Critically ill obstetric patients in the intensive care unit

Demirkıran, Oktay; Dikmen, Yalım; Utku, Tuğhan; Ürkmez, Seval

doi:10.1016/s0959-289x(02)00197-8

Cited by 63 publications

(41 citation statements)

References 25 publications

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“…Sepsis was seen in the range of 2.4-18.3 in other studies [10,13,16,24,25]. Three studies reported sepsis rates similar to our study [6,7,14].…”

Section: Discussionsupporting

confidence: 88%

“…Mortality in this study is high compared to other studies [1, 4-7, 9, 10, 14, 16, 18, 21, 22, 24] but low compared to studies done in India [11-13, 15, 19, 23]. Multiorgan dysfunction has been reported as the commonest cause of mortality in some studies [1,10,24]. Irrespective of the primary disease, multiorgan failure commonly occurs in pregnancy as an end result [15].…”

Section: Discussioncontrasting

confidence: 45%

“…For hypertensive disorders, the range is 7-73.6 % from 24 studies , and the mean is 34.85 %. For obstetric hemorrhage, the range is 11-62.5 %, and the mean is 27.90 % from 23 studies [1][2][3][4][5][6][7][8][9][10][11][12][14][15][16][17][18][19][20][21][22][23][24].…”

Section: Discussionmentioning

confidence: 99%

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Study of Obstetric Admissions to the Intensive Care Unit of a Tertiary Care Hospital

Rathod

Malini

2015

J Obstet Gynecol India

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About the Author AbstractPurpose To analyze obstetric admissions to intensive care unit and to identify the risk factors responsible for intensive care admission. Methods This is a retrospective study of all obstetric cases admitted to the intensive care unit over a period of 3 years. Data were collected from case records. The risk factors responsible for ICU admission were analyzed. Results There were 765 obstetric admissions to ICU accounting for 1.24 % of all deliveries. 56.20 % were in the age group of 20-25 years. 38.43 % were in their first pregnancy. 36.48 % of cases were at 37-40 weeks of gestation. Postpartum admissions were 80.91 %. Major conditions responsible were obstetric hemorrhage in 44.05 %, hypertensive disorders of pregnancy in 28.88 %, severe anemia in 14.37 %, heart disease in 12.15 %, and sepsis in 7.97 % of ICU cases. 40.39 % cases required high dependency care. Maternal mortality was seen in 15.55 % of ICU cases. Commonest cause of mortality was hemorrhagic shock (26.89 %) and multiorgan dysfunction syndrome (26.05 %). Conclusion Commonest risk factors for ICU admissions are obstetric hemorrhage and hypertensive disorders of pregnancy. Other major risk factors are severe anemia, heart disease, sepsis, more than one diagnosis on admission, and the need for cesarean delivery.

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“…Sepsis was seen in the range of 2.4-18.3 in other studies [10,13,16,24,25]. Three studies reported sepsis rates similar to our study [6,7,14].…”

Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 45%

See 1 more Smart Citation

Study of Obstetric Admissions to the Intensive Care Unit of a Tertiary Care Hospital

Rathod

Malini

2015

J Obstet Gynecol India

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“…[4][5][6][7][8][9][10] Although some researchers found that APACHE II accurately predicted maternal death, 4,10 other researchers found that APACHE II overestimated maternal mortality rates 5 or, conversely, that it underestimated maternal mortality rates because of obstetric problems. 7 These differences may be due to higher mortality rates in some populations 7,9 or to overutilization of ICUs in less acutely ill populations 10 The only study in the United States to address this question used another scoring system, SAPS II. That study found that this system overestimated maternal mortality rates in all patients and specifically in patients who were admitted with obstetric indications but accurately predicted death in patients who were admitted for medical reasons.…”

Section: Commentmentioning

confidence: 99%

“…[1][2][3] Some studies have described the usefulness of ICU scoring systems in pregnant women, [4][5][6][7][8][9][10][11] but only 1 study has been based in the United States. 11 Gilbert et al 11 recently summarized the use of the Simplified Acute Physiologic Score (SAPS II) in 233 antepartum and postpartum patients who were admitted to a medical ICU in New Jersey from 1991 to 1998.…”

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confidence: 99%