prospective study of clinical profile and outcome of critically ill obstetric patients in ICU at a tertiary level hospital in India
Khan Mohd, Saif; S., Tahmina; Pandey, Maitree.
Anaesthesia, Pain and Intensive Care. 2013; 17 (3): 243-247
en Inglés
| IMEMR | ID: emr-164410
Pregnant women in India are at higher risk of dying as compared to middle to high income countries. Deaths can be prevented if risk factors are identified, critical illness is diagnosed early in pregnancy and timely critical care is provided. To appraise the obstetric admissions to the ICU in a tertiary care hospital in India in an attempt to identify the risk factors influencing maternal outcome. A prospective cohort study was conducted in critically ill obstetric patients over two years. Causes of admissions, interventions required, course during ICU stay and fetomaternal outcome were recorded for each patient. APACHE II and SAPS II scores were calculated. Among 224 obstetric patients admitted to the ICU, maternal mortality was 35.3%. Most patients were postpartum [61.2%]. Nonsurvivors were significantly older, multiparous, had delayed admissions to ICU and longer ICU length of stay [ICU-LOS] compared to survivors. Mean APACHE II and SAPS II scores were 20.17 +/- 9.60 and 36.14 +/- 14.89 respectively, which were significantly higher among non survivors compared to survivors. Obstetric hemorrhage, multiparity, illiteracy, lack of antenatal care and delay in ICU admission were major risk factors influencing maternal
outcome:
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EMRO
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