Characteristics of obstetric admissions to intensive care unit: APACHE II, SOFA and the Glasgow Coma Scale
-
Erdem Fadiloglu
,
Nihal Deniz Bulut Yuksel
Abstract
Objective
To evaluate the characteristics of obstetric admissions to an intensive care unit (ICU) and assess the utility of Acute Physiology and Chronic Health Evaluation II (APACHE II), Sequential Organ Failure Assessment (SOFA) and the Glasgow Coma Scale (GCS).
Methods
This study is consisted of 160 patients admitted to an ICU during the antenatal period or within 7 days at the postpartum period. Clinical characteristics and ICU scores were evaluated.
Results
The rate of admission to the ICU was 7.8/1000 deliveries. Four cases ended with maternal mortality (2.5%). The most common hospitalization indications were hypertensive disorders of pregnancy, cardiovascular disorders and obstetric hemorrhage, at 40 (25%), 34 (21.2%), and 31 (19.3%) cases, respectively. The receiver operating characteristics (ROC) curve analysis for prediction of maternal mortality revealed area under curve (AUC) values as 0.971 both for APACHE II and predicted mortality rate (PMR), and 24.5 and 47.1 were determined as the cut-offs with sensitivities of 100%. AUCs were also 0.901 and 0.929 for the initial and worst SOFA score, respectively. The cut-off value for the initial and worst SOFA score was 3.5, with a sensitivity of 100%, and was 10 with a specificity of 98.9%, respectively.
Conclusion
APACHE II and PMR overpredict maternal mortality, but those higher scores predict maternal mortality. Higher SOFA scores are related with maternal mortalities with high specificity.
Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.
Research funding: None declared.
Employment or leadership: None declared.
Honorarium: None declared.
Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
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©2019 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Corner of Academy
- Multi-center results on the clinical use of KANET
- The use of atosiban prolongs pregnancy in patients treated with fetoscopic endotracheal occlusion (FETO)
- Original Articles – Obstetrics
- Evidence that intra-amniotic infections are often the result of an ascending invasion – a molecular microbiological study
- Advanced technology in obstetric education: a high-fidelity simulator for operative vaginal delivery
- Fetal adrenal gland size in gestational diabetes mellitus
- Characteristics of obstetric admissions to intensive care unit: APACHE II, SOFA and the Glasgow Coma Scale
- An investigation of vitamin and mineral supplement recommendation among first-trimester pregnancies
- Original Articles – Fetus
- Twin fetal facial expressions at 30–33+6 weeks of gestation
- Measurement of inferior facial angle and prefrontal space ratio in first trimester fetuses with aneuploidies: a retrospective study
- Original Articles – Newborns
- Factors affecting cerebrovascular reactivity to CO2 in premature infants
- Subcutaneous fat necrosis, a rare but serious side effect of hypoxic-ischemic encephalopathy and whole-body hypothermia
- Point-of-care ultrasound for peripherally inserted central catheter monitoring: a pilot study
- Acknowledgment
Artikel in diesem Heft
- Frontmatter
- Corner of Academy
- Multi-center results on the clinical use of KANET
- The use of atosiban prolongs pregnancy in patients treated with fetoscopic endotracheal occlusion (FETO)
- Original Articles – Obstetrics
- Evidence that intra-amniotic infections are often the result of an ascending invasion – a molecular microbiological study
- Advanced technology in obstetric education: a high-fidelity simulator for operative vaginal delivery
- Fetal adrenal gland size in gestational diabetes mellitus
- Characteristics of obstetric admissions to intensive care unit: APACHE II, SOFA and the Glasgow Coma Scale
- An investigation of vitamin and mineral supplement recommendation among first-trimester pregnancies
- Original Articles – Fetus
- Twin fetal facial expressions at 30–33+6 weeks of gestation
- Measurement of inferior facial angle and prefrontal space ratio in first trimester fetuses with aneuploidies: a retrospective study
- Original Articles – Newborns
- Factors affecting cerebrovascular reactivity to CO2 in premature infants
- Subcutaneous fat necrosis, a rare but serious side effect of hypoxic-ischemic encephalopathy and whole-body hypothermia
- Point-of-care ultrasound for peripherally inserted central catheter monitoring: a pilot study
- Acknowledgment
