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Pre-eclampsia is a disease characterized by placental damage leading to a cascade of complications during pregnancy. It is initially manifested by high blood pressure and the presence of albumin in the urine. It can lead to emergency hospitalization in severe cases and cause major complications or even death in the mother and the fetus.
Several studies observing the outcome of patients with pre-eclampsia have shown an increased long-term cardiovascular risk in these patients, justifying regular medical follow-up with the treating physician and specialists, mainly cardiologists.
The main objective of this research is to describe the cardiovascular risk assessment actions implemented by the treating general practitioner in the year following pre-eclampsia (blood pressure measurement in the office, self-measurement of blood pressure, ABPM, cardiological consultation, biological monitoring of blood (creatininemia, LDL, fasting glycemia) or urine (albuminurie/creatininurie ratio), and screening and management of possible smoking).
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Patient with pre-eclampsia | Other | Cardiovascular risk assessment by the general practitioner in the year following pre-eclampsia |
| Measure | Description | Time Frame |
|---|---|---|
| Performing a blood pressure measurement by the general practitioner | Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as blood pressure measurement in the office. Composite outcome with 2, 3, 4, 5 and 6 | Up to one year following pre eclampsia |
| Performing a self-measurement of blood pressure | Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as self-measurement of blood pressure. Composite outcome with 2, 3, 4, 5 and 6 | Up to one year following pre eclampsia |
| Performing a cardiological consultation | Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as cardiological consultation. Composite outcome with 2, 3, 4, 5 and 6 | Up to one year following pre eclampsia |
| Performing a ambulatory measurement of blood pressure | Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as ambulatory measurement of blood pressure. Composite outcome with 2, 3, 4, 5 and 6 | Up to one year following pre eclampsia |
| Performing a biological monitoring of blood (creatinine, LDL cholesterol, fasting glucose, albuminuria creatinuria ratio) | Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as biological monitoring of blood (creatinine, LDL, fasting glucose) or urine (Albuminuria/creatininuria ratio). Composite outcome with 2, 3, 4, 5 and 6. |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiovascular risk assessment by the general practitioner | Patient's cardiovascular risk evaluation by the general practitioner (low, medium, high or very high). | Up to 5 years following pre eclampsia |
| Cardiovascular risk assessment by the patient |
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Inclusion Criteria:
Exclusion Criteria:
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Patients ≥ 18 years of age who were hospitalized for preeclampsia
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| Name | Affiliation | Role |
|---|---|---|
| Nicolas GIRERD, MD-PhD | CHRU de NANCY | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHRU de NANCY | Vandœuvre-lès-Nancy | 54500 | France |
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| ID | Term |
|---|---|
| D011225 | Pre-Eclampsia |
| ID | Term |
|---|---|
| D046110 | Hypertension, Pregnancy-Induced |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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| Up to one year following pre eclampsia |
| Screening and management of possible smoking | Description: Describe the cardiovascular risk assessment actions implemented by the general practitioner in the year following pre-eclampsia within the following specific monitoring tools such as screening and management of possible smoking. Composite outcome with 1, 2, 3, 4 and 5 | Up to one year following pre eclampsia |
Patient's cardiovascular risk evaluation by the patient (low, medium, high or very high).
| Up to 5 years following pre eclampsia |
| Knowledge of pre-eclampsia status | Knowledge of the pre-eclampsia status of the patient by the general practitioner. | Up to 5 years following pre eclampsia |
| Pre eclampsia information mode | How general practitioner is informed about pre-eclampsia | Up to 5 years following pre eclampsia |
| Performing a blood pressure measurement | Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as blood pressure measurement in the office. | Up to one year following pre eclampsia |
| Performing a self-measurement of blood pressure | Actions implemented by the general practiotioner within the following specific tools as reported by the patient.such as self-measurement of blood pressure. | Up to one year following pre eclampsia |
| Performing a cardiological consultation | Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as cardiological consultation. | Up to one year following pre eclampsia |
| Performing a ambulatory measurement of blood pressure | Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as ambulatory measurement of blood pressure. | Up to one year following pre eclampsia |
| Performing a biological monitoring of blood (creatinine, LDL cholesterol, fasting glucose, albuminuria creatinuria ratio) | Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as biological monitoring of blood (creatinine, LDL, fasting glucose) or urine (Albuminuria/creatininuria ratio). | Up to one year following pre eclampsia |
| Screening and management of possible smoking | Actions implemented by the general practiotioner within the following specific tools as reported by the patient such as screening and management of possible smoking. | Up to one year following pre eclampsia |
| Rate of hypertension following pre-eclampsia | Composite endpoint of hypertension, stroke and/or coronary accident with 17;18 | Up to 5 years following pre eclampsia |
| Rate of stroke following pre-eclampsia | Composite endpoint of hypertension, stroke and/or coronary accident with 16;18 | Up to 5 years following pre eclampsia |
| Rate of coronary accident following pre-eclampsia | Composite endpoint of hypertension, stroke and/or coronary accident with 16;17 | Up to 5 years following pre eclampsia |