Comparison between near miss criteria in a maternal intensive care unit

Detalhes bibliográficos
Autor(a) principal: Monte,Alana Santos
Data de Publicação: 2018
Outros Autores: Teles,Liana Mara Rocha, Oriá,Mônica Oliveira Batista, Carvalho,Francisco Herlânio Costa, Brown,Helen, Damasceno,Ana Kelve de Castro
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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spelling 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
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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
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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)
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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)
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