Open AccessVALIDACIÓN DEL SCORE MAMÁ Y MACAS EN PACIENTES DE LA REGIÓN AMAZÓNICA DEL ECUADOR
Author(s) -
José Luis Quezada Gali ndo,
Louciana Marisol Garay García,
Silvana Piedad Pillco Buestán,
Diana Cecilia Paguay Paredes,
Jesica Tatiana Peralta Verdugo
Publication year - 2021
Publication title -
vozandes
Language(s) - English
Resource type - Journals
ISSN - 1390-1656
DOI - 10.48018/rmv.v31.i2.2
Subject(s) - logistic regression , cohort , medicine , amazon rainforest , population , demography , obstetrics , environmental health , sociology , biology , ecology
In Ecuador, preeclampsia is one of the leading causes of maternal mortality. In order to identify the risk in this population in a timely manner, in 2017 the MAMÁ Score was developed, which allows to activate obstetric emergency keys and thus provide a systematized and timely care. The objective of this study was to validate the MAMÁ and MACAS score in patients in the Amazon region of Ecuador.Materials and methodsA retrospective and analytical cohort study was conducted, they were eligible to participate in the pregnant study attended by the Ginecology and Obstetrics Service of the MacAS General Hospital in the period: January 2018 to December 2019. The MAMÁ and MACAS scores were applied to all participants. Statistical analysis was performed with SPSS software. Sensitivity values, specificity, positive and negative predictive values for each obstetric key were calculated. Adjusted logistic regression analysis for confusing variables made it possible to identify the score with better diagnostic performance.Results1259 pregnant women were evaluated an average age of 24.93 years, average BMM of 27.61 Kg/m2, mean systolic and diastolic pressure values were 111.19 mmHg and 70.22 mmHg respectively. 101 obstetric keys were activated, where 46 were categorized as Blue Key, 14 as Yellow Key, and 41 Red Key. Logistic regressions identified that an score MAMÁ by about 3 points increased by 18 times the probability of requiring obstetric key activation, while with the MACAS score the same score increased by 20 times the probability of activating the obstetric keys.Conclusions Both scores are suitable for the recognition of pregnant women with obstetric risk, the MACAS score presented a better specificity, with respect to obstetric keys. These results should be validated in larger cohorts and prospectively with the aim of establishing the best score in patient subgroups.