To determine whether obstetric admissions to the intensive care unit (ICU) are useful quality-assurance indicators.
We analyzed retrospectively obstetric ICU admissions at two tertiary care centers from 1991 to 1997.
The 131 obstetric admissions represented 0.3% of all deliveries.
The majority (78%) of women were admitted to the ICU postpartum.
Obstetric hemorrhage (26%) and hypertension (21%) were the two most common reasons for admission.
Together with cardiac disease, respiratory disorders, and infection, they accounted for more than 80% of all admissions.
Preexisting medical conditions were present in 38% of all admissions.
The median Acute Physiology and Chronic Health Evaluation II score was 8.5. The predicted mortality rate for the group was 10.0%, and the actual mortality rate was 2.3%. Conclusion : The most common precipitants of ICU admission were obstetric hemorrhage and uncontrolled hypertension.
Improved management strategies for these problems may significantly reduce major maternal morbidity.
Mots-clés Pascal : Admission hôpital, Unité soin intensif, Obstétrique, Assurance qualité, Soin, Incidence, Cause, Pronostic, Epidémiologie, Indicateur, Evaluation, Homme, Femelle, Québec, Canada, Amérique du Nord, Amérique, Soin intensif
Mots-clés Pascal anglais : Hospital admission, Intensive care unit, Obstetrics, Quality assurance, Care, Incidence, Cause, Prognosis, Epidemiology, Indicator, Evaluation, Human, Female, Quebec, Canada, North America, America, Intensive care
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0418918
Code Inist : 002B30A01C. Création : 22/03/2000.