2005
DOI: 10.1007/s00134-005-2710-5
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Critically ill obstetric patients in an American and an Indian public hospital: comparison of case-mix, organ dysfunction, intensive care requirements, and outcomes

Abstract: There were marked differences in medical diseases, organ failure, and intensive care needs. Higher mortality in the Indian ICU may be due to difference in case mix, inadequate prenatal care, delay in reaching hospital, and greater severity of illness.

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Cited by 93 publications
(70 citation statements)
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“…However, mortality rate is another factor that is difficult Özçelik et al Obstetric Admissions to the ICU to be compared due to its high dependence on the characteristics of the population, level of care and age and medical history of obstetric patients admitted to the ICU (6). A study showed a marked difference in the mortality rates of obstetric patients in an Indian ICU (25%) and in an American ICU (2.7%) (29). The mortality rates reported in a Turkish obstetric patient population were 10.4% between 1995 and 2000 (5) and 12% between 2006 and 2009 (2).…”
Section: Discussionmentioning
confidence: 99%
“…However, mortality rate is another factor that is difficult Özçelik et al Obstetric Admissions to the ICU to be compared due to its high dependence on the characteristics of the population, level of care and age and medical history of obstetric patients admitted to the ICU (6). A study showed a marked difference in the mortality rates of obstetric patients in an Indian ICU (25%) and in an American ICU (2.7%) (29). The mortality rates reported in a Turkish obstetric patient population were 10.4% between 1995 and 2000 (5) and 12% between 2006 and 2009 (2).…”
Section: Discussionmentioning
confidence: 99%
“…Assessment of the SOFA scores has potential utility in cases of SMM [5,10,11,13]. The total SOFA score may be used to develop a cut off for referring obstetric patients with severe morbidity to referral units or to the HDU or ICU.…”
Section: Discussionmentioning
confidence: 99%
“…On this continuum are patients with severe obstetric complications, severe maternal morbidity (SMM), who develop organ or system dysfunction [3,4]. Some of these are referred to as maternal near miss in case they narrowly survive death from such severe complications [5,6]. Both early recognition, detection and referral of potentially life threatening severe obstetric complications, and prompt access to safe, affordable basic and emergency obstetric care, are essential to reduce maternal morbidity and mortality [3][4][5][6].…”
Section: Introductionmentioning
confidence: 99%
“…Several studies have reported the causes of ICU admissions of pregnant women in various centers across the world [3,8,9]. Their care presents specific and exceptional challenges for the doctors [10,11].…”
Section: Discussionmentioning
confidence: 99%