Republication de: recommandations formalisées d'experts. Prise en charge de la patiente avec une pré-éclampsie sévère–RFE communes Société française d'anesthésie-réanimation (SFAR)–Collège national des gynécologues et obstétriciens français (CGNOF)

Marie Pierre Bonnet (1, 2) , Marc Garnier (3) , Hawa Keita (4) , Vincent Compere (5) , Chloé J. Arthuis (6, 7) , Tiphaine Raia-Barjat (8, 9) , Paul Berveiller (10, 11) , Julien Burey (12) , Lionel Bouvet (13) , Marie Bruyère (14) , Adeline Castel (15) , Elodie M. Clouqueur (16) , M. Gonzalez Estevez (17) , Valentina Faitot (18) , Catherine Fischer (19) , F. Fuchs (20, 21) , Édouard R. Lecarpentier (22, 23) , Agnès Le Gouez (24) , Agnès Rigouzzo (1) , Matthias Rossignol (25, 26) , E. Simon (27) , Florence Vial (28) , Alexandre Joseph Vivanti (24) , Laurent Zieleskewicz (29, 30) , Marie Victoire Sénat (31, 14) , T. Schmitz (2, 32) , Loïc Sentilhes (33) , Chloé Julie Arthuis

1 CHU Trousseau [APHP]
2 EPOPé [CRESS - U1153 / UMR_A 1125] - Obstetrical, Perinatal and Pediatric Epidemiology | Épidémiologie Obstétricale, Périnatale et Pédiatrique
3 GRC 29 - ARPE - Groupe de Recherche Clinique en Anesthésie Réanimation médecine PEriopératoire
4 Hôpital Necker - Enfants Malades [AP-HP]
5 CHU Rouen
6 CHU Nantes - Centre Hospitalier Universitaire de Nantes
7 PhAN - Physiopathologie des Adaptations Nutritionnelles
8 SAINBIOSE - Santé Ingénierie Biologie Saint-Etienne
9 CHU ST-E - Centre Hospitalier Universitaire de Saint-Etienne [CHU Saint-Etienne]
10 BREED - Biologie de la Reproduction, Environnement, Epigénétique & Développement
11 Centre hospitalier intercommunal de Poissy/Saint-Germain-en-Laye - CHIPS [Poissy]
12 CHU Tenon [AP-HP]
13 Service d'anesthésie-réanimation [Centre Hospitalier Lyon Sud - HCL]
14 Hôpital Bicêtre [AP-HP, Le Kremlin-Bicêtre]
15 Pôle Anesthésie Réanimation [CHU de Toulouse]
16 Centre Hospitalier Tourcoing
17 Hôpital Jeanne de Flandre [Lille]
18 Hôpital de Hautepierre [Strasbourg]
19 Hôpital Cochin [AP-HP]
20 IDESP - Institut Desbrest de santé publique
21 Hôpital Arnaud de Villeneuve [CHRU Montpellier]
22 CHIC - Centre Hospitalier Intercommunal de Créteil
23 IMRB - Institut Mondor de Recherche Biomédicale
24 AP-HP - Hôpital Antoine Béclère [Clamart]
25 Département d'Anesthésie Réanimation SMUR [Paris]
26 Hôpital Lariboisière-Fernand-Widal [APHP]
27 Service de Gynécologie Obstétrique, Médecine Foetale et Stérilité Conjugale - Chirurgie Gynécologie et Oncologique [CHU de Dijon]
28 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
29 C2VN - Centre recherche en CardioVasculaire et Nutrition = Center for CardioVascular and Nutrition research
30 Hôpital Nord [CHU - APHM]
31 CESP - Centre de recherche en épidémiologie et santé des populations
32 Hôpital Robert Debré
33 CHU Bordeaux

Objective: To provide national guidelines for the management of women with severe preeclampsia. Design: A consensus committee of 26 experts was formed. A formal conflict of interest (COI) policy was developed at the onset of the process and enforced throughout. The entire guidelines process was conducted independently of any industrial funding. The authors were advised to follow the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE®) system to guide assessment of quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasized. Methods: The last SFAR and CNGOF guidelines on the management of women with severe preeclampsia was published in 2009. The literature is now sufficient for an update. The aim of this expert panel guidelines is to evaluate the impact of different aspects of the management of women with severe preeclampsia on maternal and neonatal morbidities separately. The experts studied questions within 7 domains. Each question was formulated according to the PICO (Patients Intervention Comparison Outcome) model and the evidence profiles were produced. An extensive literature review and recommendations were carried out and analyzed according to the GRADE® methodology. Results: The SFAR/CNGOF experts panel provided 25 recommendations: 8 have a high level of evidence (GRADE 1±), 9 have a moderate level of evidence (GRADE 2±), and for 7 recommendations, the GRADE method could not be applied, resulting in expert opinions. No recommendation was provided for 3 questions. After one scoring round, strong agreement was reached between the experts for all the recommendations. Conclusions: There was strong agreement among experts who made 25 recommendations to improve practices for the management of women with severe preeclampsia.

Mots clés: Guidelines; Maternal morbidity; Neonatal morbidity; Severe preeclampsia

Domaines: Sciences du Vivant [q-bio]

Marie Pierre Bonnet, Marc Garnier, Hawa Keita, Vincent Compere, Chloé J. Arthuis, et al.. Republication de: recommandations formalisées d'experts. Prise en charge de la patiente avec une pré-éclampsie sévère–RFE communes Société française d'anesthésie-réanimation (SFAR)–Collège national des gynécologues et obstétriciens français (CGNOF). Gynécologie Obstétrique Fertilité & Sénologie, 2022, 50 (1), pp.2-25. ⟨10.1016/j.gofs.2021.11.003⟩. ⟨hal-03554179⟩