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Table 2 Rate of agreement on inclusion of selected MNM parameters for use in sub-Saharan Africa

From: Adaptation of the WHO maternal near miss tool for use in sub–Saharan Africa: an International Delphi study

Parameter

Round 1 (n = 52)

Round 2(n = 50)

Round 3 (n = 47)

Strongly Agree

Agree

Neutral

Disagree

Strongly disagree

Median

Decision

%

Decision

%

Decision

1. Cardiac arrest

48

1

1

1

1

5

Accepted

100

Accepted

2. Shock

44

6

1

1

0

5

Accepted

100

Accepted

3. Loss of consciousness lasting >12 h

43

4

3

0

2

5

Accepted

98

Accepted

4. Hysterectomy for haemorrhage or infection

43

7

0

1

1

5

Accepted

98

Accepted

5. Stroke

39

7

3

1

2

5

Accepted

92

Accepted

6. Uncontrolled fits/total paralysis

38

10

3

0

1

5

Accepted

96

Accepted

7. Cardiopulmonary resuscitation

38

6

3

2

3

5

Accepted

98

Accepted

8. Gasping

36

6

4

1

5

5

Accepted

92

Accepted

9. Failure to form clots/coagulation disorder

34

8

6

3

1

5

Accepted

96

Accepted

10. Oliguria non-responsive to fluids or diuretics

33

9

5

5

0

5

Accepted

92

Accepted

11. Transfusion of blood

33

6

4

5

4

5

Accepted

90

Accepted

12. Loss of consciousness & ketoacidosis in urine

33

9

4

3

3

5

Accepted

90

Accepted

13. Jaundice in the presence of pre-eclampsia

31

11

6

2

2

5

Accepted

84

Accepted

14. Acute cyanosis

30

6

7

4

5

5

Accepted

92

Accepted

15. Respiration rate > 40 or <6/min

30

10

7

4

1

5

Accepted

94

Accepted

16. Intubation & ventilation not related to anaesthesia

30

6

7

6

3

5

Accepted

92

Accepted

17. Oxygen saturation < 90% for ≥60 min

24

6

9

8

5

4

May be accepted

80·4

Accepted

18. Creatinine ≥300 μmol/l or ≥3.5 mg/dl

23

13

4

7

5

4

May be accepted

73·9

Accepted

19. Dialysis for acute renal failure

21

6

3

10

12

4

May be accepted

67·4

May be accepted

66

Rejected

20. Acute thrombocytopenia <50,000/ml)

20

17

7

4

4

4

May be accepted

69·6

Maybe accepted

72·3

Accepted

21. Use of continuous vasoactive drugs

18

11

10

8

5

4

May be accepted

67·4

May be accepted

61·7

Rejected

22. Bilirubin >100 μmol/l or >6.0 mg/dl

17

12

9

8

6

4

May be accepted

52·2

Rejected

23. pH <7.1

11

13

9

5

14

3

Rejected

21·7

Rejected

24. PaO2/Fi2 < 200 mmHg

8

10

13

8

13

3

Rejected

18

Rejected

25. Lactate >5 mEq/ml

8

10

8

14

12

2

Rejected

17·4

Rejected

26. Uterine rupturea

44

2

4

0

2

5

Accepted

94

Accepted

30. Sepsis or severe systemic infectiona

41

3

5

1

2

5

Accepted

90

Accepted

34. Eclampsiaa

41

9

0

0

2

5

Accepted

88

Accepted

28. Laparotomy other than CSa

30

14

5

1

2

5

Accepted

78

Accepted

27. Pulmonary edemaa

28

10

8

2

4

5

Accepted

78

Accepted

29. Admission to the ICUa

23

10

6

6

7

4

May be accepted

63

May be accepted

59·6

Rejected

36. Diabetic Keto Acidosisa

23

15

6

3

4

4

May be accepted

65·2

May be accepted

61·7

Rejected

33. Severe malariaa

21

14

8

5

4

4

May be accepted

73·9

Accepted

31. Obstructed laboura

17

14

8

6

7

4

May be accepted

54·3

Rejected

32. Severe anaemiaa

16

15

11

5

5

4

May be accepted

69·6

May be accepted

61·7

Rejected

35. Severe HIV related illnessesa

13

22

10

3

4

4

May be accepted

69·6

May be accepted

57·4

Rejected

37. Interventional radiologya

8

2

11

13

18

2

Rejected

6·5

Rejected

  1. CS Caesarean Section, ICU Intensive Care Unit, May be accepted
  2. a parameters from literature