■要评估特性,适应症,KPK三级护理医院ICU收治的产科患者的并发症和预后,巴基斯坦。
■这项描述性研究是在雷丁夫人医院OBGYN部门进行的,白沙瓦从2021年1月到2021年12月。使用非概率连续抽样技术,共有62名患者被纳入研究。他们的数据是以形式收集的。随访所有患者直至死亡或出院回家。
■患者ICU平均住院时间,为6.85±4.82天。62例患者中有17例(27.41%)在ICU过期,45例(72.58%)患者存活出院。先兆子痫和子痫是最常见的主要诊断,占28例(45.2%),病死率为25%,其次是13例(21%)原发性产后出血(PPH),是ICU入院的第二常见原因,病死率为38%。潜在的主要诊断与患者的预后没有统计学上的显着关联。急性肾衰竭与患者的预后具有统计学上的显著关联,校正OR为4.79,CI:1.17-19.66,p-0.02。DIC患者与死亡率存在相似的正相关(aOR:6.59;CI:1.34-32.34,p-0.02)。
■先兆子痫/子痫是重症监护入院的最常见原因,然而PPH的病死率最高。危重产科患者的预后取决于并发症,而不是主要的潜在诊断。
UNASSIGNED: To evaluate characteristics, indications, complications and outcome of obstetric patients admitted to ICU of tertiary care hospital in KPK, Pakistan.
UNASSIGNED: This descriptive study was conducted in department of OBGYN of Lady Reading Hospital, Peshawar from January 2021 till December 2021. A total of 62 patients were enrolled into the study using nonprobability consecutive sampling technique. Their data were collected on a proforma. All patients were followed till their death or discharge home from hospital.
UNASSIGNED: The mean duration of ICU stay of patients, was 6.85 ± 4.82 days. Out of 62 patients 17 (27.41%) expired in ICU, while 45 (72.58%) patients survived and were discharged. Pre-eclampsia and Eclampsia was the commonest primary diagnosis, accounting for 28 cases (45.2%) with a case fatality rate of 25%, followed by 13 cases (21%) of primary postpartum hemorrhage (PPH) as the second commonest reason for ICU admission and a case fatality rate of 38%. The underlying primary diagnosis had no statistically significant association with outcome of the patient. Acute Renal failure had statistically significant association with outcome of the patient with adjusted OR 4.79, CI:1.17-19.66, p-0.02. Similar positive association with mortality existed for patients having
DIC (aOR:6.59; CI:1.34-32.34, p-0.02).
UNASSIGNED: Pre-eclampsia/Eclampsia is the commonest reason for intensive care admission, however PPH has the highest case fatality rate. The outcome of critically ill obstetric patients is dependent on complications and not primary underlying diagnosis.