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Excess Base Comparison Between Pregnant Subjects With Severe Preeclampsia vs. Normotensive Pregnant Women

Comparison of Base Excess in Arterial Blood Gases Between Patients With Severe Preeclampsia and Normotensive Pregnant Patients

Status
Recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07265336
Enrollment
100
Registered
2025-12-04
Start date
2025-08-15
Completion date
2026-01-31
Last updated
2025-12-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Preeclampsia, Severe Preeclampsia

Keywords

Excess base, Severe preeclampsia, Arterial blood gases

Brief summary

The study's primary goal is to compare the base excess (BE) values-an indicator of metabolic changes-in two groups of patients at Santo Tomás Hospital: those with severe preeclampsia and healthy, pregnant individuals. Researchers will measure these values using an arterial blood gas test before delivery or surgery. This is a prospective cohort study. The researchers will analyze various blood gas parameters, including pH, lactate, and BE, and then correlate the BE values with clinical variables and negative maternal outcomes. The expected outcome is that a abnormal BE values will be linked to a greater severity of preeclampsia. If this association is confirmed, BE could serve as an additional marker for predicting the severity of the condition and may lay the groundwork for future research on diagnostic and therapeutic standards based on blood gas analysis.

Interventions

DIAGNOSTIC_TESTArterial Blood gases

Determination of Excess Base in arterial blood gases before delivery / termination of pregnancy

Sponsors

Saint Thomas Hospital, Panama
Lead SponsorOTHER

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE

Intervention model description

Both groups will have a blood sample taken for arterial blood gases. This test is not always indicated in severe preeclampsia and very rarely in normal patients. This is he reason we consider the study interventional.

Eligibility

Sex/Gender
FEMALE
Healthy volunteers
Yes

Inclusion criteria

* Gestational age: 24-40 weeks * Cases: Diagnosis of severe preeclampsia * Control: Normal blood pressure

Exclusion criteria

* Metabolic conditions that could hinder the results (diabetic ketoacidosis, sepsis, renal failure). * Clinical conditions that could hinder the results (diarrhea, vomit) * Recent use of bicarbonate

Design outcomes

Primary

MeasureTime frameDescription
Value of excess baseImmediately before deliveryTotal measure of excess base measured by gasometry in an arterial blood sample
Hypertensive crisisFrom admission to day three (3) after deliveryElevation of the blood pressure above 160 (systolic) and 110 (diastolic).

Secondary

MeasureTime frameDescription
LactateImmediately before deliveryConcentration of lactate measured by gasometry in a sample of arterial blood.
BicarbonateImmediately before deliveryConcentration of bicarbonate measured by gasometry in arterial blood gases

Countries

Panama

Contacts

Primary ContactFrancisco Jordan, MD
fcojordan19@gmail.com+507 6983-0029
Backup ContactAdriana Martinz, MD
amartinzmd@gmail.com

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026