Critical care escalation in the peripartum population; a single center retrospective study at an academic quaternary care center
Authors' conclusion
The most common patient characteristics, medical comorbidities, and indications for ICU transfer were consistent with the published literature. Scoring systems performed reasonably well in differentiating patients who required escalation of care. A subset of patients may have benefitted from increased monitoring rather than ICU admission.
Study context
- Population
- Patients transferred from a labor and delivery unit to an intensive care unit117 (0.2%) required ICU transfer
- Participants
- 48,045 patients
- Exposure
- Patients admitted to the ICU vs those not admitted to ICU
- ICU groupn = 117
- Outcome
- ICU admission by multifetal gestation and cesarean delivery
Methodological detailsacademic center
- Academic center
Main finding
As reported in the abstract
- Patients with multifetal gestation and cesarean delivery were more likely to be admitted to the ICU
Observational data: associations, not effects.
Further findings
| Outcome | ICU group | Not admitted to ICU | Estimate | P value | |
|---|---|---|---|---|---|
| Maternal early warning criteria positive | 12% | 4% | OR 3.27 (95% CI 1.87–5.73) | P < 0.001 | |
| ICU admission by quick Sequential Organ Failure Assessment scoreScore of 1 vs score of 0 | OR for ICU admission 6.45 (95% CI 4.28–9.72) | P < 0.001 | |||
| ICU admission by quick Sequential Organ Failure Assessment scoreScore of 2 vs score of 0 | OR for ICU admission 28.98 (95% CI 6.88–122.13) | P < 0.001 | |||
| 0.050.21520Ratio (log scale) |
Indications for ICU admission
- Most common: postpartum hemorrhage, sepsis, and respiratory failure
Interventions among patients admitted to the ICU
- Vasoactive medications, of patients admitted to the ICU
- 51%
- High flow nasal cannula, of patients admitted to the ICU
- 3%
- Non-invasive ventilation, of patients admitted to the ICU
- 2%
- Intubation, of patients admitted to the ICU
- 40%
- No vasoactive infusions or respiratory support during ICU admission
- 30%
Original publication
Critical care escalation in the peripartum population; a single center retrospective study at an academic quaternary care center. J Clin Anesth. Published 7 October 2026. doi:10.
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