Evaluation of Clinical Characteristics and Outcomes of Obstetric Patients Admitted to Intensive Care Unit
Introduction: The need for critical care support and admission to intensive care unit (ICU) in obstetric population is infrequent. The proportion ranges from 0.1 to 8.5%. Yet, obstetric admissions to ICU and mortality continue to have a significant impact on overall maternal health care. The study o...
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| Format: | Article |
| Language: | English |
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Lumbini Medical College
2018-05-01
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| Series: | Journal of Lumbini Medical College |
| Subjects: | |
| Online Access: | https://jlmc.edu.np/index.php/JLMC/article/view/167 |
| _version_ | 1818001419244929024 |
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| author | Deepak Shrestha Shreyashi Aryal Sebina Baniya |
| author_facet | Deepak Shrestha Shreyashi Aryal Sebina Baniya |
| author_sort | Deepak Shrestha |
| collection | DOAJ |
| description | Introduction: The need for critical care support and admission to intensive care unit (ICU) in obstetric population is infrequent. The proportion ranges from 0.1 to 8.5%. Yet, obstetric admissions to ICU and mortality continue to have a significant impact on overall maternal health care. The study of epidemiology and predictors of obstetric admissions to ICU will prove a useful proxy for better understanding maternal near miss events and mortality.
Methods: This was a case control study reviewing all the obstetric cases admitted to ICU over a study period of five years. The individual files were recovered from the record section and data pertaining to referral status, demographics, clinical profile and ICU information were retrieved. The ICU data comprised of the length of ICU stay, indications for admission, interventions required, and outcomes. The data were then compared to historical controls.
Results: A total of 80 patients were admitted to ICU accounting for 0.84% of total deliveries and 4.6% of total ICU admissions. Mean age was 24.84 years, mean gestational age was 32.33 weeks, and mean blood loss was 707.27 ml. Hypertensive disorder of pregnancy followed by obstetric hemorrhage were the most common indications. Lower gestational age, increased blood loss, emergency cesarean sections, and surgical interventions were noteworthy risk factors for ICU admissions. There was a mortality rate of 5%.
Conclusion: Hypertensive disorders account for the most number of admissions to ICU followed by obstetric hemorrhage. Lower gestational age, increased blood loss and emergency cesarean section are notable risk factors for ICU admission. |
| first_indexed | 2024-04-14T03:34:06Z |
| format | Article |
| id | doaj.art-b8f7b91e79644ba9b66204811572ab47 |
| institution | Directory Open Access Journal |
| issn | 2392-4632 2542-2618 |
| language | English |
| last_indexed | 2024-04-14T03:34:06Z |
| publishDate | 2018-05-01 |
| publisher | Lumbini Medical College |
| record_format | Article |
| series | Journal of Lumbini Medical College |
| spelling | doaj.art-b8f7b91e79644ba9b66204811572ab472022-12-22T02:14:51ZengLumbini Medical CollegeJournal of Lumbini Medical College2392-46322542-26182018-05-016110.22502/jlmc.v6i1.167Evaluation of Clinical Characteristics and Outcomes of Obstetric Patients Admitted to Intensive Care UnitDeepak Shrestha0Shreyashi Aryal1Sebina Baniya2Lumbini Medical College Teaching HospitalLumbini Medical College Teaching HospitalLumbini Medical College Teaching HospitalIntroduction: The need for critical care support and admission to intensive care unit (ICU) in obstetric population is infrequent. The proportion ranges from 0.1 to 8.5%. Yet, obstetric admissions to ICU and mortality continue to have a significant impact on overall maternal health care. The study of epidemiology and predictors of obstetric admissions to ICU will prove a useful proxy for better understanding maternal near miss events and mortality. Methods: This was a case control study reviewing all the obstetric cases admitted to ICU over a study period of five years. The individual files were recovered from the record section and data pertaining to referral status, demographics, clinical profile and ICU information were retrieved. The ICU data comprised of the length of ICU stay, indications for admission, interventions required, and outcomes. The data were then compared to historical controls. Results: A total of 80 patients were admitted to ICU accounting for 0.84% of total deliveries and 4.6% of total ICU admissions. Mean age was 24.84 years, mean gestational age was 32.33 weeks, and mean blood loss was 707.27 ml. Hypertensive disorder of pregnancy followed by obstetric hemorrhage were the most common indications. Lower gestational age, increased blood loss, emergency cesarean sections, and surgical interventions were noteworthy risk factors for ICU admissions. There was a mortality rate of 5%. Conclusion: Hypertensive disorders account for the most number of admissions to ICU followed by obstetric hemorrhage. Lower gestational age, increased blood loss and emergency cesarean section are notable risk factors for ICU admission.https://jlmc.edu.np/index.php/JLMC/article/view/167critical illnessintensive care unitmaternal mortalityobstetricsrisk factors |
| spellingShingle | Deepak Shrestha Shreyashi Aryal Sebina Baniya Evaluation of Clinical Characteristics and Outcomes of Obstetric Patients Admitted to Intensive Care Unit Journal of Lumbini Medical College critical illness intensive care unit maternal mortality obstetrics risk factors |
| title | Evaluation of Clinical Characteristics and Outcomes of Obstetric Patients Admitted to Intensive Care Unit |
| title_full | Evaluation of Clinical Characteristics and Outcomes of Obstetric Patients Admitted to Intensive Care Unit |
| title_fullStr | Evaluation of Clinical Characteristics and Outcomes of Obstetric Patients Admitted to Intensive Care Unit |
| title_full_unstemmed | Evaluation of Clinical Characteristics and Outcomes of Obstetric Patients Admitted to Intensive Care Unit |
| title_short | Evaluation of Clinical Characteristics and Outcomes of Obstetric Patients Admitted to Intensive Care Unit |
| title_sort | evaluation of clinical characteristics and outcomes of obstetric patients admitted to intensive care unit |
| topic | critical illness intensive care unit maternal mortality obstetrics risk factors |
| url | https://jlmc.edu.np/index.php/JLMC/article/view/167 |
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