Bibliographic citations
Cussi, F., (2024). Factores de riesgo asociados a deshidratación hipernatrémica en neonatos del Hospital Antonio Lorena en el periodo de 2021 al 2022 [Universidad Andina del Cusco]. https://hdl.handle.net/20.500.12557/6209
Cussi, F., Factores de riesgo asociados a deshidratación hipernatrémica en neonatos del Hospital Antonio Lorena en el periodo de 2021 al 2022 []. PE: Universidad Andina del Cusco; 2024. https://hdl.handle.net/20.500.12557/6209
@misc{sunedu/3626847,
title = "Factores de riesgo asociados a deshidratación hipernatrémica en neonatos del Hospital Antonio Lorena en el periodo de 2021 al 2022",
author = "Cussi Jara, Fabricio Jhordan",
publisher = "Universidad Andina del Cusco",
year = "2024"
}
Introduction: Neonatal hypernatremic dehydration (NHD) is a pathology characterized by the typical triad of weight loss, increased temperature and jaundice. This condition presents an elevated blood sodium concentration greater than and equal to 145 mEq/L. Objectives: Determine the risk factors associated with hypernatremic dehydration in neonates at the Antonio Lorena Hospital in the period 2021 to 2022. Materials and Methods: A retrospective, descriptive, non-experimental, observational, cross-sectional, correlational analysis was carried out on a sample of 70 physical medical records of newborns diagnosed with DHN and their mothers. They were collected using a specific data collection form. The results were presented in tables that showed the absolute frequencies and the corresponding percentages, variables were related with the Chi square method and Spearman correlation with a significance level of p<0.05. Results: The study included 70 newborns and their mothers, selected according to specific criteria. Regarding maternal factors, it was observed that 52.86% of mothers were multiparous and the majority had an ideal intergenic period (22.86%). Most deliveries were vaginal (55.71%) and most mothers had a full-term gestational age based on the date of last menstruation (91.43%). Regarding neonatal factors, the male sex predominated (51.43%), the vast majority of neonates had a birth weight between 2500 and 3999 grams (95.71%), the majority of neonates entered the neonatal period early (77.14%) and the majority of neonates did not present associated pathologies (95.71%). Regarding epidemiological factors, the majority of mothers came from urban areas (54.29%) and had completed secondary education (64.29%). Furthermore, the majority of mothers were between 20 and 35 years old (75.71%). In relation to clinical aspects, a high incidence of jaundice (84.29%), to a lesser extent fever (18.57%) and hypoactivity (17.14%) will be observed. Regarding the laboratory results, the majority of neonates presented total bilirubin levels between 13.1 to 20 mg/dl (62.86%); and of the 70 with DHN, 28.57% had serum sodium levels between 150 and 155 mEq/L, which corresponded to moderate DHN as the most common. The variables related to DHN were: intergenic period (Spearman's rho=-0.396; p-value=0.015), type of vaginal delivery (p-value=0.037) and early neonatal stage (p-value=0.01) for a level of significance of p<0.05. Conclusions: The risk factors associated with DHN were: neonatal stage, type of delivery and intergestational period.
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