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. 2022 Aug;72(Suppl 1):159-165.
doi: 10.1007/s13224-021-01611-w. Epub 2022 Feb 11.

Determinants of Survival in obstetric Sepsis: Retrospective Observational Study

Mukta Agarwal  1 , Divendu Bhushan  2 , Shruti Singh  3 , Shruti Singh  1
Affiliations

Determinants of Survival in obstetric Sepsis: Retrospective Observational Study

Mukta Agarwal et al. J Obstet Gynaecol India. 2022 Aug.

Abstract

Introduction: Sepsis is the dysregulated response of the body to the infection. Obstetric sepsis carries significantly greater morbidity and mortality as the condition is also augmented by the physiological adaptation of body during pregnancy. We conducted this study to determine the various epidemiological and clinical determinants of severity of sepsis which can help in prediction of survival in case of obstetric sepsis.

Materials and methods: This retrospective study was conducted in a tertiary care center and all cases admitted with the diagnosis of obstetric sepsis as per the defined criteria between January 1, 2016 and December 31, 2020 were included in the study. Patients were evaluated for their clinical presentation, SOFA score, biochemical and microbiological parameters and the treatment given during their course of stay. Variables were compared among survivor and non-survivor group using appropriate statistical tests. Parameters which have significant association were further taken for binary logistic regression analysis.

Result: A total 46 patients of obstetric sepsis were admitted under defined criteria. Twelve out of 46 patients did not survive (26.09%). On statistical analysis, mean SOFA score (p = 0.005) as well as patients with SOFA score > 6 (p = 0.029), presence of multi organ failure (0.04) and septic shock (p = 0.012) were found to be significantly associated with mortality.

Conclusion: The study suggests that these determinants of survival should always be evaluated while catering to a patient of obstetric sepsis in order to guide the treatment, prognostication and improving outcome of the patients.

Keywords: Determinants of survival; ICU; Multiorgan failure; Obstetric sepsis; SOFA score; Septic shock.

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Conflict of interest statement

Conflict of interestAuthors have no conflict of interest.

Figures

Fig. 1
Fig. 1
ROC for logistic model (χ2(03) = 9.07, p 0.0284)
Fig. 2
Fig. 2
Details of organisms grown in culture
Fig. 3
Fig. 3
Details of inciting events for sepsis
See this image and copyright information in PMC

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