Evidence map›Paper›PMID 41693014›Full record

ArticleActa obstetricia et gynecologica Scandinavica2026

A core outcome set and reporting checklist for research on critically ill obstetric patients: An international consensus study.

Tiffany Yeretsian, Julien Viau-Lapointe, Rizwana Ashraf, Rohan D'Souza, Stephen E Lapinsky

Abstract readConsensus Statement
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tiffany YeretsianDepartment of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.ORCID 0009-0001-7026-0479
Julien Viau-LapointeDepartment of Medicine, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montreal, Quebec, Canada.
Rizwana AshrafDepartment of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-5287-0273
Rohan D'SouzaDepartment of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-4049-2017
Stephen E LapinskyInterdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, Ontario, Canada.

Funding

CHEST Foundation
6 · The paper itself

Abstract

introductionOur objective was to develop a Core Outcome Set for Research on Critically Ill Obstetric Patients (COSCO) through international consensus, with the aim of improving consistency, comparability, and clinical relevance across studies involving this population. MATERIAL AND

methodsThis international, multi-method study was conducted between February 16, 2023, and January 18, 2024. The process included a two-round online Delphi survey, three small group discussions, and a final consensus meeting. Participants comprised health service users (HSUs) with lived experience of critical illness during pregnancy and healthcare professionals from diverse specialties and geographic regions.

resultsSixty-eight participants (11 HSUs and 57 healthcare professionals) from 16 countries scored 23 candidate items identified through a systematic review and qualitative interviews. Through consensus, 10 core outcomes and 7 reporting checklist items were selected for inclusion in all research on critical illness in obstetrics. Core outcomes included maternal all-cause mortality; cardiac arrest and the need for cardiopulmonary resuscitation (not resulting in death); severe (maternal) organ dysfunction; length of stay in the intensive care unit (ICU) and total hospital stay; readmission to hospital or ICU or repeated hospital/emergency department visits following discharge from ICU; presence of a new medical condition at the time of discharge from hospital, which was not present at the time of admission to the hospital; permanent infertility as a consequence of critical illness or intervention; perinatal loss; severe neonatal morbidity requiring prolonged neonatal ICU admission; and gestational age/preterm birth. Four additional noncore outcomes were identified as important but may be challenging to measure consistently; these should be reported when relevant and feasible.

conclusionsCOSCO provides a standardized, consensus-based framework for outcome reporting in research on critically ill obstetric patients. Its adoption will strengthen methodological rigor, reduce reporting heterogeneity, enhance comparability across studies, and support evidence-based, patient-centered guideline development.

Indexed as

ChecklistCritical IllnessObstetricsOutcome Assessment, Health CarePregnancy ComplicationsDelphi TechniqueFemaleHumansMaternal MortalityPregnancyconsensus methodologyCore outcome setcritically ill obstetric patientsDelphi methodmaternal outcomesneonatal outcomespatient‐centered outcomes

Identifiers

PMID41693014
PMCPMC13140294

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.