Kritik Obstetrik Hastaların Yoğun Bakım Takip Sonuçları: Geriye Yönelik 10 Yıllık İnceleme

Abstract

Background: In recent years, although maternal and infant mortality rate has been decreased, it still remains an important health care problem. Early diagnosis, follow-up and treatment of these problems are very important. Because of these features, obstetric critical patients are a special group of patients who need attention. The aim of this study was to evaluate the factors affecting mortality in critical obstetric patients admitted to the intensive care unit. Material and Methods: This study was performed retrospectively in the Medical Intensive Care Unit. Obstetric patients who stayed intensive care for more than 24 hours were included in the study. Demographic and clinical information of the patients were collected. Data were taken from the patient file and electronic recording system. Results: We enrolled 62 patients. The mean age was 30 ± 7 years. The mean gestational age was 32 ± 5 weeks. The most common reasons for admission to intensive care were 22.4% HELLP syndrome, 19.4% preeclampsia and 19.4% hemorrhage. We compare survival and non-survival patients; APACHEII score, and 1st day SOFA score were higher, GKS was lower for the non-survival patients. (p=0.001, p=0.006, p <0.001, respectively). On the first day, the high SOFA score was found as an the independent risk factor for determining the mortality (OR: 3.47,95% CI: 1.131-10.696, p=0.030). The average length of ICU stay was 6 (range: 1-64) days. The intensive care mortality was 8%. Conclusion: This study showed that, the most common critically obstetric conditions for admission to intensive care unit were pregnancy-related hypertensive diseases and hemorrhage. The most appropriate marker for predicting mortality in these patients groups were 1st day high SOFA score.