{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T15:33:17Z","timestamp":1790177597841,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T00:00:00Z","timestamp":1686873600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the predicted probability percentage of complications in women with pre\u2010eclampsia using the Pre\u2010eclampsia Integrated Estimate of Risk (fullPIERS) model within the first 24\u2009h after admission and assess the model's predictive value for complications of pre\u2010eclampsia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a prospective cohort study in which the fullPIERS model was applied to 256 pregnant women with pre\u2010eclampsia within the first 24\u2009h after admission. These women were then followed for 48\u2009h to 7\u2009days for maternal and fetal complications. Reciever operating characteristics (ROC) curves were generated to assess the performance of the fullPIERS model for adverse outcomes of pre\u2010eclampsia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 256 women enrolled in the study, 101 women (39.5%) developed maternal complications, 120 women (46.9%) developed fetal complications, and 159 women (62.1%) developed both. With an area under the ROC curve of 0.843 (95% confidence interval 0.789\u20130.897), the fullPIERS model had good discriminating ability to predict complications at any time point between 48\u2009h and 7\u2009days after admission. The sensitivity and specificity of the model at a \u22655.9% cut\u2010off value for predicting adverse maternal outcomes were 60% and 97%, respectively; they were 44% and 96%, respectively, for predicting combined fetomaternal complications with a cut\u2010off value of 4.9%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The fullPIERS model performs reasonably well in predicting adverse maternal and fetal outcomes in women with pre\u2010eclampsia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14920","type":"journal-article","created":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T03:35:08Z","timestamp":1686972908000},"page":"983-988","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Prediction of complications of pre\u2010eclampsia using the <scp>fullPIERS<\/scp> high risk predictive model"],"prefix":"10.1002","volume":"163","author":[{"given":"Astha","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology V.M.M.C &amp; Safdarjung Hospital  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7838-3238","authenticated-orcid":false,"given":"Jyotsna","family":"Suri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology V.M.M.C &amp; Safdarjung Hospital  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeba","family":"Khanam","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamdard Institute of Medical Sciences and Research  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divya","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology V.M.M.C &amp; Safdarjung Hospital  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumitra","family":"Bachani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology V.M.M.C &amp; Safdarjung Hospital  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuradha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology V.M.M.C &amp; Safdarjung Hospital  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12629"},{"key":"e_1_2_8_3_1","volume-title":"The World Health Report 2002: Reducing Risks, Promoting Healthy Life","author":"World Health Organization","year":"2002"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767050802559129"},{"issue":"4","key":"e_1_2_8_5_1","first-page":"163","article-title":"Incidence of pregnancy induced hypertension and prescription pattern of antihypertensive drugs in pregnancy","volume":"5","author":"Sajith M","year":"2014","journal-title":"Int J Pharm Sci Res"},{"key":"e_1_2_8_6_1","first-page":"513","article-title":"A five year analysis of eclampsia","volume":"39","author":"Vanawalla NY","year":"1989","journal-title":"J Obstet Gynecol India"},{"key":"e_1_2_8_7_1","first-page":"324","article-title":"Maternal and perinatal outcome in eclampsia in a district hospital","volume":"57","author":"Suman G","year":"2007","journal-title":"J Obstet Gynecol India"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.4314\/ejhs.v25i2.2"},{"key":"e_1_2_8_9_1","unstructured":"ChandrioleN SinghS DhillonBS.Eclampsia Care Hood and Management Practices at Tertiary Hospital in India (ICMR) New Delhi. 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