Analysis of Relationship Between ICU Admission Criteria and End Results of Caring of Obstetrics/Gynecologic ICU Patients

Abstract

Background: Taking good care of patients admitted to ICU is an important issue especially concerning pregnant women and of course estimating severity of the illness is necessary. The goal of the study is to analysis the association of admission criteria of obstetrics/gynecologic (OB/GYN) cases with end results of the caring in Imam Ali hospital ICU of Zahedan city on 2015. Methods: In this analytical study 86 cases of OB/GYN were admitted to Imam Ali Hospital ICU on 2015. Sampling was based on head counting. The recorded information included acute physiology and chronic health evaluation (APACHE II) criteria, mortality rate, and duration of hospitalization and ventilation requirement. The data was analyzed via SPSS ver.18 software and through t-test, Chi-square. Results: Age average of the patients was 27.3+/-5.3 years. Average APACHE.II score was: 11.3+/-4.7. Death risk of 75 (87.2%) cases was less than 10% and in one case it was more than 35% and in another case it was more than 75%. Death rate was 2.3% (2 patients died). Mean APACHE.II score associated with the dead was 32+/-4.2 and in case of the alive it was 10.8+/-3.5. Duration of hospitalization was 4.7+/-3.6 days which had a meaningful relationship with APACHE.II score of patients in need of ventilation was 14.7+/-6.1 and in other cases it was 9.9+/-3.1(P = 0.0001, r = 0.693). In 25 cases, the average number of days which they used ventilator was 4.9+/-5.3, which of course it had significant relationship with APACHE.II score (P = 0.00, r = 0.88). Conclusions: The study indicates that APACHE.II scoring system is capable of estimating death rate and end results associated with the care of OB/GYN patients hospitalized in ICU.