predictors of extra care among magnesium sulphate treated eclamptic patients at muhimbili national hospital, tanzania预测中格外小心硫酸镁治疗惊厥的病人muhimbili国立医院,坦桑尼亚.pdfVIP

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predictors of extra care among magnesium sulphate treated eclamptic patients at muhimbili national hospital, tanzania预测中格外小心硫酸镁治疗惊厥的病人muhimbili国立医院,坦桑尼亚.pdf

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predictors of extra care among magnesium sulphate treated eclamptic patients at muhimbili national hospital, tanzania预测中格外小心硫酸镁治疗惊厥的病人muhimbili国立医院,坦桑尼亚

Muganyizi and Shagdara BMC Pregnancy and Childbirth 2011, 11:41 /1471-2393/11/41 RESEARCH ARTICLE Open Access Predictors of extra care among magnesium sulphate treated eclamptic patients at Muhimbili National Hospital, Tanzania Projestine S Muganyizi1* and Mohammed S Shagdara2 Abstract Background: The inclusion of Magnesium Sulphate (MgSO4) as a gold standard in the treatment of eclampsia has substantially reduced incidences of repeated fits, eclamptic morbidity and deaths. However, despite treatment with MgSO4, a proportion of patients need extra medical/nursing attention and prolonged stay in the intensive care unit (ICU). The literature on the underlying factors for the need of extra care in the MgSO4 era is lacking. This study sought to establish predictors of extra care in ICU among eclamptic patients after treatment with MgSO4 at Muhimbili National Hospital (MNH). Methods: Data were obtained from hospital records of eclamptic patients who were admitted at MNH and treated with MgSO4 from January 1st to December 31st, 2008. Based on set criteria, patients who needed extra care were identified. Analysis was performed using PASW statistics 18 whereby frequencies, cross-tabulations, bivariate and multiple logistic regressions were performed. Results: A total of 366 eclamptic patients were admitted and treated with MgSO4 at MNH during a 12 month study period in 2008. Most of these (76%) were referred from district hospitals and132 (36%) met the criteria for extra care in ICU. After adjusting for other variables, the risk of extra care in ICU for patients who were admitted with altered consciousness was double (OR = 2.3; 95% CI: 1.3-4.0) that of the ones admitted in alert state. The risk or need of extra care increased by increasing time to delivery and was doubled (OR = 2.0; 95% CI:1.1-3.7) if it was between