인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록·키워드
Maternal mortality among obstetric patients admitted to intensive care units (ICUs) remains disproportionately high in low-resource settings. Limited evidence exists regarding its determinants in such contexts. This study aimed to identify factors associated with maternal mortality among obstetric patients admitted to the ICU of Wolaita Sodo University Comprehensive Specialized Hospital, Southern Ethiopia. An unmatched case–control study was conducted from November 23 to December 23, 2023, at Wolaita Sodo University Comprehensive Specialized Hospital, Southern Ethiopia. A total of 378 obstetric ICU admissions over a 10-year period were reviewed, including 126 maternal deaths (cases) and 252 survivors (controls), selected using simple random sampling. Data were extracted using a structured, pretested checklist. Bivariate analysis was used to identify candidate variables (p < 0.25) for inclusion in multivariable analysis where in statistical significance was established at p < 0.05. Strength of association was expressed by Adjusted odds ratios (AOR) with 95% confidence. Significant predictors of maternal mortality included ICU stay of fewer than five days [AOR = 2.61; 95% CI: 1.41–4.82], use of invasive mechanical ventilation [AOR = 3.82; 95% CI: 1.90–7.30], presence of shock [AOR = 6.80; 95% CI: 3.24–14.14], and multi-organ failure [AOR = 2.69; 95% CI: 1.03–6.98]. Mild [AOR = 0.19; 95% CI: 0.09–0.43] and moderate [AOR = 0.08; 95% CI: 0.04–0.18] reductions in the level of consciousness on admission were associated with lower odds of mortality compared to severe reduction. Shorter ICU stay, invasive mechanical ventilation, development of shock, and multi-organ failure were independently associated with increased maternal mortality. Improved ICU triage protocols, early identification of complications, and appropriate critical care interventions are essential to improve maternal outcomes.
인공지능 문자 인식 모델을 통해 추출된 텍스트로, 일부 오타나 오류가 포함될 수 있으나 지속적으로 개선 중입니다.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.
오류를 발견하셨다면 해당 부분을 드래그한 후 ' 를 통해 신고해주세요.