Factores que motivan la internación en la unidad de neonalogía en la Fundación Pablo Jaramillo Crespo 2013

Abstract

Objetives: Determine the factors that motivate the hospitalization in the service of neonatology at Pablo Jaramillo Crespo 2013 Foundation.

Material and Methods: This was an observational, descriptive and retrospective study of the records of hospitalization in the neonatology area in the period January 1, 2013 to December 31, 2013. To do this, the electronic clinical history of each patient was revised as record of the institution; a form was designed and applied to obtain information of the prenatal, perinatal, and postnatal factors that led to the hospitalization of children in the area of neonatology.

Results: The prevalence of entries in the area of neonatology was 24.44%, and factors that motivated the hospitalization were the following: Pre terms were 69.89%, weight lower than 2500g corresponded to 46.8%, urinary tract infections mother (40%), hypertensive disorders in pregnancy with 11.5%, children of mothers with extreme ages (31.1%), children of mothers with an education level below the top (84.8%), poor prenatal control with a figure of 22.37%, there was present hypoglycemia with 86.4%. The socio economic level under 69.1%, 64.7% of children were born by Caesarean section, 14.6% had RCIU, 11.9% alteration in the ILA and 6.10% of hospitalized newborns had some malformation. The area that most frequently admitted infants was the intermediate care unit with 39.3%. 8.5% entered for sepsis and 72.9% for jaundice.

Conclusions: The frequency of entries in the area of neonatology is high, 1 in 4 infants are hospitalized, being most of the factors controlled and represented by the low socioeconomic level, hypoglycemia, prematurity, low birth weight, neonatal jaundice, ITU during pregnancy 15 days before delivery, maternal extreme age and RCIU.