Examinando por Autor "Castañón Guzmán, Andrel Dionel"

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    Prevalence of gestational diabetes using different diagnostic criteria (IADPSG, ADA, and WHO) at Daniel Alcides Carrión National Hospital, Callao, August 2017 - June 2018
    (Universidad Privada Norbert Wiener, 2019-07-12) Castañón Guzmán, Andrel Dionel; Cataño Capcha, Francisco Javier; Sandoval Vegas, Miguel Hernán
    This study included 166 pregnant women who underwent a 75g OGTT (Oral Glucose Tolerance Test) from August 2017 to June 2018. The prevalence of gestational diabetes was determined using three diagnostic criteria: the IADPSG was 29.5%, the ADA 24.5%, and the WHO 11.5%. It was observed that the ADA criteria had a sensitivity (S) of 83%, a specificity (E) of 100%, a positive predictive value (PPV) of 100%, and a negative predictive value (NPV) of 93%. The incidence rate (IR) was 95%, and the Youden Index (YI) was 0.8. When comparing the WHO criteria, the sensitivity was 32%, specificity was 97%, PPV was 84%, and NPV was 77%. The IR was 78%, and the YI was 0.3. It was observed that older age in pregnant women was associated with higher prevalence of gestational diabetes. The study concluded that significant differences exist in the prevalence of gestational diabetes when using different diagnostic criteria, with the IADPSG criteria showing the highest sensitivity and specificity, followed by the ADA criteria with acceptable indices, while the WHO criteria showed critical values for detecting gestational diabetes.