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Table 5 Prognostic factors for severe maternal outcomes in women with severe maternal outcomes (maternal deaths plus near misses)

From: Maternal near misses from two referral hospitals in Uganda: a prospective cohort study on incidence, determinants and prognostic factors

Characteristic

Maternal deaths

Maternal near miss morbidity

Crude risk ratios and 95 % CI

p-values

Adjusted risk ratios and 95 % CI

p-values

N (%)

N (%)

a Referral

      

 Yes

16 (12.3)

27 (28.4)

3.5

 

2.6

 

 No

114 (87.7)

668 (71.6)

(1.8–6.6)

<0.001

(1.2–5.6)

0.013

Admission to the ICU or HDU

     

0.018

 Yes

71 (54.6)

464 (66.8)

1.3

0.008

1.9

 No

59 (45.4)

231 (33.2)

(1.1–2.4)

 

(1.1–3.1)

CPR

     

<0.001

 Yes

34 (26.2)

76 (10.9)

2.9

<0.001

6.1

 No

96 (73.8)

619 (89.1)

(1.8–4.6)

 

(3.2–11.7)

Transfusion more than 4 units

     

0.013

 Yes

40 (30.8)

225 (32.3)

1.9

 

1.9

 No

90 (69.2)

470 (67.7)

(1.3–2.7)

0.002

(1.1–3.1)

Cardiovascular collapse

  

2.9

  

<0.001

 Yes

43(33.1)

121 (17.4)

(1.8–4.7)

<0.001

4.9

 No

87 (66.9)

574 (82.6)

  

(2.5–9.5)

Hypotension

     

<0.001

 Yes

72 (55.4)

531 (76.0)

2.6

<0.001

2.6

 No

58 (44.6)

164 (24.0)

(1.8–3.8)

 

(1.6–4.4)

Intubation

     

<0.001

 Yes

31 (31.3)

95 (13.7)

5.0

 

2.6

 No

99 (68.7)

600 (86.3)

(3.4–7.6)

<0.001

(1.2–5.7)

Elevated serum lactate

     

<0.001

 Yes

40 (30.8)

229 (32.9)

1.5

0.078

4.5

 No

90 (69.2)

466 (67.1)

(0.9–2.4)

 

(2.3–8.7)

βGravidity

     

0.042

 Gravid 1–4

100 (76.9)

541 (77.8)

1.2

0.046

1.1

 Gravida 5 or more

30 (23.1)

154 (22.2)

(1.1–1.4)

 

(1.0–1.2)

Thrombocytopenia

     

0.337

 Yes

60 (46.1)

373 (53.7)

1.4

0.116

1.4

 No

70 (53.9)

322 (46.3)

(0.9–1.9)

 

(0.7–3.20

  1. HDU high dependency unit, ICU intensive care unit, RR relative risk, CI confidence intervals, CPR cardiopulmonary resuscitation; a Referral to another unit outside the obstetric unit; β Comparing gravida 5 or more versus gravida 4 and less; ∞ 68 women died within the first 7 days after admission, and therefore not included in the analysis