TY - JOUR
T1 - Intensive care utilization during hospital admission for delivery
T2 - Prevalence, risk factors, and outcomes in a statewide population
AU - Panchal, Sumedha
AU - Arria, Amelia M.
AU - Harris, Andrew P.
PY - 2000/6
Y1 - 2000/6
N2 - Background: During childbirth, the maternal need for intensive care unit (ICU) services is not well-defined. This information could influence the decision whether to incorporate ICU services into the labor and delivery suite. Methods: This study reports (1) ICU use and mortality rates in a statewide population of obstetric patients during their hospital admission for childbirth, and (2) the risk factors associated with ICU admission and mortality. A case-control design using patient records from a state- maintained anonymous database for the years 1984-1997 was used. Outcome variables included ICU use and mortality rates. Results: Of the 822,591 hospital admissions for delivery of neonates during the study period, there were 1,023 ICU admissions (0.12%) and 34 ICU deaths (3.3%). Age, race, hospital type, volume of deliveries, and source of admission independently and in combination were associated with ICU admission (P < 0.05). The most common risk factors associated with ICU admission included cesarean section, preeclampsia or eclampsia, and postpartum hemorrhage (P < 0.001). Black race, high hospital volume of deliveries, and longer duration of ICU stay were associated with ICU mortality (P < 0.05). The most common risk factors associated with ICU mortality included pulmonary complications, shock, cerebrovascular event, and drug dependence (P < 0.05). Conclusions: This study shows that ICU use and mortality rate during hospital admission for delivery of a neonate is low. These results may influence the location of perinatal ICU services in the hospital setting.
AB - Background: During childbirth, the maternal need for intensive care unit (ICU) services is not well-defined. This information could influence the decision whether to incorporate ICU services into the labor and delivery suite. Methods: This study reports (1) ICU use and mortality rates in a statewide population of obstetric patients during their hospital admission for childbirth, and (2) the risk factors associated with ICU admission and mortality. A case-control design using patient records from a state- maintained anonymous database for the years 1984-1997 was used. Outcome variables included ICU use and mortality rates. Results: Of the 822,591 hospital admissions for delivery of neonates during the study period, there were 1,023 ICU admissions (0.12%) and 34 ICU deaths (3.3%). Age, race, hospital type, volume of deliveries, and source of admission independently and in combination were associated with ICU admission (P < 0.05). The most common risk factors associated with ICU admission included cesarean section, preeclampsia or eclampsia, and postpartum hemorrhage (P < 0.001). Black race, high hospital volume of deliveries, and longer duration of ICU stay were associated with ICU mortality (P < 0.05). The most common risk factors associated with ICU mortality included pulmonary complications, shock, cerebrovascular event, and drug dependence (P < 0.05). Conclusions: This study shows that ICU use and mortality rate during hospital admission for delivery of a neonate is low. These results may influence the location of perinatal ICU services in the hospital setting.
KW - Critically ill obstetric patient
KW - Maternal morbidity
KW - Maternal mortality
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U2 - 10.1097/00000542-200006000-00009
DO - 10.1097/00000542-200006000-00009
M3 - Article
C2 - 10839902
AN - SCOPUS:0034084304
SN - 0003-3022
VL - 92
SP - 1537
EP - 1544
JO - Anesthesiology
JF - Anesthesiology
IS - 6
ER -