Background
Research benefits from the incorporation of patient-important outcomes. We interviewed individuals after a critical illness during pregnancy to identify outcomes for the development of a core outcome set (COS).
Methods
Participants were identified through intensive care unit (ICU) admissions in Toronto, Canada, and Barranquilla, Colombia. Interviewers used a semi-structured guide, and discussions were recorded and transcribed. Transcripts underwent inductive thematic analysis to delineate themes and patient-important outcomes.
Results
Twelve individuals were interviewed. Twenty-six patient-important outcomes were elicited, which represented the core outcome areas of mortality (n?=?1), physiological/clinical outcomes (n?=?7), functioning and life impact (n?=?13), resource use (n?=?4) and adverse events (n?=?1). These related to five identified themes of mental well-being, quality of care delivered, clinicians’ communication, regaining functional independence and mother–newborn separation.
Conclusions
This qualitative study identified patient-important outcomes from persons with lived experience of critical illness in pregnancy which will inform the development of a COS.
Julien Viau Lapointe, Clara Juando-Prats, Roberto Zapata, Julia Kfouri, Joyamor Ortuno-Nacho, Rizwana Ashraf, Rohan D’Souza, Jose Rojas-Suarez, Stephen E Lapinsky
Disease Category: Pregnancy & childbirth
Disease Name: Critical illness , Postpartum Haemorrhage, Severe preeclampsia
Age Range: Unknown
Sex: Female
Nature of Intervention: Management of care
- Consumers (patients)
- Families
- Patient perspectives
- Interview