Valor predictivo de la hemoconcentración para el diagnóstico de eclampsia Hospital Alfredo G. Paulson enero a octubre 2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Conociendo la importancia del diagnóstico oportuno de la eclampsia como manifestación
de lesión a órgano blanco dentro del contexto de Estados Hipertensivos Gestacionales. Se
realizó un estudio descriptivo y correlacional, de diseño no experimental, que incluyó a las
pacientes ingresadas al área de Unidad de Cuidados Críticos del Hospital de la Mujer Alfredo
G. Paulson en los meses comprendidos de Enero a Octubre del año 2016. La gestante normal
presenta valores de hematocrito y hemoglobina menores a 36 % y 12 g/dl respectivamente por
efecto de una anemia dilucional fisiológica durante este periodo. El objetivo de este trabajo fue
determinar si los valores de hematocrito y hemoglobina ≥36% y ≥12 g/dl (hemoconcentración)
se encontraban relacionados con pacientes gestantes que presentaron signos neurológicos o
eclampsia. El análisis se realizó en 3 grupos de 39 pacientes cada uno. Los casos se asignaron
a los diferentes grupos según Diagnóstico de Eclampsia, Preeclampsia Severa y Pacientes
Normales. Los resultados fueron que el 64% de las gestantes eclámpticas presentaron valores
elevados de hematocrito y hemoglobina. También mediante la Estadística Inferencial se obtuvo
una validación de la Hipótesis Alternativa mediante la aplicación del análisis Chi cuadrado con
un valor de Chi cuadrado calculado de 15.239 y Con la obtención de un Valor Predictivo
Positivo del 75%. Concluyendo de esta manera que la hemoconcentración está relacionada con
cuadros clínicos de Eclampsia, lo cual constituye la base para la propuesta de inclusión de este
parámetro dentro del Protocolo Diagnóstico de Eclampsia.
Knowing the importance of timely diagnosis of eclampsia as a manifestation of target organ injury within the context of Gestational Hypertensive States. A non-experimental, descriptive and correlational study was carried out, which included patients admitted to the Critical Care Unit area of the Alfredo G. Paulson Women's Hospital in the months from January to October, 2016. The normal pregnant woman Presents hematocrit and hemoglobin values lower than 36% and 12 g / dl, respectively, because of a physiological dilutional anemia during this period. The aim of this study was to determine if hematocrit and hemoglobin levels ≥36% and ≥12 g / dl (hemoconcentration) were related to pregnant patients who presented with neurological signs or eclampsia. The analysis was performed in 3 groups of 39 patients each. Cases were assigned to different groups according to Diagnosis of Eclampsia, Severe Preeclampsia and Normal Patients. The results were that 64% of the eclamptic pregnant women presented high values of hematocrit and hemoglobin. Also, by means of the Inferential Statistics, a validation of the Alternative Hypothesis was obtained by applying the Chi-square analysis with a calculated Chi-square value of 15,239 and obtaining a Positive Predictive Value of 75%. Concluding, therefore, that hemoconcentration is related to clinical manifestations of Eclampsia, which constitutes the basis for the proposal of inclusion of this parameter within the Diagnostic Protocol of Eclampsia.
Knowing the importance of timely diagnosis of eclampsia as a manifestation of target organ injury within the context of Gestational Hypertensive States. A non-experimental, descriptive and correlational study was carried out, which included patients admitted to the Critical Care Unit area of the Alfredo G. Paulson Women's Hospital in the months from January to October, 2016. The normal pregnant woman Presents hematocrit and hemoglobin values lower than 36% and 12 g / dl, respectively, because of a physiological dilutional anemia during this period. The aim of this study was to determine if hematocrit and hemoglobin levels ≥36% and ≥12 g / dl (hemoconcentration) were related to pregnant patients who presented with neurological signs or eclampsia. The analysis was performed in 3 groups of 39 patients each. Cases were assigned to different groups according to Diagnosis of Eclampsia, Severe Preeclampsia and Normal Patients. The results were that 64% of the eclamptic pregnant women presented high values of hematocrit and hemoglobin. Also, by means of the Inferential Statistics, a validation of the Alternative Hypothesis was obtained by applying the Chi-square analysis with a calculated Chi-square value of 15,239 and obtaining a Positive Predictive Value of 75%. Concluding, therefore, that hemoconcentration is related to clinical manifestations of Eclampsia, which constitutes the basis for the proposal of inclusion of this parameter within the Diagnostic Protocol of Eclampsia.
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Valor predictivo de las pruebas, Preeclampsia, Eclampsia, Hematócrito, Hemoglobina, Epidemiología descriptiva, Hospital de la Mujer Alfredo G. Paulson, Cantón Guayaquil, Ecuador