FACTORES ASOCIADOS A HIPOGLICEMIA EN PACIENTES QUE INGRESAN AL SERVICIO DE CUIDADOS INTERMEDIOS DEL SERVICIO DE NEONATOLOGIA EN EL HOSPITAL “REZOLA CAÑETE” ENTRE LOS AÑOS 2019 Y 2021

Abstract

Introduction: Neonatal hypoglycemia is the most frequent and early metabolic disorder of the newborn, which can cause from transient irritability to states of convulsion, apnea and death. Neonatal hypoglycemia has been increasing over the years, causing other complications in newborns. Therefore, the intervention is necessary, studying and/or analyzing the factors that are associated with it. Objective: To determine the factors associated with hypoglycemia in patients admitted to the intermediate care service of the Neonatology service at the "Rezola Cañete" Hospital between the years 2019 -2021. Methods: The type of research corresponds to a case-control study. A sampling was carried out whose ratio was 1:21, obtaining 100 cases and 200 controls. The variables were studied: variables: birth weight, prematurity, sepsis, sepsis, fetal distress, fetal, gender of the newborn and type of delivery. The data was analyzed with the statistical software SPSS vs 27. Results: Of the 300 neonates included in our investigation, 56% were pre-term men and 44% were women. The women, 59.3% were premature, premature, this being the predominant group. In addition, 60.3% of the newborns were born due to dystocic delivery, while 39.7 were born due to normal delivery. 91% presented normal Apgar >5 at birth, this being the predominant group.Respect-predominant. Regarding the birth weight of the newborn, the predominant percentage was presented by normal birth weight with 36%, followed by very low birth weight with 35.7%, macrosomia at birth with 22.7% and very low birth weight with 5.7%. In the presence of early sepsis in the newborn, the predominant population were those who did not present early sepsis with 61%, 56% presented acute fetal distress, while 38% did not present it and only 18% presented fetal distress. chronic. Conclusions: The factors associated with hypoglycemia in neonates admitted to the neonatology intermediate care service of the Rezola Cañete Hospital between 2019 and 2021 were the male sex (OR:0.56 95% CI: 0.34-0.91; p = 0.02), of Similarly, in the type of dystocic delivery it was found to be statistically significant (OR:0.61 95% CI: 0.99-2.64; p = 0.05) and acute fetal distress (OR:2.24 95% CI: 1.31-3.83; p = 0.003 ) .