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2018, Number 5

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Med Crit 2018; 32 (5)

Predictors of mortality in patients with obstetric sepsis using sepsis obstetric score and sequential organ failure assessment-obstetrics

Herrera MBE, Lara CJ, Ortega LV

Language: Spanish
References: 15
Page: 265-272
PDF size: 202.49 Kb.


ABSTRACT

Objective: To determine the predictors of mortality in patients with obstetric sepsis using Sepsis Obsessional Score (SOS) and Sequential Organ Failure Assessment-Obstetric (SOFA-O).
Material and methods: An observational, retrospective, descriptive study was carried out, where data were collected from patients who entered an intensive care unit of second level hospitals in the period June 30 2015, to June 30 2017, who had a diagnosis of sepsis Obstetric, where SOS and SOFA-O instruments were applied, correlating the variables with maternal mortality.
Results: From a universe of 284 patients who entered the ICU of second level hospitals, 51 patients were selected who had inclusion criteria for sepsis, correlating with SOS and SOFA-O scale variables, finding it to be a major risk factor for development of sepsis being multigested, having preeclampsia, anemia, cesarean section, prenatal poor control and having invasive procedures, the quantitative variables related to maternal death were: creatinine, PaO2/FiO2 ratio, heart rate, lactate, venous saturation. With a minimum and maximum SOS score for maternal death (7-22) and SOFA-O (10-18) points. There was a mortality of 7.8% (four patients) of the study population.
Conclusions: The incidence of obstetric sepsis is increasing, so rapid recognition and appropriate therapy will impact patient survival.


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