Epidemiological profile, survival and prognosis of mothers in intensive care unit in northeastern Brazil
DOI:
https://doi.org/10.11606/issn.1679-9836.v103i4e-207386Keywords:
Intensive Care Units, Maternal Mortality, ObstetricsAbstract
Objective. To study the epidemiologic profile and determine maternal survival and prognosis in an Intensive Care Unit (ICU) in the Northeast of the country. Methods. Analytical cross-sectional design study that evaluated pregnant women, puerperae, and women in postabortion or ectopic pregnancy admitted to an obstetric ICU in Teresina between May/2016 and May/2017. Results. Of the 11,466 occurrences in the period, 456 women were admitted to the ICU. Among the causes of hospitalization, 80.3% patients were direct obstetric causes, 16.2% indirect and 3.5% non-obstetric. A total of 159 patients met the Near Miss criteria, with statistical significance between presentation of the criteria and mortality (p<0.001; x²=30.974). The mortality rate was 3.5%, all of them being Near Miss cases. There was a statistically significant and direct correlation between survival and number of clinical (p<0.001; rp=0.270), laboratory (p<0.001; rp=0.358) and management (p<0.001; rp=0.465) criteria. It was identified that the higher the number of criteria, the longer the length of hospitalization and worse the prognosis (p<0.001). Conclusion. Women admitted to the ICU for indirect obstetric causes who met maternal Near Miss criteria had longer hospitalization and worse prognosis.
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