UNASSIGNED: This prospective observational study was conducted over 6 months among pregnant and post-partum women with medical disorders who sought emergency obstetric care at a tertiary care hospital. Severity of morbidity was assessed using SOFA and APACHE II scores at admission.
UNASSIGNED: Of the 128 women, 87.5% were pregnant, and 12.5% were post-partum. Hypertensive disorders, cardiac disorders, neurological disorders and infective disorders were 24.2%, 22.6%, 14% and 9.4%, respectively. The optimal cut-off SOFA score was 2 (AUC = 0.739) with 66% sensitivity and 71% specificity and APACHE II score cut-off was 6 (AUC = 0.732) with a sensitivity of 60% and specificity of 78% in predicting severe maternal morbidity. The median scores of APACHE II and SOFA are 14 and 4, respectively, for non-survivors and for survivors it was 4 and 1.
UNASSIGNED: Hypertensive disorder was the most common medical disorder, but severity was high in cardiac disorder. SOFA and APACHE II scores are good predictors of morbidity and mortality risk.
这项前瞻性观察性研究是在6个月内对在三级医院寻求紧急产科护理的孕妇和产后患者进行的。入院时使用SOFA和APACHEII评分评估发病率的严重程度。
■在128位女性中,87.5%怀孕,12.5%为产后。高血压疾病,心脏病,神经系统疾病和感染性疾病占24.2%,22.6%,14%和9.4%,分别。在预测严重孕产妇发病率方面,最佳SOFA分界点为2(AUC=0.739),灵敏度为66%,特异性为71%,APACHEII分界点为6(AUC=0.732),灵敏度为60%,特异性为78%。APACHEII和SOFA的中位数分别为14和4,非幸存者和幸存者分别为4和1.
■高血压障碍是最常见的医学障碍,但心脏病的严重程度很高。SOFA和APACHEII评分是发病率和死亡风险的良好预测因子。