Factores de riesgo de hipertensión pulmonar persistente de los recién nacido a término ingresados en la unidad de cuidados intensivos Neonatales del Hospital Francisco Icaza Bustamante en el periodo de diciembre 2017-noviembre 2019.

Abstract

Background: Persistent pulmonary hypertension of the newborn is an emergency in the NICU. The circulation continues to work as if it were still in the mother's womb, passing through the lungs, only in small quantities, which prevents her from adapting, increases the pressure in the pulmonary artery, leading much of the flow to other organs. A serious condition Francisco Icaza Bustamante Hospital receives patients in chaotic conditions, derived from different sectors of the country. Objective. - To determine risk factors, such as gestational age, urinary tract infection, premature rupture of membranes, type of delivery, neonatal pathologies, associated with persistent neonatal pulmonary hypertension. Methods: A sample of 130 full-term infants from November 2017 to December 2019, 34 with clinical diagnosis, 46 by echocardiogram and 50 did not present HPPRN. A descriptive, crosssectional, analytical, calculating, chi-square, and odds ratio study was conducted in search of association. Results: The determined risk factors are Hypothermia: P value 0.01, OR 2,446, confidence interval ranges from 1,147 to 5,215. Pneumonia, p value 4.162, OR 2.214, confidence interval ranges from 10.24 to 4.776; Meconial aspiration p-value of 0.000, OR 6.652 confidence interval ranges from 2.387 to 18.536. Hypoglycemia, p value of 0.007, OR 0.211, confidence interval from 0.62 to 0.714. The confidence intervals do not pass the unit therefore they are significant, and they have a damage effect, with hypoglycemia I present a protective effect. Conclusions: Improve primary care in our country.