Utility of Sepsis in Obstetric Score to Identify Risk of Intensive Care Unit Admission from Sepsis in Pregnancy
Authors/Creators
- 1. Associate Professor, Department of Obstetrics and Gynecology, Govt Lalla DED Hospital, GMC Srinagar, J&K, India
- 2. Assistant Professor, Department of Obstetrics and Gynecology, Govt Lalla DED Hospital, GMC Srinagar, J&K, India
- 3. Professor, Department of Obstetrics and Gynecology, Govt Lalla DED Hospital, GMC Srinagar, J&K, India
- 4. Post graduate, Department of Obstetrics and Gynecology, Govt Lalla DED Hospital, GMC Srinagar, J&K, India
Description
Introduction: Sepsis prevention should be the primary objective with focus on strategies to improve antenatal care. The main objective of our study was to prospectively assess the usefulness of the Sepsis in Obstetric Score to identify women at risk of ICU admission for sepsis in pregnancy. Material and Methods: The present prospective and observational study was conducted in the Postgraduate Department of Obstetrics and Gynaecology, Lalla Ded Hospital over a period of 18 months on 130 patients. After obtaining ethical clearance from Institutional Ethical Committee and proper inclusion and exclusion criteria, women presenting with signs and symptoms of sepsis were enrolled for study and evaluated for various parameters. Results: This study demonstrated women experience the highest rates of sepsis in their second and third decades of life. A higher risk of infection is linked to pregnancy because of the mechanical and physiological changes it causes. Majority of our patients who required ICU admission had an SOS of ≥ 6. Moreover, individuals with SOS ≥ 6 had significantly greater rates of maternal mortality and longer hospital stays. The ROC analysis revealed that with a sensitivity of 89.5%, specificity (93.7%), diagnostic accuracy (93.1%), the optimal cutoff for SOS in predicting the ICU admission and maternal outcome was ≥ 6. Conclusion: The consistent rising in ICU admission rate, hospital stay and mortality rates for higher SOS scores infers that SOS is a useful prognostic tool for early assessment and triaging of the severity among patients suffering from pregnancy associated with sepsis.
Abstract (English)
Introduction: Sepsis prevention should be the primary objective with focus on strategies to improve antenatal care. The main objective of our study was to prospectively assess the usefulness of the Sepsis in Obstetric Score to identify women at risk of ICU admission for sepsis in pregnancy. Material and Methods: The present prospective and observational study was conducted in the Postgraduate Department of Obstetrics and Gynaecology, Lalla Ded Hospital over a period of 18 months on 130 patients. After obtaining ethical clearance from Institutional Ethical Committee and proper inclusion and exclusion criteria, women presenting with signs and symptoms of sepsis were enrolled for study and evaluated for various parameters. Results: This study demonstrated women experience the highest rates of sepsis in their second and third decades of life. A higher risk of infection is linked to pregnancy because of the mechanical and physiological changes it causes. Majority of our patients who required ICU admission had an SOS of ≥ 6. Moreover, individuals with SOS ≥ 6 had significantly greater rates of maternal mortality and longer hospital stays. The ROC analysis revealed that with a sensitivity of 89.5%, specificity (93.7%), diagnostic accuracy (93.1%), the optimal cutoff for SOS in predicting the ICU admission and maternal outcome was ≥ 6. Conclusion: The consistent rising in ICU admission rate, hospital stay and mortality rates for higher SOS scores infers that SOS is a useful prognostic tool for early assessment and triaging of the severity among patients suffering from pregnancy associated with sepsis.
Files
IJPCR,Vol15,Issue6,Article205.pdf
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Additional details
Dates
- Accepted
-
2023-06-15
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue6,Article205.pdf
- Development Status
- Active
References
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