Research Article
Year 2018,
Volume: 51 Issue: 1, 50 - 53, 30.03.2018
Abstract
Amaç: Hastanemiz kadın hastalıkları ve doğum kliniğinde tedavi
gören ve yoğun bakım takibi gerektiren obstetrik durumları özetlemek
Materyal-Metod: Kliniğimizde 2015-2018 yılları arasında
yatan gebeler retrospektif olarak incelendi. Bu dönemde yoğun bakımda tedavi
edilen 34 hastanın bilgileri elektronik data ve hasta dosyaları incelenerek
özetlendi.
Bulgular: Ocak 2015-Aralık 2017 arasında kliniğimizde 9110 doğum
gerçekleşti. Yatarak tedavi edilen hastaların 34 tanesinde yoğun bakım ihtiyacı
gelişti (%0,37). En sık yoğun bakıma yatış endikasyonları hipertansiyon (n=21,
%61,7) ve kanama idi (n=6, %11,8). Gelişen tek mortalite plasenta dekolmanına
bağlı postpartum kanama kaynaklıydı (n=1, %2,9). Yoğun bakımda tedavi edilen
hastalarımızda APACHE skorlaması ile öngörülen ölüm %9,9 iken gerçekleşen ölüm
oranı ise %2,9 idi.
Sonuç: Kliniğimizde obstetrik vakalar için yoğun bakıma yatma
oranı 1000 doğum başına 3,7’dir. Bu oran gelişmiş ülkeler benzerlik
göstermesine rağmen tüm ülkemizin durumunu yansıtan daha geniş çalışmalara
gereksinim vardır.
References
- De Greve M, Van Mieghem T, Van Den Berghe G, Hanssens M. Obstetric Admissions to the Intensive Care Unit in a Tertiary Hospital. Gynecologic and obstetric investigation. 2016;81(4):315-20.
- Bellamy L, Casas JP, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet. 2009;373(9677):1773-9.
- Paxton JL, Presneill J, Aitken L. Characteristics of obstetric patients referred to intensive care in an Australian tertiary hospital. The Australian & New Zealand journal of obstetrics & gynaecology. 2014;54(5):445-9.
- Rios FG, Risso-Vazquez A, Alvarez J, Vinzio M, Falbo P, Rondinelli N, et al. Clinical characteristics and outcomes of obstetric patients admitted to the intensive care unit. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 2012;119(2):136-40.
- http://www.who.int/mediacentre/factsheets/fs348/en/.
- Chevalier N, Fenichel P, Giaume V, Loizeau S, Bongain A, Daideri G, et al. Universal two-step screening strategy for gestational diabetes has weak relevance in French Mediterranean women: should we simplify the screening strategy for gestational diabetes in France? Diabetes & metabolism. 2011;37(5):419-25.
- https://www.cia.gov/library/publications/the-world-factbook/fields/2223.html.
- http://www.jsicm.org/en/about_jsicm.html. Af.
- Mahutte NG, Murphy-Kaulbeck L, Le Q, Solomon J, Benjamin A, Boyd ME. Obstetric admissions to the intensive care unit. Obstetrics and gynecology. 1999;94(2):263-6.
- Zwart JJ, Dupuis JR, Richters A, Ory F, van Roosmalen J. Obstetric intensive care unit admission: a 2-year nationwide population-based cohort study. Intensive care medicine. 2010;36(2):256-63.
- Ashraf N, Mishra SK, Kundra P, Veena P, Soundaraghavan S, Habeebullah S. Obstetric patients requiring intensive care: a one year retrospective study in a tertiary care institute in India. Anesthesiology research and practice. 2014;2014:789450.
Year 2018,
Volume: 51 Issue: 1, 50 - 53, 30.03.2018
Abstract
References
- De Greve M, Van Mieghem T, Van Den Berghe G, Hanssens M. Obstetric Admissions to the Intensive Care Unit in a Tertiary Hospital. Gynecologic and obstetric investigation. 2016;81(4):315-20.
- Bellamy L, Casas JP, Hingorani AD, Williams D. Type 2 diabetes mellitus after gestational diabetes: a systematic review and meta-analysis. Lancet. 2009;373(9677):1773-9.
- Paxton JL, Presneill J, Aitken L. Characteristics of obstetric patients referred to intensive care in an Australian tertiary hospital. The Australian & New Zealand journal of obstetrics & gynaecology. 2014;54(5):445-9.
- Rios FG, Risso-Vazquez A, Alvarez J, Vinzio M, Falbo P, Rondinelli N, et al. Clinical characteristics and outcomes of obstetric patients admitted to the intensive care unit. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 2012;119(2):136-40.
- http://www.who.int/mediacentre/factsheets/fs348/en/.
- Chevalier N, Fenichel P, Giaume V, Loizeau S, Bongain A, Daideri G, et al. Universal two-step screening strategy for gestational diabetes has weak relevance in French Mediterranean women: should we simplify the screening strategy for gestational diabetes in France? Diabetes & metabolism. 2011;37(5):419-25.
- https://www.cia.gov/library/publications/the-world-factbook/fields/2223.html.
- http://www.jsicm.org/en/about_jsicm.html. Af.
- Mahutte NG, Murphy-Kaulbeck L, Le Q, Solomon J, Benjamin A, Boyd ME. Obstetric admissions to the intensive care unit. Obstetrics and gynecology. 1999;94(2):263-6.
- Zwart JJ, Dupuis JR, Richters A, Ory F, van Roosmalen J. Obstetric intensive care unit admission: a 2-year nationwide population-based cohort study. Intensive care medicine. 2010;36(2):256-63.
- Ashraf N, Mishra SK, Kundra P, Veena P, Soundaraghavan S, Habeebullah S. Obstetric patients requiring intensive care: a one year retrospective study in a tertiary care institute in India. Anesthesiology research and practice. 2014;2014:789450.
There are 11 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original research article |
| Authors | |
| Publication Date | March 30, 2018 |
| Submission Date | February 8, 2018 |
| Published in Issue | Year 2018 Volume: 51 Issue: 1 |
