{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T10:12:44Z","timestamp":1778926364118,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,5,23]],"date-time":"2017-05-23T00:00:00Z","timestamp":1495497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the accuracy of the Pre\u2010eclampsia Integrated Estimate of RiSk (full<jats:styled-content style=\"fixed-case\">PIERS<\/jats:styled-content>) model for the prediction of complications among patients with severe pre\u2010eclampsia in northeastern Brazil.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was conducted of data for all patients with severe pre\u2010eclampsia admitted to a center in Recife in 2014. The full<jats:styled-content style=\"fixed-case\">PIERS<\/jats:styled-content> model was applied to calculate the predicted probability of complications. A receiver operating characteristic curve was constructed to determine the accuracy of the model, and the area under the curve was calculated. Multiple logistic regression analysis was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 325 included women, 55 (16.9%) had one or more complication before discharge. The area under the curve was 0.72 (<jats:italic>P<\/jats:italic>&lt;0.001), determining a cutoff point for full<jats:styled-content style=\"fixed-case\">PIERS<\/jats:styled-content> probability of 1.7%. Sensitivity was 60.0% and specificity was 65.1%; the positive likelihood ratio was 1.72 and the negative likelihood ratio was 0.61. In multivariate analysis, the only variable that remained significantly associated with complications was a full<jats:styled-content style=\"fixed-case\">PIERS<\/jats:styled-content> probability of more than 1.7% (odds ratio 5.87, 95% confidence interval 3.16\u201310.89; <jats:italic>P<\/jats:italic>&lt;0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The full<jats:styled-content style=\"fixed-case\">PIERS<\/jats:styled-content> model is a useful tool for predicting complications in women with severe pre\u2010eclampsia, with the cutoff point of 1.7%.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12197","type":"journal-article","created":{"date-parts":[[2017,5,5]],"date-time":"2017-05-05T14:52:42Z","timestamp":1493995962000},"page":"142-147","source":"Crossref","is-referenced-by-count":24,"title":["Validation of full<scp>PIERS<\/scp> model for prediction of adverse outcomes among women with severe pre\u2010eclampsia"],"prefix":"10.1002","volume":"138","author":[{"given":"Silvana T.","family":"Almeida","sequence":"first","affiliation":[{"name":"Maternal and Child Healthcare Instituto de Medicina Integral Prof. Fernando Figueira  Recife Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Katz","sequence":"additional","affiliation":[{"name":"Maternal and Child Healthcare Instituto de Medicina Integral Prof. Fernando Figueira  Recife Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabela","family":"Coutinho","sequence":"additional","affiliation":[{"name":"Maternal and Child Healthcare Instituto de Medicina Integral Prof. Fernando Figueira  Recife Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melania M.R.","family":"Amorim","sequence":"additional","affiliation":[{"name":"Maternal and Child Healthcare Instituto de Medicina Integral Prof. Fernando Figueira  Recife Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,23]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)68397-9"},{"key":"e_1_2_7_3_1","first-page":"323","article-title":"Global causes of maternal death: a WHO systematic analysis","volume":"2","author":"Say L","year":"2014","journal-title":"Lancet"},{"key":"e_1_2_7_4_1","unstructured":"Department of Health Surveillance.Maternal mortality in Brazil: main causes of death and temporal trends in the period 1990 to 2010[in Portuguese].http:\/\/bvsms.saude.gov.br\/bvs\/publicacoes\/saude_brasil_2011.pdf. Published2012. Accessed April 25 2017."},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.preghy.2014.02.001"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-012-0283-0"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.g4731"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/1319-2442.135215"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13048-015-0135-5"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0116102"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-015-0362-3"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12629"},{"key":"e_1_2_7_13_1","first-page":"CD003106","article-title":"Interventionist versus expectant care for severe pre\u2010eclampsia between 24 and 34 weeks\u2019 gestation","author":"Churchill D","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_14_1","first-page":"CD003106","article-title":"Interventionist versus expectant care for severe pre\u2010eclampsia before term","author":"Churchill D","year":"2002","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000437382.03963.88"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)61351-7"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03496.x"},{"key":"e_1_2_7_18_1","first-page":"639","article-title":"The STARD statement for reporting studies of diagnostic accuracy: explanation and elaboration. The Standards for Reporting of Diagnostic Accuracy Group","volume":"44","author":"Bossuyt PM","year":"2003","journal-title":"Croat Med J"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001589"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-015-0779-5"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.05.021"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)34955-6"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fijgo.12197","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.12197","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T10:03:35Z","timestamp":1696241015000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.12197"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,23]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1002\/ijgo.12197"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.12197","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,23]]}}}