Índice proteinuria/creatinuria relacionado con preeclampsia con signos de gravedad en pacientes atendidas en el Hospital de Especialidades José Carrasco Arteaga en el periodo enero 2017 – diciembre 2021

Abstract

Background: Preeclampsia is a frequent hypertensive disorder in pregnant women, whose impact varies according to its severity, and can affect target organs such as the kidneys. The proteinuria/creatinuria ratio is a test that can be performed in pregnant patients to corroborate the existence of significant proteinuria, which could be found within the diagnosis of preeclampsia. Objective: to determine the association between the proteinuria/creatinuria index and preeclampsia with signs of severity in patients treated at the José Carrasco Arteaga Specialty Hospital between January 2017 and December 2021. Methodology: observational, analytical, retrospective study. The data was taken from the José Carrasco Arteaga Specialty Hospital database. Statistical analysis was performed with the SPSS 25 program and Microsoft Excel 2018. The association between variables was evaluated with the chi-square test and the calculation of the odds ratio. Results: the mean age was 31.9 ± 5.5 years, 49% were married and 64.4% were from urban areas. 35.7% were nulliparous, with an average gestational age of 34.6 ± 4.2 weeks. The universe consisted of 149 preeclamptic patients, of which 86.6% (n=129) presented signs of severity. The median proteinuria/creatinuria ratio was 0,58 (0,26-1,66) mg/dL. The proteinuria/creatinuria ratio was not associated with the presence of preeclampsia with signs of severity (X2=2.161; OR=2.547; 95% CI=0.706-9.186; p=0.153). Conclusions: the proteinuria/creatinuria index in this study was not associated with the presence of preeclampsia with signs of severity.