Author | Reichenheim, Michael Eduardo | |
Author | Zylbersztajn, Flávio | |
Author | Moraes, Claudia L. | |
Author | Lobato, Gustavo | |
Access date | 2015-05-06T16:10:39Z | |
Available date | 2015-05-06T16:10:39Z | |
Document date | 2009 | |
Citation | REICHENHEIM, Michael E. et al. Severe acute obstetric morbidity (near-miss): a review of the relative use of its diagnostic indicators. Archives of Gynecology and Obstetrics, Munchen, v. 280, p. 337–343, 2009. | pt_BR |
ISSN | 0932-0067 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/10251 | |
Language | eng | pt_BR |
Publisher | Springer Verlag | pt_BR |
Rights | restricted access | |
Title | Severe acute obstetric morbidity (near-miss): a review of the relative use of its diagnostic indicators | pt_BR |
Type | Article | |
DOI | 10.1007/s00404-008-0891-1 | |
Abstract | Objective To assess the most commonly employed diag-nostic indicators of severe maternal morbidity (obstetric near-miss). Methods Review of the literature from January 1989 to August 2008. Results Fifty-one manuscripts met the eligibility criteria, and 96 indicators were utilized at least once. Admission to intensive care unit (n= 28 studies) was the indicator most frequently utilized, followed by eclampsia and hemorrhage (n= 27), blood transfusion (n= 26) and emergent hysterec-tomy (n=24). Conclusion Considering these Wndings, a trial version of a 13-item instrument for diagnosing obstetric near-miss is proposed. It includes the indicators eclampsia, severe hypertension, pulmonary edema, cardiac arrest, obstetrical hemorrhage, uterine rupture, admission to intensive care unit, emergent hysterectomy, blood transfusion, anesthetic accidents, urea >15 mmol/l or creatinine >400 mmol/l, oli-guria (<400 ml/24 h) and coma. Further studies should focus on consensual deWnitions for these indicators and evaluate the psychometric proprieties of this trial version. | pt_BR |
Affilliation | Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil / Universidade Estácio de Sá. Programa Saúde da Família. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Obstetrícia. Rio de Janeiro, RJ, Brasil. | pt_BR |
Subject | Maternal Mortality | pt_BR |
Subject | Pregnancy Complications | pt_BR |
Subject | Morbidity | pt_BR |
Subject | Medical Audit | pt_BR |
Subject | Near-Miss | pt_BR |
DeCS | Mortalidade Materna | pt_BR |
DeCS | Complicações na Gravidez | pt_BR |
DeCS | Morbidade | pt_BR |
DeCS | Auditoria Médica | pt_BR |
xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |