Prevalencia del conducto arterioso en neonatos, Hospital de Especialidades Mariana de Jesús
Fecha
2018
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Introducción: El recién nacido pretérmino es aquel que nace antes de completar las 37 semanas de embarazo. Se lo clasifica según por la edad gestacional y según por el peso al nacer. Las complicaciones de los recién nacidos pretérmino son: a corto plazo como complicaciones cardiovasculares (ductus arterioso persistente), respiratorias (síndrome de dificultad respiratoria) y gastrointestinales (enterocolitis necrotizante), que se producen en el período neonatal; y a largo plazo (por ejemplo, discapacidad del desarrollo neurológico) en los pacientes que sobreviven y son dados de alta en el área de UCIN.
Metodología: Establecer la prevalencia del Conducto Arterioso Permeable en neonatos, Hospital de Especialidades Mariana de Jesús, comprendido entre enero del 2015 a octubre del 2017.Se estableció un estudio retrospectivo, observacional y descriptivo durante enero a octubre entre el año 2015 - 2017, el universo escogido fueron pacientes atendidos en el área de UCIN del Hospital Mariana de Jesús, la muestra fueron 163 pacientes con diagnóstico de persistencia de conducto arterioso.
Resultados: Se estudiaron 163 recién nacidos con diagnóstico de persistencia del conducto arterioso, el 87,7% cursaban entre 37 y 41 semanas de gestación siendo pacientes a término. Se determinó que el 12,3% del total
XVI
pertenecía al grupo de recién nacidos pretérmino. Se demostró mayor incidencia de recién nacidos masculinos que presentaron PCA durante el 2015 al 2017, de nuestro total el 56,4% fueron pacientes masculinos y el 43,6% fueron pacientes femeninas. Con relación al peso del recién nacido se observó mayor frecuencia de Recién nacidos con persistencia de ductus arterioso que pesaron menos de 2.500 gramos, representados con el 52,8%. , El 28,2 % de los RN con Persistencia de conducto arterioso presento con mayor incidencia síndrome de dificultad respiratoria
Introduction: Preterm newborns are those born before completing 37 weeks of pregnancy. It is classified according to gestational age and according to birth weight. Complications of preterm infants are: short-term complications such as cardiovascular (ductus arteriosus persistent), respiratory (respiratory distress syndrome) and gastrointestinal (necrotising enterocolitis), which occur in the neonatal period; and in the long term (for example, neurodevelopmental disability) in patients who survive and are discharged from the NICU area. Methodology: To establish the prevalence of Permeable Arterial Duct in preterm neonates, attended in the Intensive Care Unit of Mariana de Jesús Specialties Hospital, from January 2015 to October 2017. A retrospective, observational and descriptive study was established during January to October between the year 2015 - 2017, the universe chosen were patients treated in the NICU area of Mariana de Jesus Hospital, the sample included 163 patients with a diagnosis of patent ductus arteriosus. Results: 163 newborns with diagnosis of patent ductus arteriosus were studied, 87.7% were between 37 and 41 weeks of gestation, being full-term patients. It was determined that 12.3% of the total belonged to the group of preterm newborns. a higher incidence of male newborns presenting PCA was demonstrated during 2015 to 2017, of which 56.4% were male patients and XVIII 43.6% were female patients. Regarding the weight of the newborn, a higher frequency of newborns with ductus arteriosus persistence weighing less than 2,500 grams was observed, represented with 52.8%. 28.2% of the neonates with persistent ductus arteriosus presented a higher incidence of respiratory distress syndrome Key words: persistent ductus arteriosus, preterm newborn, respiratory distress syndrome, congenital heart disease.
Introduction: Preterm newborns are those born before completing 37 weeks of pregnancy. It is classified according to gestational age and according to birth weight. Complications of preterm infants are: short-term complications such as cardiovascular (ductus arteriosus persistent), respiratory (respiratory distress syndrome) and gastrointestinal (necrotising enterocolitis), which occur in the neonatal period; and in the long term (for example, neurodevelopmental disability) in patients who survive and are discharged from the NICU area. Methodology: To establish the prevalence of Permeable Arterial Duct in preterm neonates, attended in the Intensive Care Unit of Mariana de Jesús Specialties Hospital, from January 2015 to October 2017. A retrospective, observational and descriptive study was established during January to October between the year 2015 - 2017, the universe chosen were patients treated in the NICU area of Mariana de Jesus Hospital, the sample included 163 patients with a diagnosis of patent ductus arteriosus. Results: 163 newborns with diagnosis of patent ductus arteriosus were studied, 87.7% were between 37 and 41 weeks of gestation, being full-term patients. It was determined that 12.3% of the total belonged to the group of preterm newborns. a higher incidence of male newborns presenting PCA was demonstrated during 2015 to 2017, of which 56.4% were male patients and XVIII 43.6% were female patients. Regarding the weight of the newborn, a higher frequency of newborns with ductus arteriosus persistence weighing less than 2,500 grams was observed, represented with 52.8%. 28.2% of the neonates with persistent ductus arteriosus presented a higher incidence of respiratory distress syndrome Key words: persistent ductus arteriosus, preterm newborn, respiratory distress syndrome, congenital heart disease.
Descripción
PDF
Palabras clave
Recién nacido, Recién nacido prematuro, Sepsis neonatal, Recién nacido de bajo peso, Hospital Especializado Mariana de Jesús, Cantón Guayaquil, Ecuador, Síndrome de dificultad respiratoria del recién nacido, Conducto arterioso permeable, Prevalencia