Experiencia de la Unidad de Cuidados Intensivos Obstétricos del Instituto Nacional de Perinatología, 1993-1998

Ariel Estrada-Altamirano; José Antonio Hernández-Pacheco; Martín Cisneros-Castolo; Carlos Quesnel-García Benítez

2002, Number 2

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Perinatol Reprod Hum 2002; 16 (2)

Experiencia de la Unidad de Cuidados Intensivos Obstétricos del Instituto Nacional de Perinatología, 1993-1998

Estrada-Altamirano A, Hernández-Pacheco JA, Cisneros-Castolo M, Quesnel-García BC

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Language: Spanish
References: 11
Page: 88-95
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ABSTRACT

Introduction: Literature has shown diverse morbidity and mortality among obstetric patients in general intensive care units. These patients account for 0.29 to 0.4 occupation percentages, with mortality ranging from 12 % to 20%.
Objective: The aim of this study was to describe morbidity and mortality in the Obstetric Intensive Care Unit at the Instituto Nacional de Perinatologia in Mexico (ICU/INPer).
Methods: We retrospectively reviewed all women whom were admitted to ICU/INPer from January 1993 to December 1998. Demographic data were collected and diagnoses on admission were determined by the international disease classification.
Results: There were 32,395 deliveries, with an average of 5,399 per year, specialized management was needed for 5.9% of all admissions; mean age of 28.5 years, parity of 2.7 on average and mean stay of 2.7 days. Mortality rate was 7.34 in 10,000 births. Number of preeclampsia admissions in 1993 was considered as baseline and a significative increased trend was found (p = 0.009) towards 1998, with a relative risk of 6.7 by then. All classes of pregnancy induced hypertension was the most frequent disease group found (53.8%), followed by hypovolemic shock (10.2%) and heart disease associated with pregnancy (6.6%).
Conclusions: Obstetrical patients requiring intensive care unit in our ICU/INPer had better outcome than expected, as expressed by low mortality. When compared with general intensive care units a greater occupation percentage is seen with a lower mortality rate. In contrast when compared with a foreign intensive care unit similarities are seen on admission diagnosis and not on occupation and mortality.

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