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

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126 Maternal Intensive Care in Belgium KCE Reports 94 admission, duration of stay in ICU, type of and indication for surgery, whether admission was planned or emergency, history of medical problems, gestational age, complications during pregnancy, mode of delivery and pregnancy outcome. In this retrospective survey they aimed to identify indications, course and outcome of pregnancyrelated admissions to the intensive care unit at Al-Ain hospital. patients (18%) and unplanned in 49 (82%). The mean (_SD) duration of stay in ICU was 1.6_1.5 days. The leading indications for admission were haemorrhage (28.4%) and preeclampsia/eclampsia (25%). Of the 60 admissions, 47 (78.4%) followed surgery. The mean APACHE II score was 5.0_3.0. Twenty-two patients (37%) had blood transfusions, and only two (3.3%) required ventilation. Of the 60 patients only 28 (46.7%) were deemed to have severe illness necessitating intensive care; the remaining 32 patients were suitable for high dependency care. The mean APACHE II score and duration of stay were significantly higher in these patients. There were two deaths, representing 3.3% of obstetric intensive care unit admissions. CONCLUSIONS: Our findings highlight the need for establishing a high dependency unit to avoid unnecessary admission to the intensive care unit and to ensure proper management. 8+ 9+/- 10? Score: +/-
Selo-Ojeme, D., Omosaiye, M., Battacharjee, P. & Kadir, R. (2005) kCE Reports 94 Maternal Intensive Care in Belgium 127 17 UK 33 obstetric ICU admissions A tertiary based retrospective case control study of the hospital computer records of all obstetric admissions to the ICU at the Royal Free Hospital London over a 10 year period (1993 to 2003). For this study, admissions from 14 weeks’ gestation up to 6 weeks postpartum were included. The women who delivered just before and after the indexed case were chosen as controls. The data collected included demographic data, pre-existing medical or surgical conditions, obstetric history, indications for, as well as the outcome of ICU admission. The duration of stay in the ICU, use of mechanical ventilation, and central and arterial monitoring were also noted. The objective was to review all obstetric admissions to the intensive care unit (ICU) at the Royal Free Hospital, London, UK, and to identify the risk factors for obstetric admissions to the ICU Retrospective tertiary based case control study of the obstetric ICU admissions Levels of evidence 1a: Systematic review and meta-analysis of RCT´s 1b:Minimum 1 RCT 2a: Minimum 1 NRCT with a good design 2b: Minimum 1 other type of quasi-experimental research with a good design 3: Non-experimental descriptive research with a good design: comparative research, correlation studies, case-series 4: Reports of expertgroups, expert opinions, clinical experience of respected authorities OBJECTIVE The objective was to review all obstetric admissions to the intensive care unit (ICU) at the Royal Free Hospital, London, UK, and to identify the risk factors for obstetric admissions to the ICU. RESULTS: Thirty-three obstetric patients were admitted to the ICU, representing 0.11% of all deliveries. The ICU utilization rate was 0.81%. Eighty percent of the admissions were postpartum. The main indications for admission were hypertensive disorders (39.4%), and obstetric haemorrhage (36.4%). There was no difference between cases and controls in, age, parity, smoking and employment status. Compared with controls, women admitted to the ICU were significantly more likely to be black (P
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Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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