ArticleJournal of education and health promotion2026
Management of acute pyelonephritis in pregnancy in emergency settings: A comparative study of conservative therapy and renal drainage.
Article in Journal of education and health promotion, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundAcute pyelonephritis in pregnancy is a serious clinical condition requiring timely decision-making between conservative therapy and renal drainage. However, the absence of standardized objective criteria may result in delayed intervention and increased maternal morbidity. This study introduces and evaluates the clinical utility of a novel 10-parameter risk stratification scale designed to standardize treatment decisions in acute gestational pyelonephritis (AGP). MATERIALS AND
methodsA single-center retrospective-prospective comparative observational study was conducted on 451 pregnant women with AGP between 2023 and 2025. Patients treated before (2023) and after (2024-2025) implementation of a 10-parameter risk stratification scale were compared. Statistical analysis included the Chi-square test, Mann-Whitney
resultsImplementation of the risk scale was associated with improved clinical outcomes. The success rate of conservative therapy increased by 2.7% (
conclusionThe 10-parameter risk assessment scale shows potential as a structured and objective framework, pending external validation for clinical decision-making in AGP. Its implementation is associated with reduced invasive interventions, improved efficiency in clinical decision-making, and better risk-based stratification of patients. However, findings should be interpreted with caution due to the single-center design, lack of multivariable adjustment, and absence of fetal outcomes.
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