Abascal GH, Suárez GN, Hernández CM

Language: Spanish
References: 0
Page: 312-318
PDF size: 286.15 Kb.

ABSTRACT

Introduction: many of the entities and / or clinical conditions in neonatology have some degree of thrombocytopenia. Objective: to characterize clinically and epidemiologically newborns with thrombocytopenia. Method: an observational, descriptive and cross-sectional study was carried out in the Neonatology service, General Teaching Hospital "Abel Santamaría Cuadrado" of Pinar del Río, Cuba, from 2011 to 2015. The universe consisted of infants admitted to the of neonatal intensive care unit (N = 519) and the intentional sample were those diagnosed for thrombocytopenia (n = 97). Statistical processing was based on Descriptive Statistics methods. Results: of the total number of newborns admitted to the neonatal intensive care unit, 18.7% developed thrombocytopenia, which had a linear behavior in the course of the years without any differences in their distribution according to sex. In neonates with thrombocytopenia, a predominance of moderate prematurity (30-33.6 weeks) was found, with 38.1%. More than half of the cases (63.9%) occurred in the first 72 hours of life (precocious) with a predominance in newborns with intrauterine growth retardation (16.5%). In most of the morbidities developed by neonates, mild thrombocytopenia (49.5%) and moderate (38.1%) predominated according to severity. Conclusion: the presence of thrombocytopenia according to its different degrees of severity and time of onset is a decisive indicator in the orientation of the diagnosis and treatment of the great majority of serious morbidities present in the neonatal stage.