2026-04-17T11:37:50Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/2238612025-11-19T22:03:52Zcom_2072_1057col_2072_478798col_2072_478917

Algoritmo para la asignación etiológica de la prematuridad Álvarez Serra, Javier Amadeo Balaguer Santamaría, Albert Iriondo Sanz, Martín Martín Ancel, Ana Gómez Roig, Ma. Dolores Iglesias Platas, Isabel Krauel, Xavier Investigació qualitativa Perinatologia Neonatologia Etiologia Qualitative research Perinatology Neonatology Etiology The etiology of preterm birth is difficult to classify. It is usually divided into three clinical types according to its clinical presentation: medically indicated; caused by ruptured membranes; and spontaneous or idiopathic. However, this classification is controversial, imprecise and can result in multiple interpretations when applied. OBJECTIVE: To design an etiologically based classification of preterm birth, and to design a system to easily assign each case during the perinatal period. METHODS: Review of literature, qualitative analysis using consensus methods through nominal group technique, and quantitative analysis of a pilot study using a first version of the algorithm. RESULTS: A classification is made to establish a general division between the 'primary cause' and 'associated causes' of preterm birth, that allows remote causes or risk factors to be included. The primary cause includes seven categories: inflammatory (ruptured membranes and related); vascular (intrauterine growth restriction and related); maternal-local; maternal-systemic; fetal pathology; fetal distress; idiopathic. The medically indicated preterm birth is defined as a previous or independent category and so is compatible with the other, previously mentioned causes . An algorithm was designed to make it easier to classify the primary cause of preterm birth using a flowchart. CONCLUSIONS: A pragmatic classification of preterm birth is proposed that may help to achieve better precision and agreement between clinicians. 2025-10-23T15:51:44Z 2025-10-23T15:51:44Z 2009-08-26 2025-10-23T15:51:44Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion 1695-4033 https://hdl.handle.net/2445/223861 654479 http://hdl.handle.net/2445/223861 spa Reproducció del document publicat a: https://doi.org/10.1016/j.anpedi.2009.06.009 Anales de Pediatria, 2009, vol. 71, num.4, p. 284-290 https://doi.org/10.1016/j.anpedi.2009.06.009 (c) Asociación Española de Pediatría, 2009 info:eu-repo/semantics/openAccess 7 p. application/pdf application/pdf Elsevier Articles publicats en revistes (Ciències Clíniques)