Serious unintended outcomes associated with cesarean section.

Autor: Glowicz JB; University of Texas at Arlington, Arlington, TX. Electronic address: janet.glowicz@mavs.uta.edu.
Jazyk: angličtina
Zdroj: American journal of infection control [Am J Infect Control] 2018 Apr; Vol. 46 (4), pp. 375-378. Date of Electronic Publication: 2017 Nov 22.
DOI: 10.1016/j.ajic.2017.09.036
Abstrakt: Background: Serious unintended outcomes (SUOs) associated with cesarean section (CS), defined in this study as sepsis, endometritis, or wound disruption, occurring during the admission to deliver an infant by CS, or on readmission for wound disruption, are not routinely measured in a manner that continuously evaluates their impact on women's health.
Methods: The Texas Healthcare Information Collection Public Use Data File was used to investigate trends in the diagnosis of SUOs over a 5-year period from January 1, 2010-December 31, 2014.
Results: CS-associated SUOs affected 9.24 women for every 1,000 CSs. During the study period, a large decrease in the rate of SUOs occurred (R 2  = 0.60). This was potentially influenced by a large decrease in the rate of endometritis (R 2  = 0.41). Decreases in the diagnosis of and readmission for CS wound disruption were not as large (R 2  = 0.06 and R 2  = 0.03, respectively). A large increase in CS-associated sepsis (R 2  = .32) was identified. Administrative coded data used to identify SUOs in this study may have utility for the identification of serious unintended outcomes associated with CS at the population level.
Conclusions: Increases in length of stay and utilization of critical care were noted among women affected by CS-associated SUOs. Additional study is needed to determine factors that increase the likelihood of the development of SUO and to evaluate the preventability of these events.
(Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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