Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE
Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE
Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE
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126 <strong>Maternal</strong> <strong>Int<strong>en</strong>sive</strong> <strong>Care</strong> in Belgium <strong>KCE</strong> Reports 94<br />
admission, duration of stay in ICU,<br />
type of and indication for surgery,<br />
whether admission was planned or<br />
emerg<strong>en</strong>cy, history of medical<br />
problems, gestational age,<br />
complications during pregnancy,<br />
mode of delivery and pregnancy<br />
outcome.<br />
In this retrospective survey they<br />
aimed to id<strong>en</strong>tify indications,<br />
course and outcome of pregnancyrelated<br />
admissions to the int<strong>en</strong>sive<br />
care unit at Al-Ain hospital.<br />
pati<strong>en</strong>ts (18%) and unplanned in 49 (82%). The mean<br />
(_SD) duration of stay in ICU was 1.6_1.5 days. The<br />
leading indications for admission were haemorrhage<br />
(28.4%) and preeclampsia/eclampsia (25%). Of the 60<br />
admissions, 47 (78.4%) followed surgery. The mean<br />
APACHE II score was 5.0_3.0. Tw<strong>en</strong>ty-two pati<strong>en</strong>ts<br />
(37%) had blood transfusions, and only two (3.3%)<br />
required v<strong>en</strong>tilation. Of the 60 pati<strong>en</strong>ts only 28 (46.7%)<br />
were deemed to have severe illness necessitating<br />
int<strong>en</strong>sive care; the remaining 32 pati<strong>en</strong>ts were suitable<br />
for high dep<strong>en</strong>d<strong>en</strong>cy care. The<br />
mean APACHE II score and duration of stay were<br />
significantly higher in these pati<strong>en</strong>ts. There were two<br />
deaths, repres<strong>en</strong>ting 3.3% of obstetric int<strong>en</strong>sive care unit<br />
admissions.<br />
CONCLUSIONS: Our findings highlight the need for<br />
establishing a high dep<strong>en</strong>d<strong>en</strong>cy unit to avoid unnecessary<br />
admission to the int<strong>en</strong>sive care unit and to <strong>en</strong>sure<br />
proper managem<strong>en</strong>t.<br />
8+<br />
9+/-<br />
10?<br />
Score:<br />
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