Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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104 Maternal Intensive Care in Belgium KCE Reports 94 ANNEX 7: KEYWORDS LITERATURE REVIEW MIC-DEFINITIONS, CINHAL-SEARCH Date 3/4//07 Database (name + access ; eg Medline OVID) Search Strategy (attention, for PubMed, check « Details ») CINHAL Central library Ghent, CINHAL OVID S21 Query Results (((Pregnancy Complications) and (S20 or S19 or S18 or S17 or S16 or S15 or S14 or S13)) and (S12 or S11 or S10 or S9 or S8 or S7 or S6 or S5 or S3 or S2 or S1)) and (S5 and S4) S20 Pregnancy Complications 4930 S19 Maternal Mortality 1189 S18 Postpartum Period 534 S17 Pregnancy 53370 S16 Neonatalogy 2 S15 Obstetrical Nursing 42 S14 Perinatal Care 1017 S13 Postnatal Care 1625 S12 Progressive Patient Care 92 S11 "Sub intensive care" 1 S10 Critical Care 18164 S9 Post acute care 93 S8 Intermediate care team 4 S7 Intermediate care bed 2 S6 Intermediate care unit 35 S5 Intermediate care 362 S4 Hospital Units 2515 S3 Subacute intensive care 1 S2 subacute unit 18 S1 subacute care 808 0
kCE Reports 94 Maternal Intensive Care in Belgium 105 ANNEX 8: EVIDENCE TABLE LITERATURE REVIEW MIC-DEFINITION Study Ref. Country Population Methodology Study type Summary Critical Neto, M.T. (2006) Keizer, J.L., Zwart, J.J., 1 Portugal Perinatal care in Portugal 3 The Netherlands 142 women admitted at ICU Nationwide evaluation of the organisational perinatal care reformation, data obtained from National Institute for statistics (INE) reports, Eurostat & the National Committee for mother and child health (from 1989). After 1996 data was also obtained from the Portuguese National VLBW. Number of hospitals with deliveries, rate of in-hospital deliveries, maternal death rate, perinatal mortality, late fetal mortality, causes of fetal and infant mortality, IUT percentages, neonatal transport rates, national rates of prenatal steroids, mortality rates of VLBW were examined. Retrospective tertiary centre based, analysis of medical records National perinatal database analysis Retrospective tertiary centre hhh Based on checklist for observational studies (AHRQ), retrieved from www.cebam.be on March 3 rd, 2007 iii EL: Evidence Level OBJECTIVE: To share information on the organization of perinatal care in Portugal. RESULTS: In 1989, perinatal care in Portugal was reformed: the closure was proposed of maternity units with less than 1500 deliveries per year; hospitals were classified as level I (no deliveries), II (low-risk deliveries, intermediate care units) or III (high-risk deliveries, intensive care units), and functional coordinating units responsible for liaison between local health centres and hospitals were established. A nationwide system of neonatal transport began in 1987, and in 1990 postgraduate courses on neonatology were initiated. With this reform, in-hospital deliveries increased from 74% before the reform to 99% after. Maternal death rate decreased from 9.2/100,000 deliveries in 1989 to 5.3 in 2003 and, in the same period, the perinatal mortality rate decreased from 16.4 to 6.6/1000 (live births + stillborn with > or = 22 wk gestational age), the neonatal mortality rate decreased from 8.1 to 2.7/1000 live births, and the infant mortality rate from 12.2/1000 live births to 4/1000. CONCLUSION: Regionalization of perinatal care and neonatal transport are key factors for a successful perinatal health system. OBJECTIVE: To review all pregnant women who required admission to an appraisal hhh 1? 2? 3+ 4? 5+ 6NVT 7? 8+ 9+ 10- Score:+/- 1+ 2+ EL iii 3 3
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45,00% 40,00% 35,00% 30,00% 25,00%
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Dépôt légal : D/2008/10.273/78
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35. Etude relative aux coûts poten
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Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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