masterThesis
Complicaciones de la preeclampsia severa y su relación con variables demográficas y obstétricas
Fecha
2013Autor
Pérez Pachón, Karen Johanna
Institución
Resumen
Introduction: Severe preeclampsia is one of the major diseases affecting pregnant women, its complications have high impact on the health of mothers and children.
Methods: We performed a cross-sectional descriptive study, over a period of 1 year. We included all patients admitted to the intensive care unit of the Clinica Orquídeas with severe preeclampsia. We describe the demographics and complications. Univariate analysis was performed with the variables of interest and significant differences were calculated using the Fisher exact test.
Results: There were 196 patients with severe preeclampsia during the study period. The most frequent complications were HELLP syndrome, acute renal failure and pulmonary edema. The entry of patients with severe preeclampsia to UCIO in pregnancy increases the risk of complications. The HELLP syndrome were most frecuent in patients with 6 or more prenatal care controls (p=0.066).
Discussion: The results show a higher prevalence of severe preeclampsia than observed by other authors, probably in relation to a reference obstetric ICU. The most frequent complications are HELLP syndrome, pulmonary edema and renal failure, same as other published studies. The increased risk of associated complications in pregnant patients admitted to ICU could be related to the severity of the pathology. Analytical studies are required to establish associations between each of the complications and associated factors.