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Near Miss en pacientes obstétricas hospitalizadas por preeclampsia y eclampsia en UCI y en el Departamento de Gineco-Obstetricia de un hospital nacional de Lima-Perú periodo 2019-2021

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dc.contributor.advisor Acho Mego, Segundo Cecilio es_ES
dc.contributor.advisor Caparo Farfan, Carlos Alberto es_ES
dc.contributor.author Ortega Vela, Elizabeth Shirley es_ES
dc.contributor.author Saldaña Quezada, Melissa del Milagro es_ES
dc.date.accessioned 2024-03-19T15:52:09Z
dc.date.available 2024-03-19T15:52:09Z
dc.date.issued 2024
dc.identifier.other 206628 es_ES
dc.identifier.uri https://hdl.handle.net/20.500.12866/15194
dc.description.abstract Antecedentes: A nivel mundial, la población con mayor prevalencia dentro de los casos de Near Miss son los que padecieron de preeclampsia y/o eclampsia, siendo además las causantes más comunes de la mortalidad materna. Objetivos: Determinar la frecuencia de Near Miss en pacientes obstétricas con preeclampsia y/o eclampsia hospitalizadas en el departamento de Gineco-Obstetricia y UCI del Hospital Nacional Cayetano Heredia en el periodo 2019-2021. Materiales y métodos: Estudio descriptivo retrospectivo observacional. Se revisaron las historias clínicas de pacientes obstétricas con diagnóstico de preeclampsia y/o eclampsia entre el 2019 al 2021. Resultados: Se evaluó 251 historias clínicas con preeclampsia y/o eclampsia de las cuales el 97,6% tuvieron como diagnóstico preeclampsia y 2,4% eclampsia. Al evaluar los casos de Near Miss, 18 pacientes cumplieron con los criterios. Asimismo, de estos, se encontró que la edad materna media fue de 30,46 ± 6,69 años; la edad gestacional media fue de 33,69 ± 4,87 semanas; el 88,9% culminó su gestación por cesárea y el 83,3% no tuvo antecedentes previos de trastorno hipertensivo. De estos pacientes, 13 necesitaron ingreso a la unidad de cuidados intensivos con un promedio de estancia de 5,23 ± 5,93 días; además, el mayor porcentaje de diagnóstico de ingreso a UCI fue por insuficiencia respiratoria aguda. No se registró muerte materna. Conclusiones: La frecuencia de Near Miss hallada en población con preeclampsia y/o eclampsia fue 7,2%. es_ES
dc.description.abstract Background: Worldwide, the population with the highest prevalence of Near Miss cases are those who suffered from preeclampsia and/or eclampsia, which are also the most common causes of maternal mortality. Objectives: Determine the frequency of Near Miss in obstetric patients with preeclampsia and/or eclampsia hospitalized in the Gynecology-Obstetrics and ICU department of the Cayetano Heredia National Hospital in the period 2019-2021. Materials and methods: Retrospective observational descriptive study. The medical records of obstetric patients with a diagnosis of preeclampsia and/or eclampsia were reviewed from 2019 to 2021. Results: Retrospective observational descriptive study. The medical records of obstetric patients with a diagnosis of preeclampsia and/or eclampsia were reviewed between 2019 and 2021. Results: 251 medical records with preeclampsia and/or eclampsia were evaluated, of which 97.6% had preeclampsia as a diagnosis and 2. 4% eclampsia. When evaluating Near Miss cases, 18 patients met the criteria. Likewise, of these, it was found that the mean maternal age was 30.46 ± 6.69 years; the mean gestational age was 33.69 ± 4.87 weeks; 88.9% completed their pregnancy by cesarean section and 83.3% had no previous history of hypertensive disorder. Of these patients, 13 required admissions to the intensive care unit with an average stay of 5.23 ± 5.93 days; Furthermore, the highest percentage of ICU admission diagnoses was for acute respiratory failure. No maternal death was recorded. Conclusions: The frequency of Near Miss found in the population with preeclampsia and/or eclampsia was 7.2%. es_ES
dc.format application/pdf es_ES
dc.language.iso spa es_ES
dc.publisher Universidad Peruana Cayetano Heredia es_ES
dc.rights info:eu-repo/semantics/openAccess es_ES
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es es_ES
dc.subject Near Miss es_ES
dc.subject Mortalidad Materna es_ES
dc.subject Eclampsia es_ES
dc.subject Preeclampsia es_ES
dc.title Near Miss en pacientes obstétricas hospitalizadas por preeclampsia y eclampsia en UCI y en el Departamento de Gineco-Obstetricia de un hospital nacional de Lima-Perú periodo 2019-2021 es_ES
dc.title.alternative Near Miss in obstetric patients hospitalized for pre-eclampsia and eclampsia in the ICU and in the Department of Gyneco-Obstetrics of a national hospital in Lima-Peru period 2019-2021 es_ES
dc.type info:eu-repo/semantics/bachelorThesis es_ES
thesis.degree.name Médico Cirujano es_ES
thesis.degree.grantor Universidad Peruana Cayetano Heredia. Facultad de Medicina Alberto Hurtado es_ES
thesis.degree.discipline Medicina es_ES
dc.publisher.country PE es_ES
dc.subject.ocde http://purl.org/pe-repo/ocde/ford#3.02.02 es_ES
dc.subject.ocde http://purl.org/pe-repo/ocde/ford#3.02.08 es_ES
renati.author.dni 73243319
renati.author.dni 77165583
renati.advisor.orcid https://orcid.org/0000-0002-2638-7819 es_ES
renati.advisor.orcid https://orcid.org/0000-0002-9923-0046 es_ES
renati.advisor.dni 21450444
renati.advisor.dni 25002984
renati.type http://purl.org/pe-repo/renati/type#tesis es_ES
renati.level http://purl.org/pe-repo/renati/nivel#tituloProfesional es_ES
renati.discipline 912016 es_ES
renati.juror Hidalgo Quevedo, Carlos Augusto es_ES
renati.juror Salvador Pichilingue, Jorge Luis es_ES
renati.juror Alfaro Novoa, Maria de Lourdes Clemencia es_ES


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