Outcomes of Antepartum and Postpartum Obstetric Admissions to the Intensive Care Unit of A Tertiary University Hospital: An 8-Year Review

Özçelik, Menekşe; Turhan, Sanem Çakar; Bermede, Onat; Yılmaz, Ali Abbas; Ünal, Necmettin; Bayar, Mustafa Kemal

doi:10.5152/tjar.2017.56323

Cited by 11 publications

(10 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The third variable within the provision of care, the length of stay, showed a significant association with severe maternal outcomes. Every extra day in the hospital stay increased the probability of a severe maternal outcome by 1.19 times (95% CI: 1.157-1.226), confirming the results of previous studies (Gerova et al, 2010;Özçelik et al, 2017). Liu et al (2002) reported that the risk of re-admission increased among women who had undergone a caesarean delivery who were hospitalised for less than four days.…”

Section: Discussionsupporting

confidence: 86%

Staffing characteristics and their associations with the severe maternal outcomes at Indonesian tertiary hospitals

Makhfudli¹,

Efendi²,

Kurniati³

et al. 2020

Kontakt

View full text Add to dashboard Cite

Aim: Staffing is believed to have a profound influence on the reduction of maternal mortality and severe maternal morbidity. Our research aims to examine the relationship between staffing characteristics and severe maternal outcomes. Methods: We conducted a retrospective cross-sectional study analyzing the data of deliveries and staffing from the eleven maternity units at the tertiary hospitals in the Java region of Indonesia. Results: The present study revealed that staffing characteristics were significantly associated with severe maternal outcomes. Maternity units with a higher nurse to birth ratio reduced the odds of severe maternal outcomes by 52% (OR = 0.476; 95% CI: 0.307-0.739). However, admission to units with a higher midwife to birth ratio increased the odds of experiencing severe maternal outcomes by 1.8 times (OR = 1.809; 95% CI: 1.070-3.059). The likelihood of severe maternal outcomes in maternity units is reduced by 52% for every additional year of nursing experience (OR = 0.476; 95% CI: 0.304-0.745), and by 69% for every additional year of midwifery experience (OR = 0.313; 95% CI: 0.200-0.491). Conclusions: The findings signify the prominent role of healthcare workers in maternal healthcare at the tertiary level. A further study is recommended to provide more support for the evidence-based policy in relation to developing safe staffing standards within the maternal healthcare framework.

show abstract

Section: Discussionsupporting

confidence: 86%

Staffing characteristics and their associations with the severe maternal outcomes at Indonesian tertiary hospitals

Makhfudli¹,

Efendi²,

Kurniati³

et al. 2020

Kontakt

View full text Add to dashboard Cite

show abstract

“…Due to the implementation of the two-child policy in China, since 2016, the number of pregnant women with an older maternal age and history of caesarean section has increased, which has further increased the incidence of gestational diabetes mellitus, dangerous placenta previa, placental implantation, and severe postpartum haemorrhage [3][4][5]. Maternal admission to the intensive care unit (ICU) during pregnancy or in the postpartum period is a marker of SAMM [2,[6][7][8][9][10][11]. ICU admission of pregnant and postpartum women presents significant challenges to ICU clinicians because of altered maternal physiology, fetal considerations and medical emergencies associated with pregnancy [12,13].…”

Section: Introductionmentioning

confidence: 99%

Prediction of mechanical ventilation greater than 24 hours in critically ill obstetric patients: ten years of data from a tertiary teaching hospital in mainland China

