Factors associated with the length of hospital stay of women undergoing cesarean section.

Autor:	Pereira SL; Universidade Federal de Minas Gerais . Escola de Enfermagem . Curso de Especialização em Enfermagem Obstétrica - modalidade residência. Belo Horizonte , MG , Brasil., Silva TPRD; Universidade Federal de Minas Gerais . Faculdade de Medicina . Programa de Pós-Graduação em Ciências da Saúde . Belo Horizonte , MG , Brasil., Moreira AD; Universidade Federal de Minas Gerais . Escola de Enfermagem . Departamento de Enfermagem Materno-Infantil e Saúde Pública . Belo Horizonte , MG , Brasil., Novaes TG; Universidade Federal de Viçosa . Departamento de Nutrição . Programa de Pós-Graduação em Saúde e Nutrição de Grupos Populacionais . Viçosa , MG , Brasil., Pessoa MC; Universidade Federal de Minas Gerais . Escola de Enfermagem . Departamento de Nutrição . Belo Horizonte , MG , Brasil., Matozinhos IP; Faculdade de Ciências Médicas de Minas Gerais . Departamento de Medicina . Belo Horizonte , MG , Brasil., Couto RC; Instituto de Acreditação e Gestão em Saúde (IAG Saúde). Belo Horizonte , MG , Brasil., Pedrosa TMG; Instituto de Acreditação e Gestão em Saúde (IAG Saúde). Belo Horizonte , MG , Brasil., Matozinhos FP; Universidade Federal de Minas Gerais . Escola de Enfermagem . Departamento de Enfermagem Materno-Infantil e Saúde Pública . Belo Horizonte , MG , Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista de saude publica [Rev Saude Publica] 2019 Sep 02; Vol. 53, pp. 65. Date of Electronic Publication: 2019 Sep 02.
DOI:	10.11606/s1518-8787.2019053001113
Abstrakt:	Objective: To evaluate whether age group, complications or comorbidities are associated with the length of hospitalization of women undergoing cesarean section. Methods: A cross-sectional study was carried out between June 2012 and July 2017, with 64,437 women undergoing cesarean section and who did not acquire conditions during their hospital stay. Hospital discharge data were collected from national health institutions, using the Diagnosis-Related Groups system (DRG Brasil®). The DRG referring to cesarean section with additional complications or comorbidities (DRG 765) and cesarean section without complications or associated comorbidities (DRG 766) were included in the initial diagnosis. The influence of age group and comorbidities or complications present at admission on the length of hospital stay was assessed based on the means of the analysis of variance. The size of the effect was verified by Cohen's D, which allows evaluating clinical relevance. The criticality levels were identified using the Duncan test. Results: The longest length of hospital stay was observed in the age group from 15 to 17 years old and among those aged 45 years old or more. The hospital stay of women with complications or comorbidities at the time of admission was also longer. Moreover, it was noted that the increase in criticality level was associated with an increase in the mean length of hospital stay. Conclusions: The length of hospital stay of women is higher among those belonging to the age group ranging from 15 to 17 years old and for those aged 45 years old or more. The presence of associated comorbidities, such as eclampsia, pre-existing hypertensive disorder with superimposed proteinuria and gestational hypertension (induced by pregnancy) with significant proteinuria increase the length of hospital stay. This study enabled the construction of distinct criticality level profiles based on the combination of age groups and the main comorbidities, which were directly related to the length of hospital stay.
Databáze:	MEDLINE
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