Prevalencia y evaluación del shock hipovolémico por embarazo ectópico en mujeres de 20 a 35 años atendidas en el hospital general norte de Guayaquil, los Ceibos durante el periodo de enero 2017 y 2019.

Abstract

This research focuses on the evaluation of hypovolemic shock by ectopic pregnancy which have been treated in our hospital in which we did a year of rotary boarding school ; this research was carried to cab in the periord of 2 years (2017 and 2019), in order to be able to determine the complications and their relationship with the percentage of hypovolemic shock. Objective: To evaluate the prevalence of hypovolemic shock from ectopic pregnancy in women from 20 to 35 years of age attended at the Northern General Hospital of Guayaquil, Los Ceibos during the period 2017 and 2019. Materials and Method: An observational, analytical, retrospective, descriptive study was carried out to make the study, a sample of 209 patients with the same population number was taken taking into account the criteria of inclusion and exclusion . Results: 52.6% of patients had grade I shock, 18.2% grade II, 20.1% grade III at 9.1% grade IV and 11% of the sample required admission to the intensive care unit. The most common etiological diagnosis was unplanned ectopic pregnancy in 60.3% of patients, followed by abdominal pregnancy at 28.7% and tubular pregnancy at 10%. A correlation was made between the abnormality of the shock index and the number of broadcasts required through the Student T test in which a t-value of 3,785 was found with a P value of < 0.001, with an average of 0.6 broadcasts in patients with an abnormal shock rate and 0.12 in patients with normal shock rate. Conclusion: The Los Ceibos General Hospital between 2017 and 2019 found 209 cases of complicated ectopic pregnancy with shock. The group would be most affected was patients between the age of 25 and 30, and a very large percentage of abdominal pregnancies were found compared to the literature. An abnormal shock rate was found in a quarter of patients, which matches their low sensitivity, and a higher number of patients had it depending on how high their degree of shock was. A higher shock rate was significantly related to increased use of blood transfusions