Proteinuria y presión arterial de pacientes preeclámpticas severas y eclámpticas: relación con el resultante neonatal y la presencia de complicaciones maternas en pacientes de terapia intensiva del hospital gineco-obstétrico Enrique C. Sotomayor de enero a junio 2010 / Proteinuria and blood pressure of severe preeclamptic and eclamptic patients: Its relationship with the resultant neonatal and the presence of maternal complications in intensive care patients of the Enrique C. Sotomayor ob/gyn hospital from january to june 2010
Medicina (Guayaquil)
; 16(4): 273-279, 2011.
Article
em Es
| LILACS
| ID: lil-652671
Biblioteca responsável:
EC13.1
RESUMEN
Objetivo:
determinar si los niveles de proteinuria y presión arterial de pacientes preeclámpticas severas y eclámpticas se relacionan con el resultante neonatal y la presencia de complicaciones maternas.Diseño:
estudio observacional retrospectivo realizado con datos de las historias clínicas de pacientes en el área de terapia intensiva de hospital gineco-obstétrico Enrique C. Sotomayor con diagnóstico de preeclampsia severa y eclampsia, durante el periodo de enero a junio de 2010. Se obtuvieron datos maternos de presión arterial, proteinuria, resultados de laboratorio, edema y convulsiones; y score APGAR, test de Silverman, test de Ballard, clasificación del Lubchenco y peso del recién nacido. Se incluyeron mujeres de cualquier edad, gesta y edad gestacional. El análisis estadístico se realizó con el método chi-cuadrado en el programa de Microsoft Office Excel 2007. Los valores de p <0,05 fueron considerados estadísticamente significantes.Resultados:
de 83 pacientes, 59 (71%) tuvieron preeclampsia severa y 24 (29%) eclampsia. Pacientes con presión arterial ≥140/90 mmHg, 45 (54.2%) tuvieron un neonato con Apgar ≥7 al minuto (p=0.73), 61 (73.4%) con Apgar ≥7 a los 5 minutos (p=0.17) y 12 (14.4%) pacientes presentaron complicaciones (p=0.64). Pacientes con proteinuria ≥300mg, 35 (42.1%) tuvieron un neonato con Apgar ≥7 al minuto (p=0.53), 48 (57.8%) con Apgar ≥7 a los 5 minutos (p=0.24) y 13 (15.6%) pacientes presentaron complicaciones (p=0.04; OR=6.5). Cuatro pacientes tuvieron 2 ó más complicaciones.Conclusión:
los niveles elevados de proteinuria y presión arterial no disminuyen la vitalidad del neonato. Niveles elevados de proteinuria tienen mayor probabilidad de presentar complicaciones maternas.ABSTRACT
Objective:
to determine whether the levels of proteinuria and blood pressure of severe preeclamptic and eclamptic patients are associated with the resultant neonatal and the presence of maternal complications.Design:
a retrospective observational study that used medical record data of patients diagnosed with severe preeclampsia and eclampsia in the Intensive care area of the Enrique C. Sotomayor ob/gyn hospital during the period from January to June 2010. Maternal data consisted of blood pressure, proteinuria, laboratory results, edema and convulsions; also APGAR score, Silverman test, Ballard test, Lubchenco classification, and the newborns weight. Women of any age and gestational state and age were included. The statistical analysis was performed using the chi-square method with Microsoft Office Excel 2007. P values of less than 0.05 were considered statistically significant.Results:
of 83 patients, 59 (71%) had severe preeclampsia, and 24 (29%) eclampsia. Of the patients with blood pressure ≥ 140/90 mmHg, 45 (54.2%) had a neonate with Apgar ≥ 7 at 1 minute (p = 0.73), 61 (73.4%) with Apgar ≥ 7 at 5 minutes (p = 0.17), and 12 (14.4%) showed complications (p = 0.64). Of the patients with proteinuria ≥ 300 mg, 35 (42.1%) had a neonate with Apgar ≥ 7 at 1 minute (p = 0.53), 48 (57.8%) with Apgar ≥ 7 at 5 minutes (p = 0.24), and 13 (15.6%) showed complications (p = 0.04, OR = 6.5). Four patients had 2 or more complications.Conclusion:
high levels of proteinuria and blood pressure do not diminish the vitality of the newborn. High levels of proteinuria are more likely to show maternal complications.Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Pré-Eclâmpsia
/
Complicações na Gravidez
/
Eclampsia
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Newborn
Idioma:
Es
Revista:
Medicina (Guayaquil)
Assunto da revista:
Cincias da Sa£de
/
MEDICINA
/
Pesquisa
/
Sa£de P£blica
Ano de publicação:
2011
Tipo de documento:
Article