Back to Search
Start Over
Identifying predictive factors for admitting patients with severe pre-eclampsia to intensive care unit
- Source :
- The Journal of Maternal-Fetal & Neonatal Medicine. 35:3175-3181
- Publication Year :
- 2020
- Publisher :
- Informa UK Limited, 2020.
-
Abstract
- Traditional obstetric units are inadequate for the level of monitoring required in pre-eclamptic patients. It remains to be determined which facility and tools should be implemented. The aim of this work was to identify predictive factors of admission to Intensive Care Unit (ICU) admissions for pregnancy-related hypertensive complications.We conducted an observational, retrospective multicenter study (Toulouse, Nantes). Both have a level III maternity unit and an ICU. The selected patients had one or more of the following diagnoses on admission in the ICU or during hospitalization: pre-eclampsia, eclampsia, HELLP syndrome, Acute Fatty Liver of Pregnancy (AFLP), Hemolytic Uremic Syndrome (HUS). SAPS II, SOFA and APACHE II on admission, and a validated nursing workload assessment score: TISS 28, were collected.211 parturient women were included. According to the multivariate analysis: APACHE II and SAPS 2 severity scores15 were significantly higher in the TISS 28 ≥ 20 group. There were also higher rates of uricemia360 mmol/l.To date, there are no reliable and validated predictive factors of severity to guide the transfer of pre-eclamptic patients to an ICU. The combination of an increased APACHE II score and uricemia, as well as a high care workload score that could help with the transfer of high-risk pre-eclamptic patients to a specific care facility. This hypothesis should be tested prospectively. This work could incite reflection on the value of creating obstetric intensive care units, according to the size of the maternity unit.
- Subjects :
- medicine.medical_specialty
Eclampsia
business.industry
Obstetrics and Gynecology
medicine.disease
Intensive care unit
law.invention
Hospitalization
Intensive Care Units
Pre-Eclampsia
Pregnancy
law
Pediatrics, Perinatology and Child Health
medicine
Humans
Female
Intensive care medicine
business
APACHE
Retrospective Studies
Subjects
Details
- ISSN :
- 14764954 and 14767058
- Volume :
- 35
- Database :
- OpenAIRE
- Journal :
- The Journal of Maternal-Fetal & Neonatal Medicine
- Accession number :
- edsair.doi.dedup.....c5dbadd30ce4de843b5114ee5e8aded6