ArticleBMC pregnancy and childbirth2022
Severe maternal morbidity: admission shift from intensive care unit to obstetric high-dependency unit.
Article in BMC pregnancy and childbirth, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Critical care utilisation, and outcomes of critically ill obstetric patients in India: a multicentre ICU registry study (2019-2024).The Lancet regional health. Southeast Asia · 2026Article
- Advances and Challenges in Obstetric Intensive Care Medicine.Journal of clinical medicine · 2026Review
- Assessment of the Burden of Maternal Hypertensive Disorders and the Quality of Care in China: A Systematic Analysis of the Global Burden of Disease (GBD) 2021 Study.International journal of women's health · 2026Article
- Cost-Utility and Clinical Impact of a Multicomponent Maternal Safety and High-Dependency Care Model in Three Colombian Caribbean Hospitals: A Before-and-After Study.Annals of global health · 2026Article
- Development and Future Perspectives of Obstetric Intensive Care Units in China.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025Article
- Cost-effectiveness of the sFlt-1/PlGF ratio test in pregnant patients with suspected pre-eclampsia: a systematic review.AJOG global reports · 2025Review
- Admission indications, initial diagnoses, Interventions, and patient outcomes within the sole obstetric high-dependency unit in Ethiopia.BMC women's health · 2024Observational
- Clinical Characteristics and Outcomes of an Intensive Maternal Care Unit in a Tertiary Hospital in the Philippines.Acta medica Philippina · 2024Article
- The Epidemiology of Maternal Critical Illness between 2008 and 2021.Annals of the American Thoracic Society · 2023Article
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3 authors.
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Abstract
backgroundTo study temporal trends of intensive care unit (ICU) admission in obstetric population after the introduction of obstetric high-dependency unit (HDU).
methodsThis is a retrospective study of consecutive obstetric patients admitted to the ICU/HDU in a provincial referral center in China from January 2014 to December 2019. The collected information included maternal demographic characteristics, indications for ICU and HDU admission, the length of ICU stay, the total length of in-hospital stay and APACHE II score. Chi-square and ANOVA tests were used to determine statistical significance. The temporal changes were assessed with chi-square test for linear trend.
resultsA total of 40,412 women delivered and 447 (1.11%) women were admitted to ICU in this 6-year period. The rate of ICU admission peaked at 1.59% in 2016 and then dropped to 0.67% in 2019 with the introduction of obstetric HDU. The average APACHE II score increased significantly from 6.8 to 12.3 (P < 0.001) and the average length of ICU stay increased from 1.7 to 7.1 days (P < 0.001). The main indications for maternal ICU admissions were hypertensive disorders in pregnancy (39.8%), cardiac diseases (24.8%), and other medical disorders (21.5%); while the most common reasons for referring to HDU were hypertensive disorders of pregnancy (46.5%) and obstetric hemorrhage (43.0%). The establishment of HDU led to 20% reduction in ICU admission, which was mainly related to obstetric indications.
conclusionsThe introduction of HDU helps to reduce ICU utilization in obstetric population.
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