2001, Number 4
<< Back Next >>
Med Crit 2001; 15 (4)
Critical care medicine in obstetrics. Impact of a teaching program
Gómez-Bravo TE, Briones GJC, Castañón GJA, Díaz de León PM, Morales EJG, Briones VCG
Language: Spanish
References: 16
Page: 126-129
PDF size: 117.39 Kb.
ABSTRACT
Objective: To present the results and impact of an educational program on critical care of pregnant patients.
Design: Descriptive study.
Setting: ICU of an obstetrics and gynecology hospital, Toluca, Mexico.
Material and methods: We reviewed the files of patients admitted to the ICU and a comparison between the mortality rate, scientific production and human resources formation of 1993-1996 and 1997-1999 were analyzed.
Interventions: None.
Results: A total of 623 patients (mean age 29.6 ± 8.1 years) were admitted to the ICU during the study period: 237 from 1993 to 1996 and 386 from 1997 to 1999. During the second step (1997-1999) a decrease of mortality rate was observed, seven gyneco-obstetrician were trained in critical care, and four thesis, 15 articles, two chapters of book and one book on preeclampsia-eclampsia were published.
Conclusion: These results suggest that a critical care medicine course may improve the quality of care of obs-tetric patients.
REFERENCES
. Aguirre GH. Administración de la calidad de la atención médica. Rev Med IMSS (Mex) 1997; 35(4): 257-264.
Sibai BM, Abdella TN, Spinnato JA, Anderson GD. Eclampsia. The incidence of nonpreventable eclampsia. Am J Obstet Gynecol 1986; 145(3): 581-586.
Díaz de León PM, Briones GJC. Tratamiento de la preeclampsia-eclampsia. Nefrología Mexicana 1999; 20(2): 63-64.
Mabie WC, Sibai BM. Treatment in an obstetric intensive care unit. Am J Obstet Gynecol 199O; 162: 1-4.
Kilpatrick SJ, Matthay MA. Obstetric patients requiring critical care. Chest 1992; 1O1: 1407-1412.
Collop NA, Sahn SA. Critical illness in pregnancy: an analysis of 20 patients admitted to a medical intensive care unit. Chest 1993; 103: 1548-1552.
Rizk NW, Kalassian KG, Gilligant T, Druzin MI, Daniel DL. Obstetric complications in pulmonary and critical care medicine. Chest 1996; 110: 791-809.
Alfaro RHJ. Cuidados intensivos en obstetricia. Rev Mex Anest 1993; 16: 38-50.
Briones GJC, Castañón GJA, Díaz de León PM, Briones VCG. La unidad de cuidados intensivos multidisciplinaria y la medicina crítica en gineco-obstetricia. Rev Asoc Mex Med Crit y Ter Int 1996; 10(6): 276-279.
Díaz de León PM, Briones GJC, Ably AA, Barrón VJ, Espinosa MML, Juárez AG. Cuidados intensivos en obstetricia. Rev Asoc Mex Med Crit y Ter Int 1997; 11(2): 36-40.
Sibai BM. Pitfalls in diagnosis and management of preeclampsia. Am J Obstet Gynecol 1988; 159: 1-5.
Briones GJC, Díaz de León PM, Gómez Bravo TE, Ávila EF, Briones VCG, Urrutia TF. Protocolo de manejo en la preeclampsia-eclampsia. Estudio comparativo. Cir y Ciruj 1999; 67: 4-10.
Briones GJC, Espinosa LF ¿La terapia intensiva especializada abatirá la mortalidad materna? Rev Med IMSS 1999; 37(4): 253-255.
Briones GJC, Díaz de León PM. Tratamiento médico obstétrico en: Briones GJC, Díaz de León PM. Preeclampsia-eclampsia. Editorial Distribuidora y Editora Mexicana, S.A. de C.V. México 2000: 91-100.
López Llera MM, Díaz de León PM, Rodríguez AJ, Ayala RA. Preeclampsia-eclampsia: un problema médico diferido. Gac Med Mex 1999; 135(4): 397-405.
Velazco MN, Navarrete HE, Cardona PJA, Madrazo NM. Mortalidad materna por preeclampsia-eclampsia en el Instituto Mexicano del Seguro Social 1987-1996. Rev Med IMSS 1997; 35(6): 451-456.