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Rimasca, A., (2020). Factores de riesgo de mortalidad neonatal en el Hospital Regional del Cusco, 2018-2019 [Tesis, Universidad Andina del Cusco]. https://hdl.handle.net/20.500.12557/3389
Rimasca, A., Factores de riesgo de mortalidad neonatal en el Hospital Regional del Cusco, 2018-2019 [Tesis]. : Universidad Andina del Cusco; 2020. https://hdl.handle.net/20.500.12557/3389
@misc{renati/955572,
title = "Factores de riesgo de mortalidad neonatal en el Hospital Regional del Cusco, 2018-2019",
author = "Rimasca Mamani, Aracely Kiara",
publisher = "Universidad Andina del Cusco",
year = "2020"
}
Title: Factores de riesgo de mortalidad neonatal en el Hospital Regional del Cusco, 2018-2019
Authors(s): Rimasca Mamani, Aracely Kiara
Advisor(s): Concha Rendón, Lorenzo Carlos; Galdos Tejada, Jorge Luis
Keywords: Gestantes; Mortalidad neonatal; Prematuridad; Atención prenatal
Issue Date: 30-Apr-2020
Institution: Universidad Andina del Cusco
Abstract: Antecedentes: La mortalidad neonatal expresa el número de defunciones en los primeros
28 días de vida. Representa más de la mitad de las muertes infantiles, la mayor parte de
muertes neonatales (M.N.) ocurre en la primera semana donde la prematuridad, asfixia,
sepsis y malformaciones son las principales causas de muerte; ademas que la mayoría de
M.N. se producen en países de ingresos medianos y bajos. Las tasas de mortalidad neonatal
son usadas como indicadores de bienestar de una población y se pueden reducir
principalmente por una alta cobertura de atención prenatal.
Métodos: Estudio de diseño observacional, de tipo casos y controles. El instrumento de
investigación será una ficha de recolección de datos, y se aplicará con la revisión de 338
historias clínicas en el Hospital Regional del Cusco con una relación de casos y controles
2:1. Para el análisis estadístico se usó el programa SPSS en su versión 25.
Resultados: Se halló como factores de riesgo: la gestante mal controlada (OR:5.71), parto
distócico (OR:2.6), síndrome HELLP (OR:3.02) APGAR menor a 7 al minuto y a los 5
minutos, peso del RN menor a 2500 gr, prematuridad, malformaciones congénitas mayores
(OR:17.06), sepsis (OR:7.88), sindrome de distres respiratorio (OR:45.9), procedencia
(OR:1.7). Estas variables tienen un valor de p menor a 0.05 y un índice de confiabilidad de
95%.
Conclusiones: Se determinó que los factores de riesgo asociado a mortalidad neonatal son:
la gestante mal controlada, parto distócico, síndrome HELLP, APGAR menor a 7 al minuto
y a los 5 minutos, peso del RN menor a 2500 gr, prematuridad, malformaciones congénitas
mayores, sepsis, sindrome de distres respiratorio, procedencia.
Background: Neonatal mortality expresses the number of deaths in the first 28 days of life. Represents more than half of infant deaths, most neonatal deaths (MN) occurs in the first week where prematurity, asphyxia, sepsis and malformations are the main causes of death; and that majority of MN occur in low and middle income countries. Neonatal mortality rates are used as indicators of a population's well-being and can be reduced mainly by a high coverage of prenatal care. Methods: Observational design study and case and control type. This research instrument will be a data collection form, and will be applied with the review of 338 clinical records at the Regional Hospital of Cusco with a 2:1 case-control relationship. For the statistical analysis, the SPSS its version 25 was be used Results: It is find that as potential risk factors are: deficit in prenatal control (OR:5.71), dystocyic delivery (OR:2.6), HELLP syndrome(OR:3.02), APGAR less than 7 a minute and 5 minutes, low birth weight less than 2500 gr, prematurity, mayor congenital malformations(OR:17.06), sepsis(OR:7.88), respiratory distress syndrome(OR:45.9), rural origin (OR:1.7). These variables have a value of p less than 0.05 and a 95% reliability index. Conclusion: It is find as a risk factor the next ones: deficit in prenatal control, dystocyic delivery, HELLP syndrome, APGAR less than 7 a minute and 5 minutes, low birth weight less than 2500 gr, prematurity, mayor congenital malformations, sepsis, respiratory distress syndrome, rural origin.
Background: Neonatal mortality expresses the number of deaths in the first 28 days of life. Represents more than half of infant deaths, most neonatal deaths (MN) occurs in the first week where prematurity, asphyxia, sepsis and malformations are the main causes of death; and that majority of MN occur in low and middle income countries. Neonatal mortality rates are used as indicators of a population's well-being and can be reduced mainly by a high coverage of prenatal care. Methods: Observational design study and case and control type. This research instrument will be a data collection form, and will be applied with the review of 338 clinical records at the Regional Hospital of Cusco with a 2:1 case-control relationship. For the statistical analysis, the SPSS its version 25 was be used Results: It is find that as potential risk factors are: deficit in prenatal control (OR:5.71), dystocyic delivery (OR:2.6), HELLP syndrome(OR:3.02), APGAR less than 7 a minute and 5 minutes, low birth weight less than 2500 gr, prematurity, mayor congenital malformations(OR:17.06), sepsis(OR:7.88), respiratory distress syndrome(OR:45.9), rural origin (OR:1.7). These variables have a value of p less than 0.05 and a 95% reliability index. Conclusion: It is find as a risk factor the next ones: deficit in prenatal control, dystocyic delivery, HELLP syndrome, APGAR less than 7 a minute and 5 minutes, low birth weight less than 2500 gr, prematurity, mayor congenital malformations, sepsis, respiratory distress syndrome, rural origin.
Link to repository: https://hdl.handle.net/20.500.12557/3389
Discipline: Medicina Humana
Grade or title grantor: Universidad Andina del Cusco. Facultad de Ciencias de la Salud
Grade or title: Médico Cirujano
Register date: 15-Sep-2020
This item is licensed under a Creative Commons License