<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1028-4818</journal-id>
<journal-title><![CDATA[Multimed]]></journal-title>
<abbrev-journal-title><![CDATA[Multimed]]></abbrev-journal-title>
<issn>1028-4818</issn>
<publisher>
<publisher-name><![CDATA[Centro Provincial de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1028-48182019000200280</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo de morbilidad materna extrema en la unidad de cuidados intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk factors of extreme maternal morbidity in the intensive care unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pupo Jiménez]]></surname>
<given-names><![CDATA[Julia Matilde]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Aguilera]]></surname>
<given-names><![CDATA[Julio César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera Lavernia]]></surname>
<given-names><![CDATA[Jorge Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cedeño Tarancón]]></surname>
<given-names><![CDATA[Oscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Granma Hospital General Universitario Carlos M. de Céspedes ]]></institution>
<addr-line><![CDATA[Bayamo Granma]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>2</numero>
<fpage>280</fpage>
<lpage>296</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1028-48182019000200280&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1028-48182019000200280&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1028-48182019000200280&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el estudio de la morbilidad materna extrema permite reducir la mortalidad materna.  Objetivo:  identificar los factores de riesgo de morbilidad materna extrema en una unidad de cuidados intensivos.  Método:  se desarrolló un estudio de casos y controles en mujeres ingresadas en la Unidad de Cuidados Intensivos del hospital &#8220;Carlos Manuel de Céspedes&#8221; de Bayamo, Granma, desde el 1 de enero de 2016 hasta el 31 de diciembre de 2017. Se aceptaron 214 pacientes, con una distribución de 73 casos y 141 controles. Se incluyeron variables clínicas y epidemiológicas. Para el análisis estadístico de los factores de riesgo se midió la fuerza de la asociación con el Odds Ratio (OR) y sus intervalos de confianza (IC 95 %) y se realizó un análisis multivariado con un modelo de regresión logística.  Resultados:  la edad media de las pacientes con morbilidad materna extrema fue de 25,6 años. El 84,9 % ingresaron en el puerperio y 67,1 % por causas obstétricas. En el análisis univariado los factores de riesgo para el desarrollo de morbilidad materna extrema fueron la edad gestacional mayor de 36 semanas, el puerperio, la operación cesárea y la comorbilidad. El análisis multivariado mostró que el factor con influencia independiente más importante fue la etapa del puerperio (OR 5,8, IC 95 % 1,9-17,4, p=0,002) y la comorbilidad (OR 2,1, IC 95 % 0,9-4,5, p=0,059)  Conclusiones:  entre los factores de riesgo de morbilidad materna extrema se identificaron a la comorbilidad, la edad gestacional mayor de 36 semanas, el puerperio y la operación cesárea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the study of extreme maternal morbidity reduces maternal mortality.  Objective:  To identify the risk factors of extreme maternal morbidity in an intensive care unit.  Method:  a case-control study was developed in women admitted to the Intensive Care Unit of the "Carlos Manuel de Céspedes" hospital in Bayamo, Granma, from January 1, 2016 to December 31, 2017. 214 accepted. patients, with a distribution of 73 cases and 141 controls. Clinical and epidemiological variables were included. For the statistical analysis of the risk factors, the strength of the association with the Odds Ratio (OR) and its confidence intervals (95% CI) was measured and a multivariate analysis was performed with a logistic regression model.  Results:  the average age of patients with extreme maternal morbidity was 25.6 years. 84.9% entered the puerperium and 67.1% due to obstetric causes. In the univariate analysis, the risk factors for the development of extreme maternal morbidity were gestational age greater than 36 weeks, the puerperium, cesarean section and comorbidity. The multivariate analysis showed that the factor with the most important independent influence was the puerperium stage (OR 5.8, 95% CI 1.9-17.4, p = 0.002) and comorbidity (OR 2.1, 95% CI 0.9-4.5, p = 0.059)  Conclusions:  Among the risk factors for extreme maternal morbidity, comorbidity, gestational age greater than 36 weeks, puerperium and cesarean section were identified.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Morbilidad]]></kwd>
<kwd lng="es"><![CDATA[Mujeres Embarazadas]]></kwd>
<kwd lng="es"><![CDATA[Factores de Riesgo]]></kwd>
<kwd lng="en"><![CDATA[Morbidity]]></kwd>
<kwd lng="en"><![CDATA[Pregnant Women]]></kwd>
<kwd lng="en"><![CDATA[Risk Factors]]></kwd>
</kwd-group>
</article-meta>
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