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The speed of recruitment was slower than anticipated.
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Corticotherapy accelerates maternal postpartum recovery in women with class I HELLP syndrome. The benefit of faster and better recovery would be observed in fewer complications, less utilization of blood products and shorter hospital stay.
Patients with Class I HELLP Syndrome will be recruited for use os dexamethasone or placebo in the puerperium. Effects such as clinical course (blood pressure and diureses), laboratorial behaviour and complications will be compared. Duration of hospitalization will also be accessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| saline solution | Placebo Comparator | Placebo (saline solution), 2 mL, intravenous, every 12 hours, for 48 hours |
|
| Dexamethasone | Active Comparator | Dexamethasone, 10mg (2mL), intravenous, every 12 hours, for 48 hours |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| dexamethasone | Drug | Dexamethasone, 10mg (2mL), intravenous, every 12 hours, for 48 hours |
|
| Measure | Description | Time Frame |
|---|---|---|
| severe maternal morbidity | 42 days after delivery | postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| hospital stay duration | postpartum |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Leila Katz, pHD | IMIP | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Instituto Materno Infantil Prof. Fernando Figueira | Recife | Pernambuco | 50.070-550 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23697398 | Derived | Katz L, Amorim M, Souza JP, Haddad SM, Cecatti JG; COHELLP Study Group. COHELLP: collaborative randomized controlled trial on corticosteroids in HELLP syndrome. Reprod Health. 2013 May 22;10:28. doi: 10.1186/1742-4755-10-28. |
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| ID | Term |
|---|---|
| D017359 | HELLP Syndrome |
| ID | Term |
|---|---|
| D046110 | Hypertension, Pregnancy-Induced |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| ID | Term |
|---|---|
| D003907 | Dexamethasone |
| ID | Term |
|---|---|
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
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| Placebo | Drug | Saline solution, 2 mL, intravenous, every 12 hours, for 48 hours |
|
| dexamethasone | Drug | dexamethasone, 10mg, 2 mL, intravenous solution, every 12 hours , for 48 hours |
|
| D000072473 |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |