Femur corto en la ecografia fetal como factor predictor de preeclampsia severa

Abstract

Determinar si el fémur corto en ecografías del segundo y tercer trimestre es un factor predictor de preeclampsia severa en gestantes en los años 2013-2014 del Hospital Belén de Trujillo. MATERIAL Y MÉTODO: Estudio analítico y retrospectivo de casos y controles con el que se evalúan a 152 gestantes distribuidas en dos grupos. Los casos se agrupan en 76 gestantes con preeclampsia severa y los controles en 76 gestantes sin preeclampsia severa. RESULTADOS: La proporción de gestantes con preeclampsia severa y con fémur corto es de 35.5% (27 gestantes), en tanto, la proporción de gestantes con preeclampsia severa sin fémur corto es de 64.5 % (49 gestantes). La proporción de gestantes sin preeclampsia severa con fémur corto es de 9.2% (7 gestantes), y la proporción de gestantes sin preeclampsia severa sin fémur corto es de 90.8%. (69 gestantes) El fémur corto es un factor predictor de preeclampsia severa obteniéndose un Odds Ratio de 5.4, con un Intervalo de Confianza al 95% [2.1 – 13.4] y hallándose un valor de p=0.001, siendo altamente significativo estadísticamente. CONCLUSIONES: El fémur corto en ecografías fetales del segundo y tercer trimestre de edad gestacional es un factor de predictor de preeclampsia severa en gestantes en los años 2013-2014 en el Hospital Belén de Trujillo.

Determine if the short femur in the ultrasound perform in the second and third trimester is a predictor of severe preeclampsia in pregnancies in the years 2013-2014 in Belen Hospital of Trujillo. MATERIALS AND METHODS: Through a retrospective and analytical study of cases and controls where evaluated 152 pregnant women that were distributed in two groups. The cases grouped in 76 pregnant women with severe preeclampsia and controls in 76 pregnant women with preeclampsia without severe preeclampsia. RESULTS: The proportion of pregnancies with severe preeclampsia and with short femur length was 35.5% (27 pregnancies), while, the proportion of pregnancies with severe preeclampsia without short femur length was 64.5% (49 pregnancies). The proportion of pregnancies without severe preeclampsia with short femur length was 9.2% (7 pregnancies), and the proportion of pregnancies without severe preeclampsia without short femur length was 90.8%. (69 pregnancies) The short femur is a predictor factor of severe preeclampsia, because an odds ratio of 5.4 was obtain, and a Confidence Interval of 95% (2.1-13.4), a p value=0.001 was found, so that the investigation was highly significant statiscally. CONCLUSIONS: The short femur assessment in fetal ultrasound in the second and third trimesters of gestational age was determined as a predictor factor for severe preeclampsia in women in the years 2013-2014 in Belen Hospital of Trujillo.