分析的进展和差距,并为未来研究提出了途径。