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- Title
Trends in maternal ICU admissions at a quaternary centre in Montreal, Canada, and impact of maternal age on critical care outcomes.
- Authors
Lopez Laporte, Maria Agustina; Shahin, Jason; Blotsky, Andrea; Malhamé, Isabelle; Dayan, Natalie
- Abstract
Background: Advancing maternal age is increasingly prevalent and is associated with severe maternal morbidity often requiring intensive care unit (ICU) admission. Objectives: To describe maternal ICU admissions at a quaternary care hospital in Montreal, Canada, and evaluate the association between maternal age and composite of: need for invasive interventions, ICU stay > 48 h, or maternal death. Methods: Chart review of ICU admissions during pregnancy/postpartum (2006–2016); logistic regressions to evaluate the impact of age on outcomes. Results: With 5.1 ICU admissions per 1000 deliveries, we included 187 women (mean age 32 ± 6.3 years; 20 (10.7%) ≥ 40 years). The composite outcome occurred in 105 (56.2%) patients; there were two maternal deaths. Age ≥ 40 years increased the odds of invasive interventions (OR 4.03; 95% confidence interval [CI] 1.15–14.1) but not of the composite outcome (OR 2.30; 95% CI 0.66–8.02). Conclusion: Peripartum women aged ≥ 40 years had worse outcomes in ICU, with an increased need for invasive interventions.
- Subjects
CANADA; QUEBEC (Province); RISK assessment; PATIENTS; DELIVERY (Obstetrics); MATERNAL age; MATERNAL health services; ACADEMIC medical centers; HOSPITAL admission &; discharge; LOGISTIC regression analysis; PUERPERIUM; MATERNAL mortality; AGE distribution; EVALUATION of medical care; DESCRIPTIVE statistics; PREGNANT women; RETROSPECTIVE studies; OPERATIVE surgery; ODDS ratio; INTENSIVE care units; MEDICAL records; ACQUISITION of data; PSYCHOLOGY of mothers; CONFIDENCE intervals; CRITICAL care medicine; PREGNANCY
- Publication
Obstetric Medicine (1753-495X), 2024, Vol 17, Issue 2, p84
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X231184686