Caracterización y perfiles de pacientes con morbilidad materna extrema, Unidad de Cuidados Intensivos, Hospital La Samaritana, 2008 -2014

Abstract

The intensive care unit (ICU) admission of patients with extreme maternal morbidity (MME) in developing countries is 0. 2 to 10%, with low mortality rates despite clinical involvement; The study of this indicator has been promoted for three decades as a tool to reduce maternal mortality. The present study describes clinical, sociodemographic and profile characteristics of women with MME treated for 7 years in the ICU of a third level Hospital with coverage of more than two million inhabitants. The average age was 24. 3 years, the majority had low schooling, stable union, low burden of previous morbidity; 57% presented severe preeclampsia, we found the simultaneous involvement of two or more organs, of which the most affected was the cardiovascular, elevated transaminases and thrombocytopenia were the main abnormal paraclinics. ICU stay was longer than described in Colombia and other countries, the use of central venous catheter, transfusions and mechanical ventilation were the most performed interventions. A group of patients admitted to the ICU did not present greater organic compromise or alterations in signs vital or paraclinical, their stay in the ICU was justified by the potential risk in their health status, on the other hand patients with worse clinical conditions, prolonged stays and the requirement of a greater number of interventions. Due to the low number of mortality cases, it was not possible to determine prognostic factors and differences between survivors and non-survivors.