Evaluation of Obstetric Patients Who Were Admitted to the Intensive Care Unit

Abstract

Objective: To evaluate all obstetric patients admitted to intensive care unit (ICU).Materials and Methods: Ninety-four obstetric patients were evaluated for age, mortality, preexistingdisorders, the reason for admission, interventions performed during ICU stay, and the source ofadmission.Results: The mean age was 29.1±5.5 years and the mean APACHE II score was 13.2±4.8. Mostcommon reasons for intensive care admission were eclampsia (26%) and hemorrhage (20%). In23 cases, there was at least one preexisting medical disorder and the most common disorder wasvalvular heart disease. The incidences of central venous catheterization, arterial cannulation, andhemodialysis were 39.4%, 79.8%, and 11.7%, respectively. Of the patients, 2 were admitted fromthe emergency room, 3 were from the ward, 55 were from operation room, and 34 patients weretransferred from other hospitals. The mean length of stay in ICU was 4.7±7.1 days in patientstransferred from another hospital, whereas it was 1.9±2.8 days in the patients admitted fromother departments of our hospital (p

Özet

Amaç: Yoğun bakım ünitesine (YBÜ) kabul edilen obstetrik olguları değerlendirmektir. Gereç ve Yöntem: YBÜ’ne kabul edilen toplam 94 obstetrik olgu yaş, mortalite, altta yatan hastalıklar, kabul nedenleri, YBÜ’de uygulanan girişimler ve geliş yerleri açılarından değerlendirildi. Bulgular: Hastaların ortalama yaşı 29,1±5,5 ve APACHE II skoru 13,2±4,8 bulunmuştur. Yoğun bakıma kabul nedenleri en sık eklampsi (%26) ve kanama (%20) olarak belirlenmiştir. Yirmi üç hastaya eşlik eden en az bir yandaş hastalık bulunmuş ve en sık karşılaşılan hastalık valvüler kalp hastalığı olmuştur. Santral ven kateteri %39,4, arter kateteri %79,8, hemodiyaliz %11,7 sıklıkla uygulanmıştır. Hastaların ikisi acil servisten, üçü servisten, 55’i ameliyathaneden ve 34’ü farklı merkezlerden devir alınmıştır. Hastane dışından alınan hastalarda ortalama YBÜ’de yatış (4,7±7,1 gün) ve mekanik ventilasyon (8,8±10,0 gün) süreleri hastanemizdeki bölümlerden alınan hastalardan (1,9±2,8 gün ve 4,1±4,4 gün) uzun bulunmuştur (p