Maternal Death Clinical Trial
Official title:
Pidemiology, Outcomes and Risk Factors for Mortality in Critically-Ill Women Admitted to an Obstetric High Dependency Unit in a Resource-Limited Setting
NCT number | NCT04121234 |
Other study ID # | 070919CUAMM |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | May 1, 2018 |
Est. completion date | September 30, 2019 |
Verified date | October 2019 |
Source | Doctors with Africa - CUAMM |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Sierra Leone faces the highest maternal mortality ratio in the world. Despite this extreme burden, the potential roles of obstetric critical care and high dependency units (HDUs) in this and other resource-limited settings remain scarcely explored. This study investigated epidemiology, clinical outcomes and risk factors for mortality in critically-ill parturients admitted to an obstetric HDU in a high volume, urban resource-limited maternity hospital.
Status | Completed |
Enrollment | 523 |
Est. completion date | September 30, 2019 |
Est. primary completion date | June 30, 2019 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | N/A and older |
Eligibility |
Inclusion Criteria: - All women admitted at HDU of the PCMH from the 2nd October 2017 to the 2nd October 2018. Exclusion Criteria: - none |
Country | Name | City | State |
---|---|---|---|
Sierra Leone | Princess Christian Maternity Hospital | Freetown |
Lead Sponsor | Collaborator |
---|---|
Doctors with Africa - CUAMM |
Sierra Leone,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Morality in HDU | The primary endpoint was the association between modifiable and non-modifiable factors and mortality during HDU stay. HDU death was defined as death during HDU stay, i.e. from referral to HDU to discharge from HDU. | one year | |
Secondary | Hospital mortality | Hospital mortality was death during the whole hospital stay. | One year | |
Secondary | Lenght of stay | Time between the hdu admission and the hdu discharge, in days. | One year | |
Secondary | OEWS at the admission | coded as: red, yellow, green | one year | |
Secondary | reasons of admission | classified as: haemodynamic instability; sepsis; haemorrhage; acute renal failure; neurological impairment; respiratory distress; severe malaria; coagulopathy; other diagnoses | One Year | |
Secondary | Time of admission | Night/day and Working days/weeknd | One year | |
Secondary | Treatments received | oxygen supplementation (yes/no), use of vasopressors (yes/no), blood transfusions (yes/no), antibiotic therapy (yes/no), activation of the magnesium protocol for eclamptic seizures prevention (yes/no) and hypotensive treatment protocol with hydralazine during the stay (yes/no). | One year |
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