Factores de riesgo perinatales y maternofetales predictivos en el diagnóstico de displasia de cadera del recién nacido

• Autores: Antonio José Aguilar Martínez, Jorge Ruiz-Sanz, Ana Belén López Mármol, José Antonio del Fresno Molina, J.A. Abad Lara
• Localización: Revista de la Sociedad Andaluza de Traumatología y Ortopedia, ISSN-e 1578-9756, Vol. 36, Nº. 1, 2019, págs. 35-42
• Idioma: español
• Títulos paralelos:
  • Predictive perinatal and maternal-fetal risk factors in the diagnosis of newborn hip dysplasia
• Enlaces
  • Texto completo
• Resumen
  • español

    Objetivo. El objetivo de este estudio es analizar los fac-tores de riesgo asociados a la Displasia de Desa-rrollo de la Cadera con la intención de elaborar un screening con finalidad diagnóstica y terapéutica precoz. Pacientes y Métodos. Se trata de un estudio multietápico. Primero, se ha realizado un estudio transversal y observa-cional. Para ello se incluyeron 114 recién nacidos del Hospital Universitario Reina Sofía entre el 1 de marzo del 2015 y el 28 de febrero del 2016 con dos o más factores de riesgo (sexo femenino, madre primípara, gestación múltiple, parto por ce-sárea y antecedentes familiares de displasia) y/o presentación podálica y/o exploración física positiva para displasia de cadera. En segundo lugar, con los pacientes seleccionados, se ha realizado un estudio de casos y controles prospectivo, sien-do los casos aquellos neonatos diagnosticados por ecografía de displasia y los controles los no diag-nosticados.El método estadístico comprende un estudio descriptivo y un estudio analítico (análisis biva-riante y análisis logístico múltiple). Resultados. El análisis logístico múltiple ha demostrado que la primiparidad y la presentación cefálica son factores de riesgo. El resto de variables resultaron no ser factores de riesgo.

  • English

    Objetives. The objective of this study is to analyse the risk factors associated to developmental hip dysplasia in order to design a screening program to ensure early diagnosis and treatment. Patients and methods. This is a multiphase study. First, we perfor-med a transverse and observational study. A total of 114 newborns from the Reina Sofía University Hospital between March 1st 2015 and February 28th 2016 with two or more risk factors (female sex, primiparous mother, multiple pregnancy, cae-sarean birth and family hip dysplasia history) and/or breech presentation and/or suggestive physical examination for hip dysplasia were included. In se-cond place, a prospective case – control study was performed on selected patients. Case were new-borns diagnosed with dysplasia with ultrasound and controls were those without this diagnosis.The statistical method included a descriptive study and an analytical study (bivariate analysis and multiple logistic regression analysis). Results.The multiple logistic regression analysis showed that primiparous state and breech presen-tation are risk factors for the appearance of de-velopmental hip dysplasia. The rest of variables were non-significant.

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