Department of Intensive Care, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong.
Hong Kong Med J. 2010 Feb;16(1):18-25.
To review the characteristics and health-related quality-of-life outcomes of obstetric patients admitted to the Intensive Care Unit.
Retrospective cohort study.
A regional hospital in Hong Kong.
Consecutive obstetric patients admitted to the Intensive Care Unit of Pamela Youde Nethersole Eastern Hospital from January 1998 to December 2007.
Fifty obstetric patients (mean [standard deviation] age, 31 [6] years; mean gestational age, 34 [9] weeks) were analysed. The most common obstetric cause of admission was postpartum haemorrhage (n=19, 38%), followed by pregnancy-associated hypertension (n=7, 14%). The commonest non-obstetric cause of admission was sepsis (n=7, 14%). The commonest intervention was arterial line insertion (n=33, 66%) and mechanical ventilation (n=29, 58%). Maternal mortality was 6% (n=3), while the perinatal mortality rate was 8% (n=4). The average Short Form-36 Health Survey scores of our patients were lower than the norm for the Hong Kong population of the same age and gender.
Postpartum haemorrhage and pregnancy-associated hypertension were the most common causes of admission to our Intensive Care Unit. Overall mortality was low. Long-term health-related quality of life in discharged patients was lower than the norm of the Hong Kong population. Appropriate antenatal care is important in preventing obstetric complications. Continued psychosocial follow-up of discharged patients has to be implemented.
回顾收入重症监护病房的产科患者的特点和与健康相关的生活质量结果。
回顾性队列研究。
中国香港一家地区医院。
1998 年 1 月至 2007 年 12 月期间连续收入 Pamela Youde Nethersole Eastern 医院重症监护病房的产科患者。
分析了 50 例产科患者（平均[标准差]年龄为 31[6]岁；平均孕龄为 34[9]周）。最常见的产科入院原因是产后出血（n=19，38%），其次是妊娠相关性高血压（n=7，14%）。最常见的非产科入院原因是败血症（n=7，14%）。最常见的干预措施是动脉置管（n=33，66%）和机械通气（n=29，58%）。产妇死亡率为 6%（n=3），围产儿死亡率为 8%（n=4）。我们患者的 Short Form-36 健康调查平均评分低于同年龄和同性别香港人群的正常值。
产后出血和妊娠相关性高血压是收入我们重症监护病房的最常见原因。总体死亡率较低。出院患者的长期健康相关生活质量低于香港人群的正常值。适当的产前保健对于预防产科并发症很重要。必须对出院患者实施持续的社会心理随访。
