Intensive Care Admissions in Pregnancy: Analysis of a Level of Support Scoring System

Maternal and Child Health Journal
Mili ThakurJuan M Gonzalez

Abstract

Development of a validated triaging system that can be used by obstetric providers to identify obstetric patients at risk of developing severe morbidity during an admission is urgently required. Maternal Critical Care Working Group (MCCWG) recommended a "level of care" strategy that based patient acuity needs on number of individual organ systems requiring support. The objective of this study was to apply the MCCWG level of support for critical care (MCCWG LOC) scoring to pregnant women admitted to an intensive care unit (ICU) to predict maternal outcomes and to compare it to the Acute Physiology and Chronic Health Evaluation (APACHE) II scoring system. In this retrospective study, we applied the MCCWG LOC scoring to pregnant women admitted to an ICU at the Detroit Medical Center, between January 2006 and December 2010. The MCCWG LOC was scored on admission to the ICU, and patients were subsequently divided into two groups (Group 1, patients requiring Level 1 and 2 support and Group 2, patients requiring level 3a and 3b support) and their outcome variables were compared. The MCCWG LOC scores were also compared to APACHE II scoring, an ICU scoring system, to test if an alignment of the two systems existed, and if they were able ...Continue Reading

References

May 1, 1992·Chest·S J Kilpatrick, M A Matthay
Apr 1, 1993·Southern Medical Journal·T J MonacoV L Katz
May 25, 2001·Critical Care Medicine·J F HazelgroveG B Smith
Dec 16, 2003·Obstetrics and Gynecology·Tricia T GilbertUNKNOWN Critical Care Obstetric Team
Jan 9, 2004·British Medical Bulletin·R C Pattinson, M Hall
Jan 25, 2006·Archives of Gynecology and Obstetrics·Suleiman A Al-SuleimanM Sayedur Rahman
Aug 19, 2006·Critical Care Medicine·Gerda G Zeeman
Jan 22, 2009·Obstetrics and Gynecology·UNKNOWN American College of Obstetricians and Gynecologists
Jun 3, 2009·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ichchha MadanVani Dandolu
Oct 31, 2009·Bulletin of the World Health Organization·Robert PattinsonUNKNOWN WHO Working Group on Maternal Mortality and Morbidity Classifications
Nov 11, 2009·Intensive Care Medicine·Joost J ZwartJos van Roosmalen
Jun 15, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Richard P Porreco, Rebecca Barkey
Jul 16, 2010·Intensive Care Medicine·Wendy PollockCindy-Lee Dennis
Nov 26, 2010·Obstetrics and Gynecology·Mary E D'Alton
May 27, 2011·The New England Journal of Medicine·Anne Paxton, Tessa Wardlaw
Sep 7, 2012·PloS One·Joao Paulo SouzaUNKNOWN Brazilian Network for Surveillance of Severe Maternal Morbidity
Oct 24, 2012·Obstetrics and Gynecology·William M CallaghanElena V Kuklina
May 8, 2013·Critical Care Medicine·Jonathan P WandererBrian T Bateman
Jan 23, 2015·Obstetrics and Gynecology

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Citations

Oct 26, 2020·American Journal of Obstetrics and Gynecology·Gabriel J EscobarCatherine Lee

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