Predictors of Maternal Mortality and Prognostic Models in Obstetric Patients

Andrew Levinson; Jezid Miranda; Jose Antonio Rojas-Suarez

doi:10.1055/s-0037-1602244

Seminars in Respiratory and Critical Care Medicine, Table of Contents

Semin Respir Crit Care Med 2017; 38(02): 191-200
DOI: 10.1055/s-0037-1602244

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Predictors of Maternal Mortality and Prognostic Models in Obstetric Patients

Andrew Levinson

¹Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island

,

Jezid Miranda

²Fetal i+D Fetal Medicine Research Center, IDIBAPS, Barcelona Center for Maternal Fetal and Neonatal Medicine (BCNatal), Hospital Clínic and Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain

,

Jose Antonio Rojas-Suarez

³Intensive Care in Obstetric Research Group (GRICIO), Department of Obstetrics and Gynecology, University of Cartagena, Cartagena, Colombia

› Author Affiliations

Abstract

The use of predictive models has been proposed as a potential tool to reduce maternal morbidity and mortality, by aiding in the timely identification of potential high-risk patients. Prognostic models in critical care have been used to characterize the severity of illness of specific diseases. Physiological changes in pregnancy may result in general critical illness prediction models overestimating mortality in obstetric patients. Models that specifically reflect the unique characteristics of obstetric patients may have better prognostic value. Recently developed tools have focused on identifying at-risk patients before they require intensive care unit (ICU) admission to target early interventions and prevent acute clinical decompensation. The aim of the newest scoring systems, specifically designed for groups of obstetric patients receiving non-ICU care, is to reduce maternal morbidity and mortality by identifying early high-risk patients and initiating prompt effective medical responses.

Keywords

critical care - maternal mortality - pregnancy - prognosis - scoring systems

Full Text

References

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