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Medicina crítica (Colegio Mexicano de Medicina Crítica)
Print version ISSN 2448-8909
Abstract
HERRERA MORALES, Blanca E; LARA CRUZ, Juan and ORTEGA LOPEZ, Victoria. Predictors of mortality in patients with obstetric sepsis using the Sepsis in Obstetrics Score and Sequential Organ Failure Assessment-Obstetrics. Med. crít. (Col. Mex. Med. Crít.) [online]. 2017, vol.31, n.6, pp.326-332. ISSN 2448-8909.
Objective
To determine the predictors of mortality in patients with obstetric sepsis using the Sepsis in Obstetrics Score (SOS) and the Sequential Organ Failure Assessment-Obstetrics (SOFA-O).
Material and methods
An observational, retrospective, descriptive study was carried out, where data were collected from patients who entered intensive care units of second-level hospitals with a diagnosis of obstetric sepsis in the period from June 30, 2015 to June 30, 2017. The SOS and SOFA-O instruments were applied, correlating the variables with maternal mortality.
Results
From a universe of 284 patients who entered the ICU of second level hospitals, 51 were selected who had inclusion criteria for sepsis, correlating with SOS and SOFA-O variables. We found that major risk factors for the development of sepsis were multigestation, having preeclampsia, anemia, cesarean section, poor prenatal control and been subject of invasive procedures. The quantitative variables related to maternal death were creatinine, PaO2/FiO2 ratio, heart rate, lactate, venous saturation. The minimum and maximum SOS scores for maternal death were 7-22, and SOFA-O, 10-18 points. There was a mortality of 7.8% (four patients) of the study population.
Conclusions
The incidence of obstetric sepsis is increasing; therefore, rapid recognition and appropriate therapy will impact patient’s survival.
Keywords : SOS; SOFA-O; obstetric sepsis; mortality.