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Provision of intensive care to severely ill pregnant women is associated with reduced mortality: Results from the WHO Multicountry Survey on Maternal and Newborn Health
http://hdl.handle.net/2241/0002001526
http://hdl.handle.net/2241/00020015267aa8d780-17b9-494b-9544-4a2fa450cec6
名前 / ファイル | ライセンス | アクション |
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IJGO_150-3.pdf (733 KB)
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Item type | Journal Article(1) | |||||||||||||||||||||||
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公開日 | 2021-10-05 | |||||||||||||||||||||||
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言語 | en | |||||||||||||||||||||||
タイトル | Provision of intensive care to severely ill pregnant women is associated with reduced mortality: Results from the WHO Multicountry Survey on Maternal and Newborn Health | |||||||||||||||||||||||
言語 | ||||||||||||||||||||||||
言語 | eng | |||||||||||||||||||||||
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資源 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||||||||
タイプ | journal article | |||||||||||||||||||||||
アクセス権 | ||||||||||||||||||||||||
アクセス権 | open access | |||||||||||||||||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||||||||||||
著者 |
Soares, Fabiano M.
× Soares, Fabiano M.
× Pacagnella, Rodolfo C.
× Tunçalp, Özge
× Cecatti, José G.
× Vogel, Joshua P.
× トゴバタラ, ガンチメゲ
WEKO
161316
× Souza, Joao P.
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抄録 | ||||||||||||||||||||||||
内容記述タイプ | Abstract | |||||||||||||||||||||||
内容記述 | Objective To estimate the impact of the use of Intensive Care Units (ICU) in maternal mortality. Methods A secondary analysis of the WHO Multicountry Survey on Maternal and Newborn Health, a multicenter cross-sectional study conducted in maternity hospitals in 29 countries. Women who had severe maternal outcome (maternal death or maternal near-miss) and the availability and use of ICU beds were included. The women were categorized according to availability of ICU, and multivariate logistic regression analyses were performed to determine the risk of maternal death. To rate the severity of complications, the Maternal Severity Score (MSS) and the Maternal Severity Index (MSI) were used. Results Of 314 623 women observed, 24 396 had severe complications. Of those, 16 981 (69.6%) were in facilities with ICUs; 1573 women were admitted to ICUs (6.4% of women with maternal complications and 0.5% of total). There is a significant protective effect for maternal mortality for patients with more severe conditions using ICUs (odds ratio 0.16, 95% confidence interval 0.07–0.33). Conclusion The use of ICU was associated with significantly reduced odds of maternal death in obstetric patients with severe clinical conditions. The availability and appropriate use of good-quality ICUs are therefore crucial to reduce maternal mortality. |
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言語 | en | |||||||||||||||||||||||
書誌情報 |
en : International Journal of Gynecology & Obstetrics 巻 150, 号 3, p. 346-353, 発行日 2020-09 |
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収録物識別子タイプ | PISSN | |||||||||||||||||||||||
収録物識別子 | 0020-7292 | |||||||||||||||||||||||
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収録物識別子タイプ | NCID | |||||||||||||||||||||||
収録物識別子 | AA00680363 | |||||||||||||||||||||||
PubMed番号 | ||||||||||||||||||||||||
識別子タイプ | PMID | |||||||||||||||||||||||
関連識別子 | 32464683 | |||||||||||||||||||||||
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関連タイプ | isIdenticalTo | |||||||||||||||||||||||
識別子タイプ | DOI | |||||||||||||||||||||||
関連識別子 | https://doi.org/10.1002/ijgo.13241 | |||||||||||||||||||||||
権利 | ||||||||||||||||||||||||
言語 | en | |||||||||||||||||||||||
権利情報 | This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2020 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics | |||||||||||||||||||||||
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値 | publisher | |||||||||||||||||||||||
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言語 | en | |||||||||||||||||||||||
出版者 | Wiley |