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. 2010 Oct;23(10):1136-8.
doi: 10.3109/14767058.2010.490890.

Peripartum intensive care

Affiliations

Peripartum intensive care

Richard P Porreco et al. J Matern Fetal Neonatal Med. 2010 Oct.

Abstract

Objective: To determine the prevalence rate of intensive care unit (ICU) admissions in Hospital Corporation of America (HCA) hospitals and further delineate indications and outcomes in a retrospective review at one such hospital.

Study design: Diagnosis-related group and revenue codes were combined to calculate maternity admissions to the ICU in HCA hospitals. Prospectively logged maternal admissions were retrospectively reviewed for calendar years 2004-2008 at Presbyterian/St. Luke's Medical Center (PSL) using inpatient medical records.

Results: The prevalence rate of peripartum ICU admissions in HCA hospitals among 602,488 deliveries was 0.41%. At PSL, a high-acuity maternal fetal service, the occurrence of ICU admissions was 0.62%. Leading indications were hemorrhage and preeclampsia/eclampsia; multiples were over-represented, 20% required hysterectomy and nearly one-third of the patients were ventilated.

Conclusions: The full scope of ICU resources should be available to the obstetric patient as the maternal requirement for such care is not rare.

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