Table 2

Type and frequency of near-miss criteria in 763 near miss cases admitted to four hospitals in Serang and Pandeglang (November 2003 – October 2004)

ORGAN DYSFUNCTION

N (%)


Any cardiac dysfunction

39 (5.1)

Pulmonary oedema

7 (0.9)

Cardiac arrest

7 (0.9)

Cardiac failure

27 (3.5)

Pulmonary embolism

2 (0.3)

Any vascular dysfunction

593 (77.7)

Hypovolemia requiring 2 or more units of blood

485 (63.6)

Blood loss with hypovolemic shock

227 (29.8)

Infusion and/or transfusion of > = 1 litre per 2 hours

38 (5.0)

Free flow infusion

278 (36.4)

Massive haemorrhage recorded in notes

221 (29.0)

Immunological dysfunction

1 (0.1)

Septic shock

1 (0.1)

Respiratory dysfunction

1 (0.1)

Intubation or ventilation for reasons other than general anaesthesia

1 (0.1)

Oxygen saturation on pulse oximetry < 90% leading to ventilation

1 (0.1)

Renal dysfunction

34 (4.5)

Oliguria < 30 ml per hour or < 400 ml per 24 hours

34 (4.5)

Shock not responsive to intravascular rehydration or diuresis

1 (0.1)

Creatinine clearance test

2 (0.3)

Haemodialysis

2 (0.3)

Liver dysfunction

19 (2.5)

Jaundice in pre eclampsia

1 (0.1)

Abnormal liver function tests

18 (2.4)

Coagulation dysfunction

8 (1.0)

Acute thrombocytopenia

3 (0.4)

Prolonged bleeding time

6 (0.8)

Abnormal APTT or TT

1 (0.1)

Coagulopathy

2 (0.3)

Any Cerebral dysfunction

14 (1.8)

Coma

9 (1.2)

Cerebral oedema

5 (0.7)

Seizures other than eclampsia

2 (0.3)

MANAGEMENT BASED CRITERION

97 (12.7)

Intensive care admission

38 (5.0)

Emergency hysterectomy

19 (2.5)

Needs resuscitation

14 (1.8)

Anaesthetic accident

1 (0.1)

Referral to tertiary hospital

35 (4.6)

CLINICAL DIAGNOSIS

193 (25.3)

Eclampsia

99 (13.0)

Uterine rupture

26 (3.4%)

Ectopic pregnancy

68 (8.9%)


Note: numbers add up to > 100% because one near miss can have more than one criterion

Adisasmita et al. BMC Pregnancy and Childbirth 2008 8:10   doi:10.1186/1471-2393-8-10

Open Data