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Medicina crítica (Colegio Mexicano de Medicina Crítica)
Print version ISSN 2448-8909
Abstract
NAVA HERNANDEZ, Webster; MENDOZA RODRIGUEZ, Martín and LOPEZ GONZALEZ, Alfonso. Epidemiology of disseminated intravascular coagulation in obstetric patients by applying a score for non-overt DIC in intensive care. Med. crít. (Col. Mex. Med. Crít.) [online]. 2017, vol.31, n.6, pp.333-338. ISSN 2448-8909.
Objective
To evaluate the diagnosis of disseminated intravascular coagulation (DIC) using a non-overt DIC score.
Material and methods
A clinical, epidemiological, ambispective, transversal, descriptive study was carried out in a group of 84 patients who entered the Intensive Care Unit with diagnoses related to pregnancy at the General Health Hospital of Mexico City during the period from January 1, 2014 to May 31, 2017.
Results
From a sample of 84 patients, 12.29% presented a scoring for DIC; in the statistical analysis and the relationship, no statistically significant difference was observed between women with present and absent DIC (t = 0.978; p = 0.665), neither with the positive presence of smoking ( χ2 = 1.337, p = 0.210) or alcoholism ( χ2 = 0.652, p = 0.314). We had a predominance of age from 17 to 37 years.
Conclusions
The use of a scale for diagnosis or screening in obstetric patients is an aid for those with non-overt DIC; a score greater than five points is associated with the presence of the disease. As screening for women with obstetric bleeding, the scale most frequently identified non-overt DIC.
Keywords : Disseminated intravascular coagulation; DIC; obstetric; non-overt; coagulation.
