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

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Hazelgrove, J., Price, C., Pappachan, J. & Smith, G. (2001) 122 Maternal Intensive Care in Belgium KCE Reports 94 11 UK 210 ICU admissions within 14 studied ICU’s in Southern England existing diseases, gestational age, medical complication of pregnancy, mode of delivery, surgical additional procedure, fetal outcome, intrapartum transfusions, and puerperal complications. For each patient clinical and therapeutic aspects during Intensive Care recovery have been examined. A retrospective multi-center (namely 14 general adult ICU’s in Southern England) analysis of demographic, diagnostic, treatment and severity of illness data within the South West Thames Database. Both innercity and rural populations are represented in the database, only one hospital was a major teaching hospital. Each contributing hospital was visitied and case notes were examined to verify the data. Data of pregnant or postpartum admissions (
Gilbert, T., Smulian, J., Martin, A., Ananth, C., Scorza, W. & Scardella, A. (2003) Cheng, C. & Raman, S. (2002) kCE Reports 94 Maternal Intensive Care in Belgium 123 12 USA (New Jersey) 233 obstetric patients admitted to the medical ICU 13 Singapore 43 obstetric admissions to the surgical ICU A retrospective tertiary centre based analysis of the medical records of consecutive obstetric admissions to the medical ICU from 1991 to 1998. Two investigators reviewed the charts by the means of abstraction forms, the abstracted data included demographics, past medical history, prenatal history, delivery data, indications for ICU transfer, physiologic parameters SAPS II, ICU complications, hospital length of stay and death during hospitalization. Patients are grouped by antepartum or postpartum status and by admitting diagnosis. The SAPS is tested within an obstetric population. A retrospective tertiary centre based review of all obstetric admissions to the Surgical Intensive Care Unit of the Singapore General Hospital. Admission records were used to identify all patients admitted to the SICU from 1994 to 1999, either pregnant or in the immediate Retrospective tertiary centre based analysis of obstetric admissions to the general ICU Retrospective tertiary centre based analysis of obstetric admissions to the surgical ICU often require minimal intervention and are associated with low mortality rates. Many might be more appropriately managed in an HDU. The commonly used severity of illness scoring systems are good discriminators of outcome from intensive care admission in this group but may overestimate mortality rates. Severity of illness scoring systems may require modification in obstetrical patients to adjust for the normal physiologic responses to pregnancy. OBJECTIVE: To determine whether mortality prediction based on a current model of outcome prediction is accurate in obstetric patients. RESULTS: The Simplified Acute Physiologic Score overestimated mortality in all patients (19 predicted deaths, eight observed) but accurately predicted mortality in patients admitted to the intensive care unit for medical reasons (seven predicted, five observed). The Simplified Acute Physiologic Score did not predict mortality in patients admitted for obstetric indications or postpartum hemorrhage. Median SAPS II scores were significantly higher in those patients who died, compared with survivors. For all groups, SAPS II scores were correlated with intensive care unit length of stay but not hospital length of stay. CONCLUSION: The Simplified Acute Physiologic Score accurately predicts hospital mortality in obstetric patients admitted to the intensive care unit for medical reasons but not for indications related to pregnancy and delivery. An alternate model that predicts outcomes in obstetric patients admitted for obstetric indications should be developed. OBJECTIVE: This study was performed in order to determine the obstetric complications occurring in a tertiary hospital in Singapore and review the outcome of the patients who were admitted to the intensive care unit. RESULTS: There were 43 obstetric admissions during this period, with 38 deliveries. This represents 0.32% of the deliveries in this hospital during the study period. 1+ 2+ 3+ 4+ 5+ 6+/- 7+ 8+ 9+/- 10- Score:+ 1+/- 2+/- 3+ 4+/- 5? 6? 7? 8+ 3 3
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Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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