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Article: Critical care in obstetrical patients: An eight-year review

TitleCritical care in obstetrical patients: An eight-year review
Authors
Issue Date1997
PublisherChinese Medical Association. The Journal's web site is located at http://www.cmj.org/
Citation
Chinese Medical Journal, 1997, v. 110 n. 12, p. 936-941 How to Cite?
AbstractObjective To review the clinical characteristics and outcomes of critically ill obstetrical patients and to determine the outcome predictability using the Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system. Methods A retrospective data collection of all obstetrical patients (n = 49) admitted for more than 24 hours to the Intensive Care Unit at Kwong Wah Hospital from 1988 to 1995 was conducted. Demographics, obstetric data, preexistent medical problems, diagnosis, days staying in the ICU and ICU related data were recorded for each patient. Results Obstetric admissions to ICU during the study period represented 0. 12% of all deliveries during this period. There was a predominance of postpartum admissions and obstetric diagnosis responsible for the patients' critical illness. Massive postpartum haemorrhage was the single most common cause of ICU admission, representing 53. 0% of all patients. Preeclampsia and eclampsia (14.3%), anaesthesia related complications (14.3%), and medical diseases complicating pregnancy (14. 3%) were the other common disease categories for ICU admission. Two cases (4. 1%) of surgical disease complicating pregnancy were admitted. The maternal mortality rate was 5. 1 deaths per 100 000 total births, or 2 maternal deaths in 39 354 total deliveries in this study period. All deaths were due to nonobstetric causes. The perinatal mortality rate was 10. 0% (5 cases) in this study group. Conclusions When applying the Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system in predicting the final outcome in this group of obstetric patients, we found that our obstetric patients requiring intensive care had a better outcome than predicted, as expressed by a low mortality ratio (0. 25).
Persistent Identifierhttp://hdl.handle.net/10722/184192
ISSN
2015 Impact Factor: 0.957
2015 SCImago Journal Rankings: 0.428
References

 

DC FieldValueLanguage
dc.contributor.authorTang, LCHen_US
dc.contributor.authorKwok, ACWen_US
dc.contributor.authorWong, AYKen_US
dc.contributor.authorLee, YYen_US
dc.contributor.authorSun, KOen_US
dc.contributor.authorSo, APCen_US
dc.date.accessioned2013-06-25T03:01:09Z-
dc.date.available2013-06-25T03:01:09Z-
dc.date.issued1997en_US
dc.identifier.citationChinese Medical Journal, 1997, v. 110 n. 12, p. 936-941en_US
dc.identifier.issn0366-6999en_US
dc.identifier.urihttp://hdl.handle.net/10722/184192-
dc.description.abstractObjective To review the clinical characteristics and outcomes of critically ill obstetrical patients and to determine the outcome predictability using the Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system. Methods A retrospective data collection of all obstetrical patients (n = 49) admitted for more than 24 hours to the Intensive Care Unit at Kwong Wah Hospital from 1988 to 1995 was conducted. Demographics, obstetric data, preexistent medical problems, diagnosis, days staying in the ICU and ICU related data were recorded for each patient. Results Obstetric admissions to ICU during the study period represented 0. 12% of all deliveries during this period. There was a predominance of postpartum admissions and obstetric diagnosis responsible for the patients' critical illness. Massive postpartum haemorrhage was the single most common cause of ICU admission, representing 53. 0% of all patients. Preeclampsia and eclampsia (14.3%), anaesthesia related complications (14.3%), and medical diseases complicating pregnancy (14. 3%) were the other common disease categories for ICU admission. Two cases (4. 1%) of surgical disease complicating pregnancy were admitted. The maternal mortality rate was 5. 1 deaths per 100 000 total births, or 2 maternal deaths in 39 354 total deliveries in this study period. All deaths were due to nonobstetric causes. The perinatal mortality rate was 10. 0% (5 cases) in this study group. Conclusions When applying the Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system in predicting the final outcome in this group of obstetric patients, we found that our obstetric patients requiring intensive care had a better outcome than predicted, as expressed by a low mortality ratio (0. 25).en_US
dc.languageengen_US
dc.publisherChinese Medical Association. The Journal's web site is located at http://www.cmj.org/en_US
dc.relation.ispartofChinese Medical Journalen_US
dc.titleCritical care in obstetrical patients: An eight-year reviewen_US
dc.typeArticleen_US
dc.identifier.emailTang, LCH: lchtang@hku.hken_US
dc.identifier.authorityTang, LCH=rp01756en_US
dc.description.naturelink_to_OA_fulltexten_US
dc.identifier.pmid9772406-
dc.identifier.scopuseid_2-s2.0-0031300918en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031300918&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume110en_US
dc.identifier.issue12en_US
dc.identifier.spage936en_US
dc.identifier.epage941en_US
dc.publisher.placeChinaen_US
dc.identifier.scopusauthoridTang, LCH=7402081111en_US
dc.identifier.scopusauthoridKwok, ACW=36718811200en_US
dc.identifier.scopusauthoridWong, AYK=7403147449en_US
dc.identifier.scopusauthoridLee, YY=37030952800en_US
dc.identifier.scopusauthoridSun, KO=7401518554en_US
dc.identifier.scopusauthoridSo, APC=7102882809en_US

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