Factores de riesgo de preeclampsia en pacientes atendidas en el servicio de gineco obstetricia del Hospital Regional de Ica en el 2022
No Thumbnail Available
Date
2024
Journal Title
Journal ISSN
Volume Title
item.page.advisor
Abstract
Determinar los factores de riesgo asociados a preeclampsia en pacientes atendidas en el servicio de Gineco-obstetricia del Hospital Regional de Ica en el 2022.
Se realizó un estudio analítico, observacional, transversal y retrospectivo. Se incluyó en el estudio a gestantes con preeclampsia (Casos=91) y sin preeclampsia (Controles=91). Los datos se obtuvieron por revisión de historias clínicas. Se utilizaron el chi cuadrado, con p≤0,005, odds ratio y un intervalo de confianza del 95%. Se encontró factores asociados a preeclampsia como: Edad ≥ a 35 años (p=0,014; OR=2,605; IC 95%=1,189-5,706), ser soltera (p=0,047; OR=2,083; 1,002-4,333), sin instrucción (p=0,030; OR=2,430; IC 95%=1,072-5,507), procedencia rural (p=0,000; OR=3,248; IC 95%=1,692- 6,236), ser obesa (p=0,017; OR=2,494; IC 95%=1,164-5,343), diabetes mellitus II (p=0,681; OR=1,184; IC 95%=0,528-2,654), Hipertensión arterial (p=0,023; OR=3,022; IC 95%=1,125-8,120), síndrome de ovario poliquístico (p=0,168; OR=1,737; IC 95%=0,788-3,828), antecedente de preeclampsia (p=0,000; OR=10,157; IC 95%=4,020-25,622), la nuliparidad (p=0,001; OR=2,817; IC 95%=1,544-5,140), el embarazo múltiple (p=0,009; OR=3,493; IC 95%=1,317-9,265), el polihidramnios (p=0,001; OR=5,363; IC 95%=1,737-16,555), Intervalo intergenésico corto (p=0,000; OR=5,627; IC 95%=2,421- 13,081) y la edad gestacional menor de 37 semanas (p=0,019; OR=2,120; IC 95%=1,129-3,981). La presencia de preeclampsia en gestantes, se asocia con factores de riesgo como una edad ≥ a 35 años, ser soltera, sin instrucción, procedencia rural, ser obesa, la hipertensión arterial, con antecedente de preeclampsia, la nuliparidad, el embarazo múltiple, el polihidramnios, corto intervalo intergenésico y una edad gestacional < a 37 semanas.
-----
Determine the risk factors associated with preeclampsia in patients treated in the Gynecologyobstetrics service of the Regional Hospital of Ica in 2022.
An analytical, observational, cross-sectional and retrospective study was carried out. Pregnant women with preeclampsia (Cases=91) and without preeclampsia (Controls=91) were included in the study. The data were obtained by reviewing medical records. The chi square was used, with p≤0.005, odds ratio and a 95% confidence interval. Factors associated with preeclampsia were found such as: Age ≥ 35 years (p=0.014; OR=2.605; 95% CI=1.189-5.706), being single (p=0.047; OR=2.083; 1.002-4.333), without education (p=0.030; OR=2.430; 95% CI=1.072-5.507), rural origin (p=0.000; OR=3.248; 95% CI=1.692-6.236), being obese (p=0.017; OR=2.494; 95% CI=1.164-5.343), diabetes mellitus II (p=0.681; OR=1.184; 95% CI=0.528-2.654), Arterial hypertension (p=0.023; OR=3.022; 95% CI=1.125-8.120), polycystic ovary syndrome (p=0.168; OR=1.737; 95% CI=0.788-3.828), history of preeclampsia (p=0.000; OR=10.157; 95% CI=4.020-25.622), nulliparity (p=0.001; OR=2.817; 95% CI=1.544-5.140), multiple pregnancy (p=0.009; OR=3.493; 95% CI=1.317-9.265), polyhydramnios (p=0.001; OR=5.363; 95% CI=1.737). -16.555), short interpregnancy interval (p=0.000; OR=5.627; 95% CI=2.421-13.081) and gestational age less than 37 weeks (p=0.019; OR=2.120; 95% CI=1.129- 3.981). The presence of preeclampsia in pregnant women is associated with risk factors such as age ≥ 35 years, being single, without education, rural origin, being obese, high blood pressure, with a history of preeclampsia, nulliparity, multiple pregnancy, polyhydramnios, short interpregnancy interval and a gestational age < 37 weeks.
Description
Keywords
Preeclampsia, Factor de riesgo, Gestación, Polihidramnios, Gestational age, Nulliparity