Incidencia de eclampsia en cuidados intensivos en Matamoros, Tamaulipas, México.

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    • Alternate Title:
      Incidence of eclampsia in intensive care in Matamoros, Tamaulipas, Mexico.
    • Abstract:
      BACKGROUND: According to the Health Ministry of Mexico, preeclampsia represents up to 34% of total maternal deaths. In addition, there are other entities associated with hypertension during pregnancy, such as eclampsia, and in much lower frequency, the HELLP syndrome (hemolysis elevated liver enzymes and low platelets). Together, the latter constitute the main cause of death associated with pregnancy complications. OBJECTIVE: To know the incidence of eclampsia cases entering an intensive care unit and the age group most susceptible to mortality. MATERIAL AND METHOD: An observational, retrospective and cross-sectional study was done using the journal of income and expenditures of the ICU, General Hospital of Matamoros, Tamaulipas, Mexico, from January 2012 to December 2018; each variable was statistically analyzed. RESULTS: Of the 2497 patients admitted to the intensive care unit, 227 cases were from Gynecology and Obstetrics. Of these, 206 were diagnosed with general pregnancy complications, in the age group of 13 to 46 years. Eclampsia was found in 48 patients (23.3%), predominating the age of 18 years. CONCLUSIONS: In general, eclampsia represented up to 6.3% of the total number of patients admitted with a complicated pregnancy. In comparison to those reported by the Ministry of Health in 2007, the percentage in this hospital has been reduced up to 34%. [ABSTRACT FROM AUTHOR]
    • Abstract:
      ANTECEDENTES: En México, de acuerdo con la Secretaría de Salud, la preeclampsia representa hasta 34% del total de las muertes maternas, además, existen otras afecciones asociadas con hipertensión durante el embarazo, como la eclampsia y, en mucho menor frecuencia, el síndrome HELLP (hemólisis, elevación de enzimas hepáticas y trombocitopenia), por lo que juntas constituyen la principal causa de muerte asociada con complicaciones del embarazo. OBJETIVO: Conocer la incidencia de los casos de eclampsia que ingresan en una unidad de cuidados intensivos y el grupo de edad más susceptible a la mortalidad. MATERIAL Y MÉTODO: Estudio observacional, retrospectivo y transversal en el que, de enero de 2012 a diciembre de 2018, con el diario de ingresos y egresos de la UCI del Hospital General de Matamoros, Tamaulipas, México, se capturó y analizó estadísticamente cada variable. RESULTADOS: De los 2497 pacientes recibidos a terapia intensiva en el periodo de estudio, 227 casos fueron de Ginecología y Obstetricia, 206 con el diagnóstico de embarazo complicado en general con edades de 13 a 46 años. Con eclampsia hubo 48 pacientes (23.3%) predominando la edad de 18 años. CONCLUSIONES: La eclampsia representó hasta 6.3% del total de pacientes ingresadas con embarazo complicado en general y, en comparación con los reportes de la Secretaría de Salud en 2007, el porcentaje se ha reducido hasta 34% del total en esta sede hospitalaria. [ABSTRACT FROM AUTHOR]
    • Abstract:
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