Indications and characteristics of obstetric patients admitted to the intensive care unit: a 22-year review in a tertiary care center
| Autor: | Cheong-Rae Roh, Suk-Joo Choi, Yoo-Min Kim, Jong-Hwa Kim, Soo-young Oh, Soo Hyun Kim, Hye Yeon Yi, Soo Young Jeong |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment lcsh:Gynecology and obstetrics law.invention Maternal-Fetal Medicine Sepsis 03 medical and health sciences Amniotic fluid embolism 0302 clinical medicine law Acute physiology and chronic health evaluation (APACHE) medicine 030212 general & internal medicine lcsh:RG1-991 030219 obstetrics & reproductive medicine Hysterectomy Intensive care units Receiver operating characteristic business.industry Incidence (epidemiology) Obstetrics and Gynecology Maternal death medicine.disease Intensive care unit Confidence interval Postpartum hemorrhage Emergency medicine Original Article business |
| Zdroj: | Obstetrics & Gynecology Science Obstetrics & Gynecology Science, Vol 61, Iss 2, Pp 209-219 (2018) |
| ISSN: | 2287-8580 2287-8572 |
| Popis: | Objective Reviewing indications and characteristics of obstetric patients admitted to the intensive care unit (ICU) of a tertiary care center, comparing those patients by time period and place of delivery, and to verify clinical utility of acute physiology and chronic health evaluation (APACHE) II score in ICU-admitted women. Methods Retrospective analyses were carried out for parturients admitted to the ICU of our institution from 1994 to 2015. Clinical characteristics were compared between time period (period 1: 1994-2004; period 2: 2005-2015) and place of delivery (our institution and local hospitals). Receiver operating characteristic (ROC) curve analysis was used to evaluate the usefulness of APACHE II score to predict maternal mortality. Results During 22-year period, 176 women required ICU admission, showing the incidence of 2.2 per 1,000 deliveries. The most common reason for ICU admission was postpartum hemorrhage (56.3%), followed by hypertensive disorders (19.3%), sepsis (3.4%), and pulmonary and amniotic fluid embolism (2.3%). Period 2 showed older maternal age (32.7±4.8 vs. 30.8±4.4 years, P=0.006, higher embolization rate (26.4% vs.1.2%, P |
| Databáze: | OpenAIRE |
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