Document Detail


Profile of women admitted at an obstetric ICU due to non-obstetric causes.
MedLine Citation:
PMID:  22569610     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To characterize patients admitted during the pregnancy-puerperal cycle for non-obstetric causes in the obstetric intensive care unit (ICU) of a tertiary hospital in northeastern Brazil.
METHODS: A descriptive study, analyzing the participants from a bidirectional cohort study was conducted between January 2005 and October 2010. A total of 500 patients admitted during the pregnancy-puerperal cycle due to non-obstetric causes in an obstetric ICU in northeastern Brazil were included; cases of gestational trophoblastic disease (GTD), ectopic pregnancy, death or ICU stay lasting < 24 hours, and lack of signed informed consent form (ICF) were excluded. The biological, sociodemographic, obstetric, and clinical variables were analyzed. Statistical analysis was performed using Epi-Info 3.5.3.
RESULTS: Of 5,078 obstetric admissions in the service, 500 patients (9.8%) were due to non-obstetric causes. The mean age was 25.9 years, the predominant ethnicity was mixed-race (68.9%), and mean BMI was 27.5. In 79.9% of cases, women had a partner, and schooling over eight years was observed in 49.2%. The main clinical diagnoses seen at ICU admission were heart disease, deep vein thrombosis (DVT), urinary tract infection (UTI), asthma, acute pulmonary edema (APE), and community-acquired pneumonia (CAP). Central access was used in 10.2% of patients, 11% were on mechanical ventilation, 20.4% received blood transfusions, and 4.0% of the patients died.
CONCLUSION: Women admitted at the obstetric ICU due to non-obstetric causes represent a significant number of patients in this sector. They are mostly young women, and the main admission diagnoses were cardiovascular, respiratory, and infectious diseases, with a fatality rate of 4%.
Authors:
Marta de Andrade Lima Coêlho; Leila Katz; Isabela Coutinho; Aline Hofmann; Larissa Miranda; Melania Amorim
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Revista da Associação Médica Brasileira (1992)     Volume:  58     ISSN:  0104-4230     ISO Abbreviation:  Rev Assoc Med Bras     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-05-09     Completed Date:  2013-01-16     Revised Date:  2013-06-10    
Medline Journal Info:
Nlm Unique ID:  9308586     Medline TA:  Rev Assoc Med Bras     Country:  Brazil    
Other Details:
Languages:  eng; por     Pagination:  160-7     Citation Subset:  IM    
Affiliation:
Maternal-Child Health, Instituto Integral de Medicina Integral Prof. Fernando Figueira (IMIP), Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adult
Brazil / epidemiology
Cardiovascular Diseases / epidemiology*
Cohort Studies
Female
Humans
Intensive Care Units / statistics & numerical data*
Maternal Mortality*
Patient Admission / statistics & numerical data*
Pregnancy
Pregnancy Complications
Prenatal Care
Respiratory Tract Diseases / epidemiology*
Retrospective Studies
Socioeconomic Factors
Tertiary Care Centers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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