Measuring the impact of maternal critical care admission on short- and longer-term maternal and birth outcomes
Main finding · 1-year hospital readmissionResult — go to the resultHazard ratio 1.93 95% CI 1.33–2.81Authors' conclusion
Critical care admission increases the risk of adverse short-term and long-term maternal, pregnancy and neonatal outcomes.
Study context
- Population
- All women delivering in Scottish hospitals, 01/01/2005–31/12/2018
- Participants
- 762,918 deliveries
- Exposure
- Intensive care unit (ICU) admission vs no ICU admission during pregnancy/puerperium
- ICUn = 1,449
- Outcome
- Hospital readmission
- Follow-up
- 1-year post-hospital discharge
Methodological detailsnational healthcare databases, multivariable Cox and logistic regression
- National healthcare databases
- Multivariable Cox and logistic regression
Main finding
1-year hospital readmission · 1 year
Hazard ratio
1.93
95% CI 1.33–2.81
P < 0.001
Events by group
ICU vs Non-ICU
HR 1.93 (95% CI 1.33–2.81); P < 0.001
As reported in the abstract
Observational data: associations, not effects.
Further findings
| Outcome | Estimate | P value | |
|---|---|---|---|
| 1-year mortalityICU vs No ICU · after confounder adjustment | HR 40.06 (95% CI 24.04–66.76) | P < 0.001 | |
| StillbirthICU vs No ICU · after confounder adjustment | OR 12.31 (95% CI 7.95,19.08) | P < 0.001 | |
| Neonatal critical care admissionICU vs No ICU · after confounder adjustment | OR 6.99 (95% CI 5.64,8.67) | P < 0.001 | |
| 0.050.21520Ratio (log scale) |
Reason for ICU admission and mechanical ventilation (ICU admissions)
- PPH
- 225, 15.5%
- Eclampsia/pre-eclampsia
- 133, 9.2%
- Required mechanical ventilation
- 53.8%
Original publication
Measuring the impact of maternal critical care admission on short- and longer-term maternal and birth outcomes. Intensive Care Med. Published 7 June 2024. doi:10.
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