dc.contributor.advisorSánchez Muñoz, José Alexander
dc.contributor.advisorBuitrago-Medina, Daniel-Alejandro
dc.creatorSolarte Palacios, Mercedes
dc.date.accessioned2017-08-11T20:55:04Z
dc.date.available2017-08-11T20:55:04Z
dc.date.created2017-07-18
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/13646
dc.descriptionEl ingreso a la unidad de cuidados intensivos (UCI) de pacientes con morbilidad materna extrema (MME) en países en desarrollo es de 0,2 a 10%, con tasas de mortalidad baja a pesar del compromiso clínico; desde hace tres décadas se ha promovido el estudio de este indicador como una herramienta para disminuir la mortalidad materna. El presente estudio describe características clínicas, sociodemográficas y perfiles de mujeres con MME atendidas durante 7 años en la UCI de un Hospital de tercer nivel con cobertura de más de dos millones de habitantes. La edad promedio fue 24,3 años, la mayoría tenían escolaridad baja, unión estable, baja carga de morbilidad previa; el 57% presentaron preeclampsia severa, se encontró el compromiso simultáneo de dos o más órganos, de estos el más afectado fue el cardiovascular, la elevación de transaminasas y la trombocitopenia fueron los principales paraclínicos anormales El tiempo de estancia en la UCI fue superior al descrito en Colombia y otros países, el uso de catéter venoso central, transfusiones y ventilación mecánica fueron las intervenciones más realizadas. Un grupo de pacientes ingresan a la UCI no presentan mayor compromiso orgánico ni alteraciones en signos vitales o paraclínicos, su estancia en UCI se justifica por el potencial riesgo en su estado de salud, por otro lado pacientes con peores condiciones clínicas, compromiso multiorgánico, tienen estancias prolongadas y requerimiento de mayor número de intervenciones. Por el bajo número de casos de mortalidad no fue posible determinar los factores pronósticos y las diferencias entre supervivientes y no sobrevivientes.es
dc.description.abstractThe intensive care unit (ICU) admission of patients with extreme maternal morbidity (MME) in developing countries is 0.2 to 10%, with low mortality rates despite clinical involvement; The study of this indicator has been promoted for three decades as a tool to reduce maternal mortality. The present study describes clinical, sociodemographic and profile characteristics of women with MME treated for 7 years in the ICU of a third level Hospital with coverage of more than two million inhabitants. The average age was 24.3 years, the majority had low schooling, stable union, low burden of previous morbidity; 57% presented severe preeclampsia, we found the simultaneous involvement of two or more organs, of which the most affected was the cardiovascular, elevated transaminases and thrombocytopenia were the main abnormal paraclinics. ICU stay was longer than described in Colombia and other countries, the use of central venous catheter, transfusions and mechanical ventilation were the most performed interventions. A group of patients admitted to the ICU did not present greater organic compromise or alterations in signs vital or paraclinical, their stay in the ICU was justified by the potential risk in their health status, on the other hand patients with worse clinical conditions, prolonged stays and the requirement of a greater number of interventions. Due to the low number of mortality cases, it was not possible to determine prognostic factors and differences between survivors and non-survivors.es
dc.format.mimetypeapplication/pdfes
dc.language.isospaspa
dc.sourceinstname:Universidad del Rosariospa
dc.sourcereponame:Repositorio Institucional EdocURspa
dc.subjectEmbarazoes
dc.subjectMorbilidad materna extremaes
dc.subjectCuidados intensivoses
dc.subject.ddc618.3es
dc.titleCaracterización y perfiles de pacientes con morbilidad materna extrema, Unidad de Cuidados Intensivos, Hospital La Samaritana, 2008 -2014es
dc.typeinfo:eu-repo/semantics/bachelorThesisspa
dc.publisherUniversidad del Rosariospa
dc.creator.degreeEspecialista en Medicina Crítica y Cuidado Intensivoes
dc.publisher.programEspecialización en Medicina Crítica y Cuidado Intensivospa
dc.publisher.departmentFacultad de Medicinaspa
dc.title.alternativeMorbilidad materna extrema en cuidados intensivoses
dc.subject.keywordPregnancyes
dc.subject.keywordIntensive carees
dc.subject.keywordExtreme morbidity maternales
dc.rights.accesRightsinfo:eu-repo/semantics/embargoedAccesses
dc.subject.decsMortalidad Maternaes
dc.subject.decsComplicaciones del Embarazoes
dc.subject.decsEmbarazoes
dc.type.spaTrabajo de gradospa
dc.rights.accesoTemporalmente Bloqueadoes
dc.date.embargoEndinfo:eu-repo/date/embargoEnd/2018-08-11
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersionspa
dc.identifier.localTEMEes
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