Hospital readmission after delivery: evidence for an increased incidence of nonurogenital infection in the immediate postpartum period

被引：66

作者：

Belfort, Michael A. ^{[1
,2
,3
]}

Clark, Steven L. ^{[1
,3
]}

Saade, George R. ^{[4
]}

Kleja, Kacie ^{[1
]}

Dildy, Gary A., III ^{[1
,3
]}

Van Veen, Teelkien R. ^{[5
]}

Akhigbe, Efe ^{[1
]}

Frye, Donna R. ^{[1
]}

Meyers, Janet A. ^{[1
]}

Kofford, Shalece ^{[3
]}

机构：

[1] Hosp Corp America, Nashville, TN USA

[2] Univ Utah, Dept Obstet & Gynecol, Salt Lake City, UT USA

[3] St Marks Hosp, Dept Maternal Fetal Med, Salt Lake City, UT USA

[4] Univ Texas Med Branch, Dept Obstet & Gynecol, Galveston, TX USA

[5] Univ Groningen, Univ Med Ctr Groningen, Dept Obstet & Gynecol, NL-9713 AV Groningen, Netherlands

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2010年 / 202卷 / 01期

关键词：

appendicitis; cholecystitis; pneumonia; postpartum readmission; SPINAL-ANESTHESIA; PREGNANCY; RECONSTITUTION;

D O I：

10.1016/j.ajog.2009.08.029

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: The purpose of this study was to analyze reasons for postpartum readmission. STUDY DESIGN: We conducted a database analysis of readmissions within 6 weeks after delivery during 2007, with extended (180 day) analysis for pneumonia, appendicitis, and cholecystitis. Linear regression analysis, survival curve fitting, and Gehan-Breslow statistic with Holm-Sidak all-pairwise analysis for multiple comparisons were used. Probability values of < .05 were considered significant. RESULTS: Of 222,751 women delivered, 2655 women (1.2%) were readmitted within 6 weeks (0.83% vaginal delivery and 1.8% cesarean section delivery; P < .001). A high percentage of these readmittances occurred within the first 6 weeks: pneumonia (84%), appendicitis (43%), or cholecystitis (46%). Cumulative readmission rates were higher in the first 6 weeks after delivery than in the next 20 weeks (pneumonia curve gradient, 3.7 vs 0.11; appendicitis curve gradient, 1.1 vs 0.36; cholecystitis curve gradient, 6.6 vs 1.7). CONCLUSION: The cause of postpartum readmission is primarily infectious in origin. A recent pregnancy appears to increase the risk of pneumonia, appendicitis, and cholecystitis.

引用

页码：35.e1 / 35.e7

页数：7

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