N Y W Leung1, A C W Lau, K K C Chan, W W Yan. 1. Department of Intensive Care, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong. nat_leung@yahoo.com.hk
Abstract
OBJECTIVE: To review the characteristics and health-related quality-of-life outcomes of obstetric patients admitted to the Intensive Care Unit. DESIGN: Retrospective cohort study. SETTING: A regional hospital in Hong Kong. PATIENTS: Consecutive obstetric patients admitted to the Intensive Care Unit of Pamela Youde Nethersole Eastern Hospital from January 1998 to December 2007. RESULTS: Fifty obstetric patients (mean [standard deviation] age, 31 [6] years; mean gestational age, 34 [9] weeks) were analysed. The most common obstetric cause of admission was postpartum haemorrhage (n=19, 38%), followed by pregnancy-associated hypertension (n=7, 14%). The commonest non-obstetric cause of admission was sepsis (n=7, 14%). The commonest intervention was arterial line insertion (n=33, 66%) and mechanical ventilation (n=29, 58%). Maternal mortality was 6% (n=3), while the perinatal mortality rate was 8% (n=4). The average Short Form-36 Health Survey scores of our patients were lower than the norm for the Hong Kong population of the same age and gender. CONCLUSION: Postpartum haemorrhage and pregnancy-associated hypertension were the most common causes of admission to our Intensive Care Unit. Overall mortality was low. Long-term health-related quality of life in discharged patients was lower than the norm of the Hong Kong population. Appropriate antenatal care is important in preventing obstetric complications. Continued psychosocial follow-up of discharged patients has to be implemented.
OBJECTIVE: To review the characteristics and health-related quality-of-life outcomes of obstetric patients admitted to the Intensive Care Unit. DESIGN: Retrospective cohort study. SETTING: A regional hospital in Hong Kong. PATIENTS: Consecutive obstetric patients admitted to the Intensive Care Unit of Pamela Youde Nethersole Eastern Hospital from January 1998 to December 2007. RESULTS: Fifty obstetric patients (mean [standard deviation] age, 31 [6] years; mean gestational age, 34 [9] weeks) were analysed. The most common obstetric cause of admission was postpartum haemorrhage (n=19, 38%), followed by pregnancy-associated hypertension (n=7, 14%). The commonest non-obstetric cause of admission was sepsis (n=7, 14%). The commonest intervention was arterial line insertion (n=33, 66%) and mechanical ventilation (n=29, 58%). Maternal mortality was 6% (n=3), while the perinatal mortality rate was 8% (n=4). The average Short Form-36 Health Survey scores of our patients were lower than the norm for the Hong Kong population of the same age and gender. CONCLUSION: Postpartum haemorrhage and pregnancy-associated hypertension were the most common causes of admission to our Intensive Care Unit. Overall mortality was low. Long-term health-related quality of life in discharged patients was lower than the norm of the Hong Kong population. Appropriate antenatal care is important in preventing obstetric complications. Continued psychosocial follow-up of discharged patients has to be implemented.
Authors: Menekşe Özçelik; Sanem Turhan; Onat Bermede; Ali Abbas Yılmaz; Necmettin Ünal; Mustafa Kemal Bayar Journal: Turk J Anaesthesiol Reanim Date: 2017-10-01
Authors: Suzanne Vieira Saintrain; Juliana Gomes Ramalho de Oliveira; Maria Vieira de Lima Saintrain; Zenilda Vieira Bruno; Juliana Lima Nogueira Borges; Elizabeth De Francesco Daher; Geraldo Bezerra da Silva Journal: Rev Bras Ter Intensiva Date: 2016 Oct-Dec