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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Need for critical care in gynaecology: a population-based analysis. | Available online http ccforum.eom content 6 4 371 Research Need for critical care in gynaecology a population-based analysis Seppo Heinonen1 Esko Tyrvainen2 Jorma Penttinen3 Seppo Saarikoski1 and Esko Ruokonen2 1 Professor Department of Obstetrics and Gynaecology Kuopio University Hospital Finland 2Consultant Department of Anaesthesiology and Intensive Care Kuopio University Hospital Finland 3Consultant Department of Obstetrics and Gynaecology Kuopio University Hospital Finland Correspondence Seppo Heinonen seppo.heinonen@kuh.fi Received 25 March 2002 Revisions requested 19 April 2002 Revisions received 13 May 2002 Accepted 16 May 2002 Published 7 June 2002 Critical Care 2002 6 371-375 This article is online at http ccforum.com content 6 4 371 2002 Heinonen et al. licensee BioMed Central Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Abstract Introduction The purpose of this study was to note potential gynaecological risk factors leading to intensive care and to estimate the frequency costs and outcome of management. Materials and methods In a cross-sectional study of intensive care admissions in Kuopio from March 1993 to December 2000 23 consecutive gynaecological patients admitted to a mixed medical-surgical intensive care unit ICU were followed. We recorded demographics admitting diagnoses scores on the Acute Physiological and Chronic Health Evaluation APACHE II clinical outcome and treatment costs. Results The overall need for intensive care was 2.3 per 1000 women undergoing major surgery during the study period. Patients were 55.4 16.9 mean SD years old with a mean APACHE II score of 14.07 5.57 . The most common diagnoses at admission were postoperative haemorrhage 43 infection 39 and cardiovascular disease 30 . The duration of stay in the ICU was 4.97 9.28 range 1-42 days and the mortality within 6 months was 26 although the mortality in the ICU was 0 . The total cost of intensive care was approximately US 7044 per patient. Conclusions Very few gynaecological
