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学科主题: 临床医学
题名:
The WHO near miss criteria are appropriate for admission of critically ill pregnant women to intensive care units in China
作者: Wang Yong-qing1; Ge Qing-gang2; Wang Jing3; Niu Ji-hong1; Huang Chao2; Zhao Yang-yu1
关键词: pregnancy ; intensive care unit ; severity of illness ; APACHE-II ; Marshall score ; WHO near miss
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2013-03-05
DOI: 10.3760/cma.j.issn.0366-6999.20122052
卷: 126, 期:5, 页:895-898
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: OBSTETRIC PATIENTS ; CLINICAL CHARACTERISTICS ; OUTCOMES ; DEATH
英文摘要:

Background Evaluation of the severity of the pregnant women with suitable admission to the Intensive Care Unit (ICU) is very important for obstetricians. By now there are no criteria for critically ill obstetric patients admitted to the ICU. In this article, we investigated the admission criteria of critically ill patients admitted to the ICU in order to provide a referral basis of reasonable use of the ICU.

Methods A retrospective analysis of critically ill pregnant women admitted to the ICU in Perking University Third Hospital in China in the last 6 years (from January 2006 to December 2011) was performed, using acute physiology and chronic health evaluation II (APACHE-II), Marshall and WHO near miss criteria to assess the severity of illness of patients.

Results There were 101 critically ill pregnant patients admitted to the ICU. Among them, 25.7% women were complicated with internal or surgical diseases, and 23.8% women were patients of postpartum hemorrhage and 23.8% women were patients of pregnancy-induced hypertension. Sixty-nine cases (68.3%) were administrated with adjunct respiration with a respirator. Sixteen cases (15.8%) required 1-2 types of vasoactive drugs. Fifty-five cases (54.5%) required a hemodynamic monitoring. Seventy-three cases (72.3%) had multiple organ dysfunctions (MODS). The average duration in ICU was (7.5 +/- 3.0) days. A total of 12.9%, 23.8% and 74.3% of women were diagnosed as critically ill according to the APACHE-II, Marshall and WHO near miss criteria, respectively. The rate was significantly different according to the three criteria (P<0.01).

Conclusions The WHO near miss criteria can correctly reflect the severity of illness of pregnant women, and the WHO near miss criteria are appropriate for admission of critically ill pregnant women to ICU in China.

语种: 英语
所属项目编号: 64470-14
项目资助者: National Clinical Key Subject Construction Project of Ministry of Health
WOS记录号: WOS:000319783500019
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/54815
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: 1.Peking Univ, Hosp 3, Dept Obstet & Gynecol, Beijing 100191, Peoples R China
2.Peking Univ, Hosp 3, Intens Care Unit, Beijing 100191, Peoples R China
3.Maternal & Child Hlth Hosp Haidian Dist, Dept Obstet & Gynecol, Beijing 100080, Peoples R China

Recommended Citation:
Wang Yong-qing,Ge Qing-gang,Wang Jing,et al. The WHO near miss criteria are appropriate for admission of critically ill pregnant women to intensive care units in China[J]. CHINESE MEDICAL JOURNAL,2013,126(5):895-898.
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