Factors associated with maternal death in women admitted to an intensive care unit with severe maternal morbidity

dc.creatorNeto, AFO
dc.creatorParpinelli, MA
dc.creatorCecatti, JG
dc.creatorSouza, JP
dc.creatorSousa, MH
dc.date2009
dc.dateJUN
dc.date2014-11-19T01:48:07Z
dc.date2015-11-26T17:55:56Z
dc.date2014-11-19T01:48:07Z
dc.date2015-11-26T17:55:56Z
dc.date.accessioned2018-03-29T00:39:37Z
dc.date.available2018-03-29T00:39:37Z
dc.identifierInternational Journal Of Gynecology & Obstetrics. Elsevier Ireland Ltd, v. 105, n. 3, n. 252, n. 256, 2009.
dc.identifier0020-7292
dc.identifierWOS:000266526700015
dc.identifier10.1016/j.ijgo.2009.01.025
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/66690
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/66690
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/66690
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1291137
dc.descriptionObjective: To identify factors associated with maternal death among women with severe maternal morbidity. Methods: A retrospective study of 673 women admitted to an obstetric intensive care unit was undertaken. The odds ratios (OR) and 95% confidence intervals (95% CI) were calculated for selected characteristics. The maternal mortality and severe maternal morbidity ratios were determined for groups of complications according to outcome (death or survival). Results: The risk of maternal death was higher among adolescents (OR 3.3; 95% Cl, 1-9.7) and patients referred from other hospitals (OR 9.8: 95% Cl, 2.7-53.3). The severe maternal morbidity ratio was 46.6 per 1000 deliveries and the mortality:morbidity ratio 1:37.4. Obstetric complications led to 65.8% of admissions and 50% of maternal deaths. The number of interventions/procedures and total maximum sequential organ failure assessment score were higher in cases of death. Conclusion: The Strong association between interhospital transfer and maternal death suggests delays in diagnosis, management, and referral. Adopting organ dysfunction-based criteria may contribute toward identifying the most severe cases. (C) 2009 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
dc.description105
dc.description3
dc.description252
dc.description256
dc.descriptionFoundation for the Support of Research in the State of Sao Paulo [2007/000290-8]
dc.descriptionFoundation for the Support of Research in the State of Sao Paulo [2007/000290-8]
dc.languageen
dc.publisherElsevier Ireland Ltd
dc.publisherClare
dc.publisherIrlanda
dc.relationInternational Journal Of Gynecology & Obstetrics
dc.relationInt. J. Gynecol. Obstet.
dc.rightsfechado
dc.rightshttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.sourceWeb of Science
dc.subjectCritical care
dc.subjectMaternal mortality
dc.subjectNear-miss
dc.subjectOrgan dysfunction
dc.subjectPregnancy
dc.subjectSevere maternal morbidity
dc.subjectObstetric Critical-care
dc.subjectOutcomes
dc.subjectAdmissions
dc.subjectMortality
dc.subjectMulticenter
dc.subjectPopulation
dc.subjectHemorrhage
dc.subjectBlueprint
dc.subjectDelivery
dc.titleFactors associated with maternal death in women admitted to an intensive care unit with severe maternal morbidity
dc.typeArtículos de revistas


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