Zhao

Wang

Lyu

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Maternal admission to the intensive care unit (ICU) during pregnancy or in the postpartum period is a marker of severe acute maternal morbidity. Mechanical ventilation is an important and basic method of maintaining life support in the ICU, but prolonged mechanical ventilation (PMV) is associated with a prolonged length of hospital stay and other adverse outcomes. Therefore, we conducted this retrospective study to describe morbidity and further try to identify the risk factors for PMV in critically ill obstetric women. Methods The clinical data were obtained from a single-centre retrospective comparative study of 143 critically ill obstetric patients at a tertiary teaching hospital in mainland China between January 1, 2009, and December 31, 2019. PMV was defined as a mechanical ventilation length of more than 24 h. Clinical and obstetric parameters were collected to analyse the risk factors for PMV. Patients were separated into groups with and without PMV. Potential risk factors were identified by univariate testing. Multivariate logistic regression was used to evaluate independent predictors of PMV. Results Out of 29,236 hospital deliveries, 265 critically ill obstetric patients entered the ICU. One hundred forty-five (54.7%) of them were treated with mechanical ventilation. Two were excluded because of death within 24 h. Sixty-five critically ill obstetric patients (45.5%) underwent PMV. The independent risk factors for PMV included estimated blood loss (odds ratio (OR) =1.296, P=0.029), acute kidney injury (AKI) (OR=4.305, P=0.013), myocardial injury (OR=4.586, P=0.012), and PaO2/FiO2 (OR=0.989, P< 0.001). The area under the receiver operating characteristic (ROC) curve based on the predicted probability of the logistic regression was 0.934. Conclusions Estimated blood loss, AKI, myocardial injury, and PaO2/FiO2 were independent risk factors for PMV in critically ill obstetric patients.

show abstract

“…Anne ölümlerinin neden olan durumların büyük bir çoğunluğu önlenebilir olduğundan; anne ölümüne neden olacak sebepler iyi tanınmalı, ortaya çıkabilecek komplikasyonlara karşı hazırlıklı olunmalı ve gerektiğinde bu hastaların takip ve tedavileri uygun şekilde yapılmalıdır. Bu konuyla ilgili ülkemizde sınırlı sayıda çalışma bulunmaktadır (3)(4)(5)(6). Bu çalışmanın amacı İç Hastalıkları Yoğun Bakım Ünitesine kabul edilen kritik obstetrik hastalarda mortaliteye etki eden faktörleri tespit etmektir.…”

Section: Introductionunclassified

Kritik Obstetrik Hastaların Yoğun Bakım Takip Sonuçları: Geriye Yönelik 10 Yıllık İnceleme

Dırık¹,

Bulut²,

Sungur³

et al. 2019

Yoğun Bakım Derg

View full text Add to dashboard Cite

Background: In recent years, although maternal and infant mortality rate has been decreased, it still remains an important health care problem. Early diagnosis, follow-up and treatment of these problems are very important. Because of these features, obstetric critical patients are a special group of patients who need attention. The aim of this study was to evaluate the factors affecting mortality in critical obstetric patients admitted to the intensive care unit. Material and Methods: This study was performed retrospectively in the Medical Intensive Care Unit. Obstetric patients who stayed intensive care for more than 24 hours were included in the study. Demographic and clinical information of the patients were collected. Data were taken from the patient file and electronic recording system. Results: We enrolled 62 patients. The mean age was 30 ± 7 years. The mean gestational age was 32 ± 5 weeks. The most common reasons for admission to intensive care were 22.4% HELLP syndrome, 19.4% preeclampsia and 19.4% hemorrhage. We compare survival and non-survival patients; APACHEII score, and 1 st day SOFA score were higher, GKS was lower for the non-survival patients. (p=0.001, p=0.006, p <0.001, respectively). On the first day, the high SOFA score was found as an the independent risk factor for determining the mortality (OR: 3.47,95% CI: 1.131-10.696, p=0.030). The average length of ICU stay was 6 (range: 1-64) days. The intensive care mortality was 8%. Conclusion: This study showed that, the most common critically obstetric conditions for admission to intensive care unit were pregnancy-related hypertensive diseases and hemorrhage. The most appropriate marker for predicting mortality in these patients groups were 1 st day high SOFA score.

show abstract

Outcomes of Antepartum and Postpartum Obstetric Admissions to the Intensive Care Unit of A Tertiary University Hospital: An 8-Year Review

Cited by 11 publications

References 32 publications

Staffing characteristics and their associations with the severe maternal outcomes at Indonesian tertiary hospitals

Staffing characteristics and their associations with the severe maternal outcomes at Indonesian tertiary hospitals

Prediction of mechanical ventilation greater than 24 hours in critically ill obstetric patients: ten years of data from a tertiary teaching hospital in mainland China

Kritik Obstetrik Hastaların Yoğun Bakım Takip Sonuçları: Geriye Yönelik 10 Yıllık İnceleme

Contact Info

Product

Resources

About