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Trends in maternal ICU admissions at a quaternary centre in Montreal, Canada, and impact of maternal age on critical care outcomes.
- Source :
-
Obstetric Medicine (1753-495X) . Jun2024, Vol. 17 Issue 2, p84-91. 8p. - Publication Year :
- 2024
-
Abstract
- Background: Advancing maternal age is increasingly prevalent and is associated with severe maternal morbidity often requiring intensive care unit (ICU) admission. Objectives: To describe maternal ICU admissions at a quaternary care hospital in Montreal, Canada, and evaluate the association between maternal age and composite of: need for invasive interventions, ICU stay > 48 h, or maternal death. Methods: Chart review of ICU admissions during pregnancy/postpartum (2006–2016); logistic regressions to evaluate the impact of age on outcomes. Results: With 5.1 ICU admissions per 1000 deliveries, we included 187 women (mean age 32 ± 6.3 years; 20 (10.7%) ≥ 40 years). The composite outcome occurred in 105 (56.2%) patients; there were two maternal deaths. Age ≥ 40 years increased the odds of invasive interventions (OR 4.03; 95% confidence interval [CI] 1.15–14.1) but not of the composite outcome (OR 2.30; 95% CI 0.66–8.02). Conclusion: Peripartum women aged ≥ 40 years had worse outcomes in ICU, with an increased need for invasive interventions. [ABSTRACT FROM AUTHOR]
- Subjects :
- *RISK assessment
*PATIENTS
*DELIVERY (Obstetrics)
*MATERNAL age
*MATERNAL health services
*ACADEMIC medical centers
*HOSPITAL admission & discharge
*LOGISTIC regression analysis
*PUERPERIUM
*MATERNAL mortality
*AGE distribution
*EVALUATION of medical care
*DESCRIPTIVE statistics
*PREGNANT women
*RETROSPECTIVE studies
*OPERATIVE surgery
*ODDS ratio
*INTENSIVE care units
*MEDICAL records
*ACQUISITION of data
*PSYCHOLOGY of mothers
*CONFIDENCE intervals
*CRITICAL care medicine
*PREGNANCY
Subjects
Details
- Language :
- English
- ISSN :
- 1753495X
- Volume :
- 17
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Obstetric Medicine (1753-495X)
- Publication Type :
- Academic Journal
- Accession number :
- 177391587
- Full Text :
- https://doi.org/10.1177/1753495X231184686