Author: Carla Rebeca Garcu00eda
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by Carla Rebeca Garcu00eda, Audit Of Obstetric Intensive Care Unit Stay In Patients With Severe Preeclampsia Books available in PDF, EPUB, Mobi Format. Download
Audit Of Obstetric Intensive Care Unit Stay In Patients With Severe Preeclampsia books, Title:tAudit of obstetric intensive care unit stay in patients with severe preeclampsiaAuthor(s):tGarcu00eda Garcu00eda C.R., Guasch Aru00e9valo E., Sancho de u00c1vila A., Brogly N., Lu00f3pez Martu00ednez M., Gilsanz Rodru00edguez F.Institute(s):tLa Paz University Hospital, Dept of Anaesthesiology & Intensive Care, Madrid, SpainText:tBackground and Goal of Study: Hypertensive disorders of pregnancy (HDP) are the first obstetric cause of admission in the intensive care units (ICU). Approximately 0.3-0.4% of patients with severe preeclampsia (SP) require ICU admission, with a median of stay from 3 to 6 days1. The aims were to study the causes of long stay (LS) in the Obstetric ICU in patients with SP and to evaluate maternal satisfaction during admission in it.Materials and methods: After Local Ethics Committee approval, a prospective observational study of all patients with SP admitted to the Obstetric ICU in a level III University Hospital, from 2010 to 2012, was performed.Severity was defined as: 24 hours proteinuria u2265 3g and according to current criteria2. LS was established as u2265 36 hours.60 days after discharge, we made a telephone survey, in which aspects related to the maternal stay in the Obstetric ICU were evaluated (scale of 1 to 10): information given to the patient and her family, subjective feel of full recovery and nurse staffing evaluation. A score u22657 was considered favorable. Pain during artery catheterization was analyzed, considering it moderate if EVA u2265 4.Results and discussion: The incidence of admission was 1.4% (n=276 patients, 19,280 deliveries). Median stay was 24 hours (IQR 14-42 h).LS incidence was 34.4% (n=95). Itu00b4s main causes were: refractory hypertension (67.3%, n=4), obstetric hemorrhage (OH) (9.5%, n=9) and HELLP syndrome (8.4%, n=8). The factors associated with LS were: African or Asian population (adjusted OR 5.96, 95% CI 1.2-30.9), early-onset (