Systemic Inflammatory Response Syndrome, Organ Failure, and Outcome in Critically Ill Obstetric Patients Treated in an ICU

Afessa, Bekele; Green, Bethany; Delke, Isaac; Koch, Kathryn A.

doi:10.1378/chest.120.4.1271

Cited by 138 publications

(97 citation statements)

References 31 publications

(36 reference statements)

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“…[6][7][8][9][10][11] In a large multinational study DISCUSSION conducted by Jean Roger Le Gall et al in 1993 on 13,152 patients, the authors Our study showed that SAPS II score system concluded that SAPS II provided estimate of validated our data well in obstetric patients risk of death without having to specify a admitted to ICU. If it were higher than 43, it primary diagnosis; that is why it can become would have been 100% sensitive.…”

Section: Resultsmentioning

confidence: 58%

Prediction of mortality and morbidity by simplified acute physiology score II in obstetric intensive care unit admissions

Tempe¹,

Wadhwa²,

Gupta³

et al. 2007

Indian J Med Sci

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BACKGROUND: Critical care in obstetrics has received much attention in recent times. Despite progress in medical field and improvement in health facilities provided, maternal mortality is still very high in most of the developing countries. AIM: To study and analyze records of patients requiring intensive care in obstetrics and to assess utility of simplified acute physiology score (SAPS II) for predicting maternal mortality. SETTING: A multidisciplinary intensive care unit (ICU) at a tertiary care center. DESIGN: Retrospective review.Fifty-seven consecutive obstetric patients' records requiring ICU admissions were studied for clinical picture, diagnosis, complications, morbidity and mortality over a period of 2½ years from 1 st May 2002 to 31 st amounting to 40.35% of obstetric ICU admissions. The mean SAP II score was significantly higher (40.04 ± 12.97 vs. 22.6 ± 7.31) in those patients who died compared to survivors (P < 0.001%). CONCLUSIONS: The SAPS II accurately predicted mortality in obstetric patients admitted to ICU. Computation of the score as a routine in ICU may help in identifying those at high risk of mortality and then to reduce this risk.setup.

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Section: Resultsmentioning

confidence: 58%

Prediction of mortality and morbidity by simplified acute physiology score II in obstetric intensive care unit admissions

Tempe¹,

Wadhwa²,

Gupta³

et al. 2007

Indian J Med Sci

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“…Afessa et al 38 reported that sepsis was the most common cause of Systemic Inflammatory Response Syndrome and organ failure in critically ill obstetric patients. Out of 455 critically ill patients 335(73.6 %) were emergency admissions without proper antenatal care, 102 (22.4%) had reported once, but 18 (4%) had reported to antenatal clinic 3 to 5 times.…”

Section: Discussionmentioning

confidence: 99%

Quantification of disorders in obstetrics needing intensive care in a low resource setting

Chhabra¹,

Ahmed²,

Suman³

et al. 2018

OGIJ

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SummaryBackground: Many disorders can occur during pregnancy, labour, postpartum. Some women become normal, some seriously ill and some die. It is essential to know disorders' burden.Objectives: of present study were to know burden of disorders, which cause severe illnesses, during pregnancy, birth, post birth, profile of such cases.Material Methods: Analysis of profile of cases admitted over 5 years at rural referral institute was done. Criteria was admission to intensive care area with system for ventilatory support in obstetric department.Results: Majority of women were of 20-29 years, mean age 24 years, 2.6% adolescents. 39.7% were rural, 36.2% urban, 24.1% from urban settlements with low resources, 69.7% were antenatal, 18.5% intranatal, 11.8% postnatal. Sixty two percent were nullipara. Severe morbidity had 'U' curve in relation to age. Hypertensive disorders (53% of severely ill cases) were commonest basic disorder, next were medical disorders (26%)(severe anaemia, heart disease, malaria, infective hepatitis, pneumonia).Others were, late haemorrhage 12%, (antepartum and postpartum haemorrhage), early pregnancy complications(abortions, ectopic pregnancy, hydatiform mole) 5%, puerperal sepsis 2%, acute fatty liver of pregnancy 1.2%, rupture uterus 0.8%. Conclusion:Severe maternal morbidity with reference to age followed a 'U' curve. More cases were primigravida. Highest ratio was of cases from low resource urban settlements. Majority of severely ill cases were antenatal, some postnatal too. Commonest primary cause of severe illness was hypertensive disorders, followed by medical disorders, haemorrhage, complications of early pregnancy, puerperal sepsis, acute fatty liver of pregnancy, rupture uterus in descending order. Quality maternal care, at primary level, timely referral, quality maternal care at referral is essential. Also a lot of research is needed for prevention of some disorders, their severity.

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“…En esta serie, preeclampsia severa (PES) fue la primera causa de ingreso (47,2%), similar a otros centros: 44,5% y 36,6% 14,15 .…”

Section: Causas De Ingreso a Uciunclassified

Morbilidad materna grave e ingreso a cuidado intensivo: Hospital Clínico Universidad de Chile (2006-2010)

Sepúlveda‐Martínez

et al. 2013

Rev. méd. Chile

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Systemic Inflammatory Response Syndrome, Organ Failure, and Outcome in Critically Ill Obstetric Patients Treated in an ICU

Cited by 138 publications

References 31 publications

Prediction of mortality and morbidity by simplified acute physiology score II in obstetric intensive care unit admissions

Prediction of mortality and morbidity by simplified acute physiology score II in obstetric intensive care unit admissions

Quantification of disorders in obstetrics needing intensive care in a low resource setting

Morbilidad materna grave e ingreso a cuidado intensivo: Hospital Clínico Universidad de Chile (2006-2010)

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