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Anales de la Facultad de Ciencias Médicas (Asunción)
versión impresa ISSN 1816-8949
Resumen
FRETES, Federico et al. Clinical Characteristics and Outcomes of Obstetric Patients in Intensive Care in Paraguay: A Retrospective Observational Study. An. Fac. Cienc. Méd. (Asunción) [online]. 2025, vol.58, n.3, pp.52-61. ISSN 1816-8949. https://doi.org/10.18004/anales/2025.058.03.52.
Introduction:
Maternal mortality is a key indicator of the quality of health systems. Over recent decades, a global decline in maternal mortality has been observed, a trend also reflected in Paraguay; however, significant challenges persist in the care of critically ill obstetric patients.
Objectives:
To describe the clinical characteristics and outcomes of obstetric patients admitted to polyvalent intensive care units in two public hospitals in Paraguay during the period 2018-2023.
Methodology:
An observational, descriptive, retrospective study was conducted in two public referral hospitals in Paraguay between January 2018 and December 2023. All obstetric patients admitted to polyvalent intensive care units during the study period were included.
Results:
The clinical records of 95 obstetric patients were analyzed, representing 2.08% of total admissions to the intensive care units. The median age was 28 years (interquartile range (IQR): 10). The majority of patients were postpartum (63.7%), with a predominance of surgical puerperium. The most frequent comorbidities were arterial hypertension (27.45%) and a history of hypertensive disorders of pregnancy (21.56%). The main causes of admission were hypertensive disorders of pregnancy (62.5% of obstetric admissions) and postpartum hemorrhage (26.8%). Invasive mechanical ventilation was required by 39.56% of patients, with a median length of stay in the intensive care unit of 4 days (IQR: 4). The median APACHE II score was 10 (IQR: 5), and the initial SOFA score was 2 (IQR: 3). Observed mortality was 3.29% (95% CI: 0.7-9.3)
Conclusions:
Obstetric patients accounted for a low percentage of intensive care admissions in the hospitals studied. The population was characterized as young and predominantly postpartum, with the main causes of admission being hypertensive disorders of pregnancy and postpartum hemorrhage. Observed mortality was low compared to similar studies in the region.
Palabras clave : maternal mortality; intensive care; obstetrics; comorbidity; morbidity.
