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Pediatría (Asunción)

On-line version ISSN 1683-9803

Abstract

REAL APARICIO, Chantal Marie  and  ARIAS YRAZUSTA, Patricia. Risk factors associated with hypoglycemia in neonates. Pediatr. (Asunción) [online]. 2016, vol.43, n.3, pp.213-219. ISSN 1683-9803.  https://doi.org/10.18004/ped.2016.diciembre.213-219.

Introduction:

Hypoglycemia is common in the newborn (RN) but if it is persistent or too deep can cause neurological sequelae. The objectives of this study were to describe the values determined by capillary glycemia digital glucometer in the RN risk and analyze the risk factors associated with hypoglycemia.

Materials and Methods:

Capillary glucose was measured with digital glucometer in the risk RN National Hospital (Itauguá, Paraguay) between May 2015 and February 2016. To determine the risk factors design cases (RN with hypoglycemia) was then applied and controls (RN without hypoglycemia). The independent variables were associated pathologies RN, prematurity, intrauterine growth restriction, cesarean birth, sex RN, high blood pressure and gestational diabetes.

Results:

RN 76 were included, 56.6% male, mean age 36 ± 3 gestational weeks with median weight 2,569 g, born by Caesarean section at 68.4%. RN 25 were found with hypoglycemia <47 mg / dL (cases) and 51 without hypoglycemia (controls). Statistically significant risk factors associated with neonatal hypoglycemia were prematurity and the presence of associated diseases: respiratory distress, sepsis and perinatal asphyxia. It was found significant correlation between capillary glycemia and plasma glucose (r +0.6).

Conclusions:

Significant risk factors statistically associated with neonatal hypoglycemia were the presence of associated diseases (respiratory distress, sepsis and perinatal asphyxia) and prematurity. The correlation between capillary glucose and plasma was significant (r + 0.6).

Keywords : Hypoglycemia; Newborn; prematurity; blood glucose meter; glucose..

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