Comparison between near miss criteria in a maternal intensive care unit
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Escola de Enfermagem da USP (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100468 |
Resumo: | ABSTRACT Objective: The aim of this study was to compare the incidence of different criteria of maternal near miss in women admitted to an obstetric intensive care unit and their sensitivity and specificity in identifying cases that have evolved to morbidity. Method: A cross-sectional analytical epidemiological study was conducted with women admitted to the intensive care unit of the Maternity School Assis Chateaubriand in Ceará, Brazil. The Chi-square test and odds ratio were used. Results: 560 records were analyzed. The incidence of maternal near miss ranged from 20.7 in the Waterstone criteria to 12.4 in the Geller criteria. The maternal near-miss mortality ratio varied from 4.6:1 to 7.1:1, showing better index in the Waterstone criteria, which encompasses a greater spectrum of severity. The Geller and Mantel criteria, however, presented high sensitivity and low specificity. Except for the Waterstone criteria, there was an association between the three other criteria and maternal death. Conclusion: The high specificity of Geller and Mantel criteria in identifying maternal near miss considering the World Health Organization criteria as a gold standard and a lack of association between the criteria of Waterstone with maternal death. |
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Revista da Escola de Enfermagem da USP (Online) |
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Comparison between near miss criteria in a maternal intensive care unitNear MissHealthcareMaternal MortalityMorbidityObstetric NursingIntensive Care UnitsABSTRACT Objective: The aim of this study was to compare the incidence of different criteria of maternal near miss in women admitted to an obstetric intensive care unit and their sensitivity and specificity in identifying cases that have evolved to morbidity. Method: A cross-sectional analytical epidemiological study was conducted with women admitted to the intensive care unit of the Maternity School Assis Chateaubriand in Ceará, Brazil. The Chi-square test and odds ratio were used. Results: 560 records were analyzed. The incidence of maternal near miss ranged from 20.7 in the Waterstone criteria to 12.4 in the Geller criteria. The maternal near-miss mortality ratio varied from 4.6:1 to 7.1:1, showing better index in the Waterstone criteria, which encompasses a greater spectrum of severity. The Geller and Mantel criteria, however, presented high sensitivity and low specificity. Except for the Waterstone criteria, there was an association between the three other criteria and maternal death. Conclusion: The high specificity of Geller and Mantel criteria in identifying maternal near miss considering the World Health Organization criteria as a gold standard and a lack of association between the criteria of Waterstone with maternal death.Universidade de São Paulo, Escola de Enfermagem2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100468Revista da Escola de Enfermagem da USP v.52 2018reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USP10.1590/s1980-220x2017038703404info:eu-repo/semantics/openAccessMonte,Alana SantosTeles,Liana Mara RochaOriá,Mônica Oliveira BatistaCarvalho,Francisco Herlânio CostaBrown,HelenDamasceno,Ana Kelve de Castroeng2018-11-26T00:00:00Zoai:scielo:S0080-62342018000100468Revistahttp://www.scielo.br/reeuspPUBhttps://old.scielo.br/oai/scielo-oai.php||nursingscholar@usp.br1980-220X0080-6234opendoar:2018-11-26T00:00Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Comparison between near miss criteria in a maternal intensive care unit |
title |
Comparison between near miss criteria in a maternal intensive care unit |
spellingShingle |
Comparison between near miss criteria in a maternal intensive care unit Monte,Alana Santos Near Miss Healthcare Maternal Mortality Morbidity Obstetric Nursing Intensive Care Units |
title_short |
Comparison between near miss criteria in a maternal intensive care unit |
title_full |
Comparison between near miss criteria in a maternal intensive care unit |
title_fullStr |
Comparison between near miss criteria in a maternal intensive care unit |
title_full_unstemmed |
Comparison between near miss criteria in a maternal intensive care unit |
title_sort |
Comparison between near miss criteria in a maternal intensive care unit |
author |
Monte,Alana Santos |
author_facet |
Monte,Alana Santos Teles,Liana Mara Rocha Oriá,Mônica Oliveira Batista Carvalho,Francisco Herlânio Costa Brown,Helen Damasceno,Ana Kelve de Castro |
author_role |
author |
author2 |
Teles,Liana Mara Rocha Oriá,Mônica Oliveira Batista Carvalho,Francisco Herlânio Costa Brown,Helen Damasceno,Ana Kelve de Castro |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Monte,Alana Santos Teles,Liana Mara Rocha Oriá,Mônica Oliveira Batista Carvalho,Francisco Herlânio Costa Brown,Helen Damasceno,Ana Kelve de Castro |
dc.subject.por.fl_str_mv |
Near Miss Healthcare Maternal Mortality Morbidity Obstetric Nursing Intensive Care Units |
topic |
Near Miss Healthcare Maternal Mortality Morbidity Obstetric Nursing Intensive Care Units |
description |
ABSTRACT Objective: The aim of this study was to compare the incidence of different criteria of maternal near miss in women admitted to an obstetric intensive care unit and their sensitivity and specificity in identifying cases that have evolved to morbidity. Method: A cross-sectional analytical epidemiological study was conducted with women admitted to the intensive care unit of the Maternity School Assis Chateaubriand in Ceará, Brazil. The Chi-square test and odds ratio were used. Results: 560 records were analyzed. The incidence of maternal near miss ranged from 20.7 in the Waterstone criteria to 12.4 in the Geller criteria. The maternal near-miss mortality ratio varied from 4.6:1 to 7.1:1, showing better index in the Waterstone criteria, which encompasses a greater spectrum of severity. The Geller and Mantel criteria, however, presented high sensitivity and low specificity. Except for the Waterstone criteria, there was an association between the three other criteria and maternal death. Conclusion: The high specificity of Geller and Mantel criteria in identifying maternal near miss considering the World Health Organization criteria as a gold standard and a lack of association between the criteria of Waterstone with maternal death. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100468 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342018000100468 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1980-220x2017038703404 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
publisher.none.fl_str_mv |
Universidade de São Paulo, Escola de Enfermagem |
dc.source.none.fl_str_mv |
Revista da Escola de Enfermagem da USP v.52 2018 reponame:Revista da Escola de Enfermagem da USP (Online) instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista da Escola de Enfermagem da USP (Online) |
collection |
Revista da Escola de Enfermagem da USP (Online) |
repository.name.fl_str_mv |
Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||nursingscholar@usp.br |
_version_ |
1748936539653537792 |