Artículos de revistas
Profile Of Women Admitted At An Obstetric Icu Due To Non-obstetric Causes
Revista Da Associacao Medica Brasileira. , v. 58, n. 2, p. 160 - 167, 2012.
de Andrade Lima Coelho M.
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, socio-demographic, 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%. © 2012 Elsevier Editora Ltda. All rights reserved.582160167Sousa, M.H., Cecatti, J.G., Hardy, E.E., Amaral, E., Souza, J.P., Serruya, S., Sistemas de informação em saúde e monitoramento de morbidade materna grave e mortalidade materna (2006) Rev Bras Saúde Matern Infant., 6, pp. 161-168Karnad, D.P., Lapsia, V., Krishnan, A., Salvi, V.S., Prognostic factors in obstetric patients admitted to an Indian intensive care unit (2004) Crit Care Med., 32, pp. 1294-1299Soubra, S.H., Guntupalli, K.K., Critical illness in pregnancy: An overview (2005) Crit Care Med., 33 (10 SUPPL.), pp. S248-S255Keizer, J.L., Zwart, J.J., Meerman, R.H., Harinck, B.I.J., Feuth, H.D.M., Roosmalen, J.V., Obstetric intensive care admissions: A 12-year review in a terciary care centre (2006) Eur J Obstet Gynecol Reprod Biol., 128, pp. 152-156Hazelgrove, J.F., Price, C., Pappachan, V.J., Smith, G.B., Multicenter study of obstetric admissions to 14 intensive care units in southern England (2001) Crit Care Med., 29, pp. 770-775Amorim, M.M.R., Katz, L., Ávila, M.B., Araújo, D.E., Valença, M., Albuquerque, C.J.M., Perfil das admissões em uma unidade de terapia intensiva obstétrica de uma maternidade brasileira (2006) Rev Bras Saúde Matern Infant., 6 (SUPL. 1), pp. S55-S62Amorim, M.M.R., Katz, L., Valença, M., Araújo, D.E., Morbidade materna grave em UTI obstétrica no Recife, região Nordeste do Brasil (2008) Rev Assoc Med Bras., 54, pp. 261-266Neto, A.F.O., Parpinelli, M.A., Cecatti, J.G., Souza, J.P., Sousa, M.H., Factors associated with maternal death in women admitted to an intensive care unit with severe maternal morbidity (2009) Int J Gynecol Obstet., 105, pp. 252-256Say, L., Souza, J.P., Pattinson, R.C., Maternal near miss-towards a standard tool for monitoring quality of maternal health care (2009) Best Pract Res Clin Obstet Gynaecol., 23, pp. 287-296Cole, D.E., Taylor, T.L., McCullough, D.M., Shoft, C.T., Derdak, S., Acute respiratory distress syndrome in pregnancy (2005) Crit Care Med., 33 (10 SUPPL.), pp. S269-S278Costa, R.T., Azevedo, L.C.P., Choque séptico (2009) Medicina intensiva baseada em evidências, pp. 135-143. , In: Azevedo LCP, Oliveira AR, Ladeira JP, Martins MA, editors. São Paulo: AtheneuCartin-Ceba, R., Gajic, O., Iyer, V.N., Vlahakis, N.E., Fetal outcomes of critically ill pregnant woman admitted to the intensive care unit for non-obstetric causes (2008) Crit Care Med., 36, pp. 2746-2751McCaw-Binns, A., Alexander, S.F., Lindo, J.L., Escoffery, C., Spence, K., Lewis-Bell, K., Epidemiologic transition in maternal mortality and morbidity: New challenge (2007) Int J Gynaecol Obstet., 96, pp. 226-232Waterstone, M., Bewley, S., Wolfe, C., Incidence and predictors of severe obstetric morbidity: Case-control study (2001) BMJ., 322, pp. 1089-1094Leung, N.Y.W., Lau, A.C.W., Chan, K.K.C., Yan, W.W., Clinical characteristics and outcomes of obstetric patients admitted to the intensive care unit: A 10-year retrospective review (2010) Hong Kong Med J., 16, pp. 18-25Bibi, S., Memom, A., Sheikh, J.M., Qureshi, A.H., Severe acute maternal morbidity and intensive care in a public sector university hospital of Pakistan (2008) J Ayub Med Coll Abbottabad., 20, pp. 109-112Togal, T., Yucel, N., Gedik, E., Gulhas, N., Toprak, H.I., Resoy, M.O., Obstetric admissions to the intensive care unit in a tertiary referral hospital (2010) J Crit Care., 25 (4), pp. 628-633Projeção da população do Brasil por sexo e idade-1980-2050, 24. , http://www.ibge.gov.br/home/presidencia/noticias, IBGE. Instituto Brasileiro de Geografia e Estatística. Revisão 2008. Available fromVasquez, D.N., Estenssoro, E., Canales, H.S., Reina, R., Saenz, M.G., Das Neves, A.V., Clinical characteristics and outcomes of obstetrics patients requiring ICU admission (2007) Chest., 131, pp. 718-724Pérez, A., Acevedo, O., Tamayo, F.D.C., Oviedo, R., Characterization of obstetric patients with multiple organ failure in the intensive care unit of Havana Teaching Hospital, 1998 to 2006 (2010) MEDDIC Rev., 12, pp. 27-32