IR@PKUHSC  > 北京大学第三临床医学院
学科主题临床医学
The WHO near miss criteria are appropriate for admission of critically ill pregnant women to intensive care units in China
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
2013-03-05
DOI10.3760/cma.j.issn.0366-6999.20122052
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
WOS记录号WOS:000319783500019
引用统计
被引频次:4[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/54815
专题北京大学第三临床医学院
北京大学第三临床医学院_妇产科
北京大学第三临床医学院_危重医学科
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
推荐引用方式
GB/T 7714
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.
APA Wang Yong-qing,Ge Qing-gang,Wang Jing,Niu Ji-hong,Huang Chao,&Zhao Yang-yu.(2013).The WHO near miss criteria are appropriate for admission of critically ill pregnant women to intensive care units in China.CHINESE MEDICAL JOURNAL,126(5),895-898.
MLA Wang Yong-qing,et al."The WHO near miss criteria are appropriate for admission of critically ill pregnant women to intensive care units in China".CHINESE MEDICAL JOURNAL 126.5(2013):895-898.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Wang Yong-qing]的文章
[Ge Qing-gang]的文章
[Wang Jing]的文章
百度学术
百度学术中相似的文章
[Wang Yong-qing]的文章
[Ge Qing-gang]的文章
[Wang Jing]的文章
必应学术
必应学术中相似的文章
[Wang Yong-qing]的文章
[Ge Qing-gang]的文章
[Wang Jing]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。