Porreco Richard P, Barkey Rebecca
Presbyterian/St. Luke's Medical Center, Obstetrix Medical Group of Colorado, Denver, Colorado 802018, USA.
J Matern Fetal Neonatal Med. 2010 Oct;23(10):1136-8. doi: 10.3109/14767058.2010.490890.
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.
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.
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.
The full scope of ICU resources should be available to the obstetric patient as the maternal requirement for such care is not rare.
确定美国医院集团（HCA）旗下医院重症监护病房（ICU）收治产妇的患病率，并在其中一家医院进行回顾性研究，进一步明确收治指征及治疗结果。
将诊断相关组和收入编码相结合，计算HCA医院中入住ICU的产妇人数。使用住院病历对2004年至2008年期间在长老会/圣卢克医疗中心（PSL）前瞻性记录的产妇入院情况进行回顾性研究。
在HCA医院的602,488例分娩中，围产期入住ICU的患病率为0.41%。在提供高 acuity 孕产妇胎儿服务的PSL，入住ICU的发生率为0.62%。主要指征为出血和先兆子痫/子痫；多胎妊娠的比例过高，20%的患者需要进行子宫切除术，近三分之一的患者需要通气治疗。
由于产科患者对重症监护的需求并不罕见，因此应向其提供全面的ICU资源。
