ArticleCritical care medicine2018
Pregnancy-Related ICU Admissions From 2008 to 2016 in China: A First Multicenter Report.
Article in Critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Social determinants and exposure to intimate partner violence in women with severe acute maternal morbidity in the intensive care unit: a systematic review.BMC pregnancy and childbirth · 2023Pooled it
- A National Survey on Critically Ill Obstetric Patients Care Centers.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2026Article
- Pregnancy and postpartum-related admissions to the intensive care unit at a tertiary centre in Northwest China: a 14-year retrospective study.BMC pregnancy and childbirth · 2025Article
- Development and Future Perspectives of Obstetric Intensive Care Units in China.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025Article
- Clinical outcomes and healthcare costs among Turkish and immigrant obstetric patients in intensive care unit: a 7-year retrospective cohort study from Turkey.BMC anesthesiology · 2025Article
- Clinical features and outcomes of peripartum obstetric patients admitted to the intensive care unit: A nationwide inpatient database in Japan.Critical care (London, England) · 2025Observational
- Admission indications, initial diagnoses, Interventions, and patient outcomes within the sole obstetric high-dependency unit in Ethiopia.BMC women's health · 2024Observational
- Obstetric admission to intensive care units in Japan: a cohort study using the Japanese Intensive care PAtient Database.Journal of anesthesia · 2023Article
- Obstetric Sepsis: A Review Article.Journal of obstetrics and gynaecology of India · 2022Review
- Severe maternal morbidity: admission shift from intensive care unit to obstetric high-dependency unit.BMC pregnancy and childbirth · 2022Article
- Pregnancy outcomes in women affected by fetal alpha-thalassemia: a case control study.Scientific reports · 2021Article
- Disseminated intravascular coagulation associated organ failure in obstetric patients admitted to intensive care units: a multicenter study in China.Scientific reports · 2021Article
- Prediction of mechanical ventilation greater than 24 hours in critically ill obstetric patients: ten years of data from a tertiary teaching hospital in mainland China.BMC pregnancy and childbirth · 2021Article
- Article
- Communicating to Non-Speaking Critically Ill Patients: Augmentative and Alternative Communication Technique as an Essential Strategy.SAGE open nursingArticle
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Authors and funding
11 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify the key points for improving severe maternal morbidity by analyzing pregnancy-related ICU admissions in Beijing.
designThis was a retrospective, multicenter cohort study.
settingThree ICUs in tertiary hospitals in Beijing. PATIENTS: A total of 491 severe maternal cases in any trimester of pregnancy or within 42 days of delivery were reviewed between January 1, 2008, and December 31, 2016.
interventionsNone. MEASUREMENTS AND MAIN
resultsAmong 491 obstetric ICU admissions (median Sequential Organ Failure Assessment score, 2) out of 87,850 hospital deliveries (a frequency of 5.6 admissions per 1,000 deliveries), the leading diagnoses were postpartum hemorrhage (170; 34.62%), hypertensive disorders of pregnancy (156; 31.77%), and cardio-cerebrovascular diseases (78; 15.9%). Comparing 2008-2011 to 2012-2016, the rates of maternal mortality (2.5% vs 1.9%; p = 0.991) and fetal loss (8.5% vs 8.6%; p = 0.977) did not decrease significantly, whereas the rates of ICU admission (3.05% vs 7.85%; p trends < 0.001) and postpartum hemorrhage (23% vs 38.5%; p = 0.002) increased. Hypertensive disorder (150/156; 96.2% transferred to the ICU postpartum, 24/28 women with fetal loss transferred from lower-level hospitals) was an independent maternal factor associated with fetal loss, and infections were the leading cause of maternal death (6/10) in the ICU.
conclusionsOur study highlights the increasing rate of intensive care admissions for postpartum hemorrhage. Improving prenatal care quality for pregnancy-induced hypertension and sepsis at lower-level hospitals may improve maternal and fetal outcomes. Specifically, providing more effective regional cooperation before transfer and shifting patients who require continuous surveillance but not necessarily intensive care to a transitional ward in a tertiary hospital would provide more ICU beds for more prenatal intensive care for the most complex medical conditions.
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