Research Article

Factors Affecting ICU Stay and Length of Stay in the ICU in Patients with HELLP Syndrome in a Tertiary Referral Hospital

Table 2

Comparison of demographic data in patients staying and not staying in ICU.

Patients requiring ICU
Group 1
n=32 (9.4%)
Patients not requiring ICU
Group 2
n=310 (90.6%)

Age27.3 (7.2)30.4 (6.9)0.792
Gravidity3.3 (3.2)3.9 (3.4)0.129
Parity2.1 (2.4)2.4 (2.5)0.378
Gestational age at delivery (week)31.1 (4.0)32.2 (4.0)0.159
Hematocrit (%)34.6 (6.0)36.2 (5.6)0.140
Hemoglobin (g/dl)11.5 (2.0)12.2 (2.3)0.155
Platelet (K/uL)73.6 (46.1)106.3 (66.7)0.001
ALT (U/L)262.2 (225.6)153.6 (166.5)0.002
AST (U/L)530.7 (384.9)225.6 (252.4)<0.001
LDH (IU/L)1481.8 (642.8)805.3 (489.4)<0.001
Total bilirubin (mg/dl)3.4 (2.8)2.9 (2.3)<0.001
Urea (mg/dl)36.3 (27.1)28.1 (13.9)0.078
Creatinine (mg/dl)1.3 (6.6)1.2 (1.1)0.001
Proteinuria (mg)120 (68)120 (60)0.735
INR1.8 (2.8)1.1 (0.4)0.074
Systolic blood pressure (mmHg)156.4 (28.3)155.4 (19.9)0.561
Diastolic blood pressure (mmHg)98.4 (18.9)96.7 (11.9)0.320
Blood transfusionYes20 (62.5%)73 (23.5%)<0.001
No12 (37.5%)237 (76.5%)
Fresh frozen plasma (ml)483.9 (814.9)65.0 (215.2)<0.001
Erythrocyte suspension (ml)690.7 (924.6)84.4 (260)<0.001
Random suspension (ml)583.3 (1100.7)89.9 (356.0)<0.001
Apheresis platelet suspension (ml)612.5 (973.8)84.9 (324.5)<0.001
Dexamethasone treatmentYes26 (81.3%)226 (72.9%)0.144
No6 (18.7%)84 (27.1%)
Mississippi classificationClass 113 (40.6%)38 (12.2%)<0.001
Class 213 (40.6%)151 (48.7%)
Class 36 (18.8%)121 (39.1%)
Postpartum HELLPYes10 (31.3%)72 (23.2%)0.317
No22 (68.7%)238 (76.8%)
Mode of deliveryNormal vaginal delivery6 (18.75%)50 (16.1%)0.486
Cesarean section26 (81.25%)260 (83.9)
Multiple pregnancyYes1 (3.1%)9 (2.9%)0.594
No31 (96.9%)301 (97.1%)
Place of birthDelivery outside of the center10 (31.3%)55 (17.7%)0.066
Delivery in the center22 (68.7%)255 (82.3%)
Maternal complicationARF6 (18.7%)2 (0.6%)0.074
GIB1 (3.1%)0
PRESS6 (18.7%)4 (1.3%)
DIC4 (12.5%)0
Sepsis2 (6.25%)0
Postpartum cardiomyopathy2 (6.25%)0
SAB1 (3.1%)0
Newborn mortalityYes1 (3.1%)17 (5.5%)0.568
No31 (96.9%)293 (94.5%)

Data are presented as mean ± SD or number (percent). Mann–Whitney U test, chi-square test, statistically significant (in bold). ICU: intensive care unit, ALT: alanine aminotransferase, AST: aspartate aminotransferase, LDH: lactate dehydrogenase, INR: international normalized ratio, ARF: acute renal failure, GIB: gastrointestinal bleeding, PRESS: posterior reversible encephalopathy syndrome, DIC: disseminated intravascular coagulation, AB: subarachnoid bleeding.