Exploring Epidemiological Aspects, Distribution of WHO Maternal Near Miss Criteria, and Organ Dysfunction Defined by SOFA in Cases of Severe Maternal Outcome Admitted to Obstetric ICU: A Cross-Sectional Study
Joint Authors
Costa, Maria Laura
Souza, Renato T.
Oliveira Neto, Antonio Francisco
Ribeiro do Valle, Carolina
Cecatti, Jose Guilherme
Parpinelli, Mary Angela
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-13
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objective.
To explore the epidemiological aspects, to describe the frequency and distribution of WHO maternal near miss (MNM) criteria and the presence of organ dysfunction and failure measured by the maximum SOFA (Sequential Organ Failure Assessment) score (SOFA max) in cases of severe maternal outcome (SMO).
Methods.
In an observational cross-sectional study performed between January 2013 and December 2015, 279 pregnant or postpartum women were admitted to an obstetric ICU (intensive care unit) in Brazil.
MNM, maternal death (grouped as SMO), and potentially life-threatening conditions (PLTC) were defined according to WHO criteria.
For categorical variables, a descriptive analysis was carried out.
Frequency and distribution of WHO criteria, organ dysfunction, or failure defined by SOFA max were performed.
Results.
WHO criteria identified 65 SMO and 214 PLTC.
Management criteria were present in 58/65 (89.2%) while 61/65 (93.8%) of SMO cases had dysfunction or failure by SOFA.
Conclusions.
The systematic evaluation of the organic function by SOFA max score identified the presence of organic dysfunction or failure in almost all SMO cases.
Management criteria were present in all MD cases.
Our results indicate the need for new studies evaluating the parameterization of the WHO laboratory criteria for values compatible with the definition of organic dysfunction by the SOFA to identify MNM.
American Psychological Association (APA)
Oliveira Neto, Antonio Francisco& Parpinelli, Mary Angela& Costa, Maria Laura& Souza, Renato T.& Ribeiro do Valle, Carolina& Cecatti, Jose Guilherme. 2018. Exploring Epidemiological Aspects, Distribution of WHO Maternal Near Miss Criteria, and Organ Dysfunction Defined by SOFA in Cases of Severe Maternal Outcome Admitted to Obstetric ICU: A Cross-Sectional Study. BioMed Research International،Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1127459
Modern Language Association (MLA)
Oliveira Neto, Antonio Francisco…[et al.]. Exploring Epidemiological Aspects, Distribution of WHO Maternal Near Miss Criteria, and Organ Dysfunction Defined by SOFA in Cases of Severe Maternal Outcome Admitted to Obstetric ICU: A Cross-Sectional Study. BioMed Research International No. 2018 (2018), pp.1-8.
https://search.emarefa.net/detail/BIM-1127459
American Medical Association (AMA)
Oliveira Neto, Antonio Francisco& Parpinelli, Mary Angela& Costa, Maria Laura& Souza, Renato T.& Ribeiro do Valle, Carolina& Cecatti, Jose Guilherme. Exploring Epidemiological Aspects, Distribution of WHO Maternal Near Miss Criteria, and Organ Dysfunction Defined by SOFA in Cases of Severe Maternal Outcome Admitted to Obstetric ICU: A Cross-Sectional Study. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-8.
https://search.emarefa.net/detail/BIM-1127459
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1127459