Factores de riesgo de hiperbilirrubinemia neonatal no hemolítica en recién nacidos a término en el Hospital Vicente Corral Moscoso, Cuenca 2009
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Date
2010-11-11
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Universidad de Cuenca
Abstract
Objective. To determine factors of risk of Hyperblirrubinemia Neonataly non hemolítica in newly born to term, in the department of Neonatology of the Hospital Vicente Corral Moscoso, 2009.
Materials and Methods. He/she was carried out a retrospective study, of cases and controls. Hyperbilirrubinemia was determined with value >10mg/dl in the 24 hours of life. They participated 852 newly born, 213 cases (with hyperbilirrubinemia) and 639 controls (without hyperbilirrubinemia), independent variables were identified to maternal factors: age> 25 years, toxemia, premature Rupture of membranes (RPM)> 15 hours, Caesarean operation and factors neonataly: I weigh, sex, suffocates and fast. The data were obtained of clinical histories and in the analysis odds ratio(OR was calculated) with interval of trust (IC) of 95%.
Results. The associate factors significantly with hyperbilirrubinemia they were: it suffocates with OR 9.09, IC 95% (3.77 – 22.58) p=0.01; RPM> 15 hours with OR 6.20, IC95% (3.33 – 11.60) p=0.01; fast OR 6.00, IC95% (3.11 – 11.64) p=0.01 and maternal age OR 1.48, IC95% (1.07 – 2.05) y p= 0.01
The factors associated of non significant way are toxemia, Caesarean operation. And the factors non associates are the masculine sex and I weigh <2500 g.
Conclusions. According to that exposed in the investigation, the factors associated to hyperbilirrubinemia they were asphyxia, premature rupture of membranes> 15 hours, fast and maternal age.
Resumen
Objetivo. Determinar factores de riesgo de Hiperblirrubinemia Neonatal no hemolítica en neonatos a término, en el departamento de Neonatología del Hospital Vicente Corral Moscoso, 2009. Materiales y Métodos. Se realizó un estudio retrospectivo, de casos y controles. Se determinó hiperbilirrubinemia con valor >10mg/dl en las 24 horas de vida. Participaron 852 neonatos, 213 casos (con hiperbilirrubinemia) y 639 controles (sin hiperbilirrubinemia), se identificaron variables independientes a factores maternos: edad > 25 años, toxemia, ruptura prematura de membranas (RPM) > 15 horas, cesárea y factores neonatales: peso, sexo, asfixia y ayuno. Los datos se obtuvieron de historias clínicas y en el análisis se calculó odds ratio(OR) con intervalo de confianza (IC) de 95%. Resultados. Los factores asociados significativamente con hiperbilirrubinemia fueron asfixia con OR 9.09, IC95% (3.77 22.58) p=0.01; RPM > 15 horas OR 6.20, IC95% (3.33 11.60) p=0.01; ayuno OR 6.00, IC95% (3.11 11.64) p=0.01 y edad materna OR 1.48, IC95% (1.07 2.05) y p= 0.01. Los factores asociados de manera no significativa fueron toxemia, cesárea. Y los factores no asociados fueron el sexo masculino y peso menor que 2500 g. Conclusiones. Según lo expuesto en la investigación, los factores asociados a hiperbilirrubinemia fueron: asfixia, RPM > 15 horas, ayuno y edad materna. AU
Keywords
Pediatría, Recien Nacido, Anemia, Tesis de Especialización en Pediatria, Cantón Cuenca
Citation
Código de tesis
Código de tesis
MEDP;30