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Length of hospital stay after cesarean section in Denmark from 2004 to 2016: A national register-based study.

2004年至2016年丹麦剖宫产术后住院时间: 一项基于国家注册的研究。

  • 影响因子:2.21
  • DOI:10.1111/aogs.14000
  • 作者列表:"Kruse AR","Arendt LH","Jakobsen DH","Kehlet H","Lauszus FF","Forman A","Uldbjerg N","Sundtoft IB","Kesmodel US
  • 发表时间:2021-02-01
Abstract

INTRODUCTION:Length of hospital stay after birth has decreased during the last decades, but nationwide data on length of hospital stay after cesarean section are lacking. Elements of Enhanced Recovery Programs were reported to reduce the length of hospital stay. The aim of this nationwide study was to describe the length of hospital stay after cesarean section in Denmark from 2004 to 2016 taking into account birth- and health-related factors as well as demographic changes and, further, to assess potential differences between the five Danish regions. MATERIAL AND METHODS:Length of hospital stay was assessed in 164 209 deliveries by cesarean section in Denmark from 2004 to 2016. Data were obtained from the Danish National Patient Register. All deliveries by cesarean section at gestational age <22 weeks were excluded. Median length of hospital stay was reported based on crude and adjusted analyses. RESULTS:The median length of hospital stay was significantly reduced by 39 hours (95% confidence interval [CI] 37.9-40.1), from 97 hours (4.0 days) in 2004 to 58 hours (2.4 days) in 2016. Reductions were observed among both planned and emergency cesarean sections. When birth- and health-related factors as well as demographic changes were accounted for, median length of hospital stay was reduced by 30 hours (95% CI 29.3-30.8) in the period. The decrease in length of hospital stay from 2004 to 2016 varied between the five Danish regions, with adjusted reductions between 19 and 46 hours. CONCLUSIONS:A nationwide decrease in length of hospital stay after cesarean section was observed from 2004 to 2016 across all five regions but with significant regional variations. Further studies on the optimal length of hospital stay are needed, especially with regard to implementation of enhanced recovery programs.

摘要

引言: 在过去的几十年里,出生后的住院时间有所减少,但全国范围内缺乏剖宫产术后住院时间的数据。据报道,加强康复计划的要素减少了住院时间。这项全国性研究的目的是描述丹麦2004年至2016年剖宫产后的住院时间,考虑出生和健康相关因素以及人口变化,并进一步评估丹麦五个地区之间的潜在差异。 材料和方法: 2004年至2016年,对丹麦164 209例剖宫产分娩的住院时间进行了评估。数据来自丹麦国家患者登记。排除所有胎龄 <22周剖宫产分娩。根据粗分析和校正分析报告中位住院时间。 结果: 中位住院时间显著减少39小时 (95% 置信区间 [CI] 37.9-40.1),从2004年的97小时 (4.0天) 到2016年的58小时 (2.4天)。在计划和紧急剖宫产中观察到减少。当考虑到出生和健康相关因素以及人口统计学变化时,中位住院时间在此期间减少了30小时 (95% CI 29.3-30.8)。2004年至2016年住院时间的减少因丹麦五个地区而异,调整后的减少时间为19至46小时。 结论: 从2004年到2016年,所有五个地区的剖宫产术后住院时间在全国范围内都有所减少,但地区差异显著。需要进一步研究最佳住院时间,特别是在实施强化康复计划方面。

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