Benchmarking the Hypertensive Disorders of Pregnancy

被引:19
作者
Thornton, Charlene [1 ]
Tooher, Jane [2 ]
Ogle, Robert [2 ]
von Dadelszen, Peter [3 ]
Makris, Angela [4 ]
Hennessy, Annemarie [1 ]
机构
[1] Univ Western Sydney, Sch Med, Locked Bag 1797, Penrith, NSW, Australia
[2] Royal Prince Alfred Women & Babies, Missenden Rd, Camperdown, NSW, Australia
[3] Univ British Columbia, Dept Obstet & Gynaecol, Oak St, Vancouver, BC, Canada
[4] Liverpool Hosp Renal Med, Liverpool, Merseyside, England
关键词
Preeclampsia; Morbidity; Pregnancy; PARENTS PERCEPTIONS; RISK-FACTORS; PREECLAMPSIA; PRETERM; INFANTS; CARE; MANAGEMENT; PRESSURE; QUALITY; WOMEN;
D O I
10.1016/j.preghy.2016.04.009
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Introduction: The Hypertensive Disorders of Pregnancy (HDP) affect 7-10% of pregnancies worldwide and are one of the leading causes of mortality and morbidity in the perinatal period. An accurate assessment of mortality and morbidity is essential to provide effective care and treatment and benchmarking of these issues is required to enhance outcomes and define standards Aim: To benchmark outcomes for women and babies following a diagnosis of hypertension between obstetric units in similar settings Methods: Utilising a set of pre-defined clinical indicators, Individual Patient Data analysis techniques applied to the medical records of all women diagnosed with a HDP over a 12 month period at six obstetric units within Australia and Canada. Statistical analysis included contingency table sand means testing oas appropriate utilising IBM SPSS V.18 Results: Overall HDP rate of 7.6% of all deliveries, with a 3.0% preeclampsia rate. Outcomes differed significantly between units and did not cluster within any individual unit. (C) 2016 International Society for the Study of Hypertension in Pregnancy. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:279 / 284
页数:6
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