Asociación entre los niveles de déficit de base y la aparición de disfunción orgánica múltiple en pacientes con preeclampsia severa admitidas en la clínica gestión salud s.a.s (Cartagena) entre el 1 de enero de 2014 hasta 31 diciembre 2016

Objective: To determine the association between base deficit (BD) and multiple organ dysfunction (MOD) in patients with severe pre-eclampsia who were admitted to the Gestion Salud SAS Clinic, located in Cartagena de Indias from January 1, 2014 until December 31, 2016. Methods: An observational, analytical, cross-sectional study was conducted. BD was obtained in the arterial or venous gases made to the patient upon her admission to the institution. Diagnosis of MOD was made according to the criteria of dysfunction by the Ministry of Social Protection (MPS) of Colombia defined as the presence of three or more dysfunctions. Results: Data from 72 patients were analyzed. 72.22% developed MOD. There was a greater proportion of patients with MOD, hepatic dysfunction, coagulation dysfunction and HELLP syndrome in the group with a BD value less than or equal to -5. Having a BD value less than or equal to -5 increased the probability of having MOD. Conclusions: BD values lower than -5, that is, having a higher BD is associated with an increase in the probability of having MOD. In this group of patients, hepatic dysfunction, coagulation dysfunction and HELLP syndrome are also more frequent.