{
    "abstract": "Medical complications in peripartum patients are uncommon. Often, these patients are transferred to tertiary care centers, but their conditions and outcomes are not well understood. Our study examined peripartum patients transferred to an intensive care unit (ICU) at an academic quaternary center.\nWe reviewed charts of adult, non-trauma, interhospital transfer (IHT) peripartum patients sent to an academic quaternary ICU between January 2017 and December 2021. We conducted a descriptive analysis and used multivariable ordinal regression to examine associations of demographic and clinical factors with ICU length of stay (LOS) and hospital length of stay (HLOS).\nOf 1,794 IHT peripartum patients, 60 (3.2%) were directly transferred to an ICU. The average was 32 years, with a median Sequential Organ Failure Assessment (SOFA) score of 3 (1-4.25) and Acute Physiology and Chronic Health Evaluation (APACHE) II score of 8 (7-12). Respiratory failure was most common (32%), followed by postpartum hemorrhage (15%) and sepsis (14%). Intubation was required for 24 (41%), and 4 (7%) needed extracorporeal membrane oxygenation. Only 1 (1.7%) died, while 45 (76.3%) were discharged. Median ICU LOS and HLOS were 5 days (212) and 8 days (5-17). High SOFA score was linked to longer HLOS, as was APACHE II.\nTransfers of critically ill peripartum patients between hospitals were rare but involved severe medical conditions. Despite this, their outcomes were generally positive. Larger studies are needed to confirm our findings.",
    "authors": [
        {
            "affiliation": "Research Associate Program in Emergency Medicine and Critical Care, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Saad",
            "initials": "S",
            "lastname": "Pirzada"
        },
        {
            "affiliation": "Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.\nProgram in Trauma, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Kimberly",
            "initials": "K",
            "lastname": "Boswell"
        },
        {
            "affiliation": "Research Associate Program in Emergency Medicine and Critical Care, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Jerry",
            "initials": "J",
            "lastname": "Yang"
        },
        {
            "affiliation": "Research Associate Program in Emergency Medicine and Critical Care, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Samantha",
            "initials": "S",
            "lastname": "Asuncion"
        },
        {
            "affiliation": "Research Associate Program in Emergency Medicine and Critical Care, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Fernando",
            "initials": "F",
            "lastname": "Albelo"
        },
        {
            "affiliation": "Research Associate Program in Emergency Medicine and Critical Care, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Amanda",
            "initials": "A",
            "lastname": "Tuchler"
        },
        {
            "affiliation": "Division of Pulmonary and Critical Care, Department of Internal Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Lauren",
            "initials": "L",
            "lastname": "Becker"
        },
        {
            "affiliation": "Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Allison",
            "initials": "A",
            "lastname": "Lankford"
        },
        {
            "affiliation": "Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Emad",
            "initials": "E",
            "lastname": "Elsamadicy"
        },
        {
            "affiliation": "Research Associate Program in Emergency Medicine and Critical Care, Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.\nDepartment of Emergency Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.\nProgram in Trauma, University of Maryland School of Medicine, Baltimore, MD, USA.",
            "firstname": "Quincy K",
            "initials": "QK",
            "lastname": "Tran"
        }
    ],
    "conclusions": null,
    "copyrights": null,
    "doi": "10.4266/acc.2023.01375",
    "journal": "Acute and critical care",
    "keywords": [
        "intensive care unit",
        "patient transfer",
        "peripartum period"
    ],
    "methods": null,
    "publication_date": "2024-03-13",
    "pubmed_id": "38476066\n36475187\n30188241\n15455961\n17493371\n22494047\n35912041\n17305899\n28101669\n21106337\n20540680\n34915799\n35356088\n35615605\n32863630\n26903337\n21911991\n35930997",
    "results": "Of 1,794 IHT peripartum patients, 60 (3.2%) were directly transferred to an ICU. The average was 32 years, with a median Sequential Organ Failure Assessment (SOFA) score of 3 (1-4.25) and Acute Physiology and Chronic Health Evaluation (APACHE) II score of 8 (7-12). Respiratory failure was most common (32%), followed by postpartum hemorrhage (15%) and sepsis (14%). Intubation was required for 24 (41%), and 4 (7%) needed extracorporeal membrane oxygenation. Only 1 (1.7%) died, while 45 (76.3%) were discharged. Median ICU LOS and HLOS were 5 days (212) and 8 days (5-17). High SOFA score was linked to longer HLOS, as was APACHE II.",
    "title": "Clinical characteristics and outcomes of obstetric patients transferred directly to intensive care units.",
    "xml": "<Element 'PubmedArticle' at 0x788504516c00>"
}