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Determinación de los factores que permiten predecir el riesgo de las complicaciones y parto pretérmino en preeclampsia de inicio temprano y tardío.
dc.contributor.advisor | Vicente, Carmona | |
dc.contributor.author | Fragozo Villero, Raisa | |
dc.coverage.spatial | Bogotá / Colombia | spa |
dc.coverage.temporal | febrero 2018 - Octubre 2021 | spa |
dc.date.accessioned | 2022-01-28T14:02:30Z | |
dc.date.available | 2022-01-28T14:02:30Z | |
dc.date.issued | 2021-11-26 | |
dc.identifier.uri | http://hdl.handle.net/10654/39983 | |
dc.description.abstract | La preeclampsia aún es la causa más importante de morbi mortalidad materna en Colombia, las pacientes diagnosticadas con esta patología pueden presentar deterioro clínico rápido e inesperado, con desenlaces que pueden ser fatales tanto para la madre como para el feto es por esto que es necesario una forma precisa y sencilla de pronosticar las complicaciones de esta entidad y así llevar de forma segura las gestaciones a término, con nuestro estudio proponemos, determinar los factores relacionados a complicaciones en pacientes con preeclampsia y establecer que paraclínicos y signos al examen físico permiten determinar con mayor precisión las posibles complicaciones, para ello desarrollamos un estudio observacional de cohorte retrospectiva, evaluando las historias clínicas de la población gestante del HOMIC (Hospital Militar Central) que fueron diagnosticadas y tratadas en el servicio de Ginecología y Obstetricia desde el 1 de enero de 2014 hasta el 31 de diciembre de 2019; como resultado se obtuvieron 170 historias clínicas que cumplieron con los criterios de inclusión, en estas se evidenciaron complicaciones en 113 de ellas (66,4%) , de estas complicaciones la mayor proporción fue el parto pretérmino demostrado en 74 historias (65%), se evidenció además que de las variables medidas solo 5 presentaron una p significativa (p <0.05) y 4 de estas variables corresponden al examen físico de ingreso, con estos valores se desarrolló una calculadora de riesgo que mostró sensibilidad del 77 %, especificidad del 84% y exactitud del 87%, con este análisis pudimos concluir que un interrogatorio y examen físico detallados nos pueden brindar la información necesaria para identificar las pacientes en riesgo de complicaciones de preeclampsia y que una evaluación paraclínica rápida antes de las 24 horas también puede brindar información relevante sobre el riesgo de complicaciones. | spa |
dc.description.tableofcontents | Contenido 1. Resumen Pág. 6 2. Introducción Pág. 7 3. Marco Teórico Pág. 9 4. Identificación y formulación del problema Pág. 28 5. Pregunta De Investigación Pág. 30 6. Justificación Pág. 31 7. Objetivos Pág. 33 7.1. Objetivo General Pág. 33 7.2. Objetivos Específicos Pág. 33 8. Formulación De Hipótesis Pág. 34 9. Metodología Pág. 35 10. Plan De Análisis Pág. 45 11.Resultados/productos esperados y potenciales beneficiarios Pág. 46 12. Cronograma Pág. 48 13. Presupuesto Pág. 49 14. Aspectos Éticos Pág. 50 15. Plan de análisis de datos Pág. 52 16. Análisis de datos Pág. 53 17. discusión Pág. 79 18. conclusiones Pág. 86 19. Bibliografía Pág.88 20. Anexos Pág. 97 | spa |
dc.format.mimetype | applicaction/pdf | spa |
dc.language.iso | spa | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.title | Determinación de los factores que permiten predecir el riesgo de las complicaciones y parto pretérmino en preeclampsia de inicio temprano y tardío. | spa |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
dc.type.local | Tesis/Trabajo de grado - Monografía - Especialización | spa |
dc.description.abstractenglish | Preeclampsia is still the most important cause of maternal morbidity and mortality in Colombia, patients diagnosed with this pathology may present rapid and unexpected clinical deterioration, with outcomes that can be fatal for both the mother and the fetus. This is why a precise and simple way of predicting the complications of this entity is necessary and thus safely carry pregnancies to term. In our study we propose to determine the factors related to complications in patients with preeclampsia and establish which paraclinical and singns in the physical examination allow us to determine with greater precision the risk of possible complications. for this we developed an observational retrospective cohort study, evaluating the medical records of the pregnant population of the HOMIC (Central Military Hospital) that were diagnosed and treated in the Gynecology and Obstetrics service from January 1, 2014 to on December 31, 2019, as a result, 170 medical records were obtained that met the inclusion criteria, in these complications were evidenced in 113 of them (66.4%). Of these complications, the highest proportion was preterm delivery demonstrated in 74 records (65%), It was also evidenced that of the variables measured, only 5 presented a significant p (p <0.05) and 4 of these variables correspond to the physical examination at admission, with these values a risk calculator was developed that showed a sensitivity of 77%, specificity of 84 % and 87% accuracy, with this analysis we were able to conclude that a detailed questioning and physical examination can provide us with the necessary information to identify patients at risk of preeclampsia complications and that a rapid paraclinical evaluation within 24 hours can also provide information relevant to the risk of complications. | spa |
dc.title.translated | Determination of the factors that allow predicting the risk of complications and preterm delivery in early and late-onset pre-eclampsia. | spa |
dc.subject.keywords | Preeclampsia | spa |
dc.subject.keywords | Preterm delivery | spa |
dc.subject.keywords | Maternal complications | spa |
dc.subject.keywords | Prognostic models | spa |
dc.subject.keywords | Early onset preeclampsia | spa |
dc.publisher.program | Ginecología y obstetricia | spa |
dc.creator.degreename | Especialista en Ginecología y obstetricia | spa |
dc.subject.decs | GINECOLOGIA | spa |
dc.subject.decs | OBSTETRICIA | spa |
dc.subject.decs | PREECLAMPSIA | spa |
dc.subject.decs | COMPLICACIONES DEL EMBARAZO | spa |
dc.subject.decs | PLACENTA | spa |
dc.subject.decs | HIPERTENSION | spa |
dc.description.degreelevel | Especialización | spa |
dc.publisher.faculty | Facultad de Medicina | spa |
dc.type.driver | info:eu-repo/semantics/bachelorThesis | spa |
dc.rights.creativecommons | Attribution-NonCommercial-NoDerivatives 4.0 International | spa |
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dc.subject.proposal | Preeclampsia | spa |
dc.subject.proposal | Parto pretérmino | spa |
dc.subject.proposal | Preeclampsia de inicio temprano | spa |
dc.subject.proposal | Complicaciones maternas | spa |
dc.subject.proposal | Modelos pronóstico | spa |
dc.publisher.grantor | Universidad Militar Nueva Granada | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_7a1f | * |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | spa |
dc.identifier.instname | instname:Universidad Militar Nueva Granada | spa |
dc.identifier.reponame | reponame:Repositorio Institucional Universidad Militar Nueva Granada | spa |
dc.identifier.repourl | repourl:https://repository.unimilitar.edu.co | spa |
dc.rights.local | Acceso abierto | spa |
dc.coverage.sede | Medicina | spa |
dc.rights.coar | http://purl.org/coar/access_right/c_abf2 |