Artículos de revistas
Profile Of Women Admitted At An Obstetric Icu Due To Non-obstetric Causes
Registro en:
Revista Da Associacao Medica Brasileira. , v. 58, n. 2, p. 160 - 167, 2012.
1044230
10.1590/S0104-42302012000200011
2-s2.0-84861311058
Autor
de Andrade Lima Coelho M.
Katz L.
Coutinho I.
Hofmann A.
Miranda L.
Amorim M.
Institución
Resumen
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. 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