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cesarean section icd 10
Clapp MA; Robinson JN; Little SE
OBJECTIVE: This abstraction seeks to actuate if the accretion amount of postpartum readmissions is accompanying to the accretion amount of cesarean delivery.
STUDY DESIGN: Readmitted patients were articular in the State Inpatient Databases of California, Florida and New York from 2004 to 2011. Relevant affectionate comorbidities, abundance complications and intrapartum contest were calm application ICD-9 analysis and action codes. The furnishings of cesarean commitment were aboriginal advised via univariate logistic corruption to annual the allowance of readmission by year for patients who had delivered via cesarean section. Then, we acclimated multivariate logistic corruption models to abstract the aftereffect of approach of commitment on the allowance of readmission by adjusting for the furnishings of accommodating demographics, hospital characteristics and affectionate comorbidities.
RESULTS: Nearly one actor deliveries were articular anniversary year, and ~600 000 deliveries per year met admittance criteria. During this time, the readmission amount added from 1.72 to 2.16%, and the cesarean commitment amount added from 30.4 to 33.9%. The allowance of readmission for patients delivered via cesarean area decreased yearly, from 1.343 (95% CI: 1.295 to 1.392) in 2004 to 1.046 (95% CI: 1.012 to 1.108) in 2011. In a multivariate model, the allowance based on year were 1.032 (95% CI: 1.030 to 1.035), demonstrating an added allowance of readmission over time. Back cesarean commitment was added to the model, this allowance appraisal did not change (OR: 1.031, 95% CI: 1.028 to 1.035), suggesting it did not annual for the added allowance of readmission over time, alike admitting cesarean commitment ante increased. However, back affectionate comorbidities were added to the model, the allowance arrangement for year became bush (OR: 1.001, 95% CI: 0.998 to 1.005), suggesting that they accounted for the accretion amount of readmissions.
CONCLUSIONS: The accretion cesarean commitment amount does not explain the accretion amount of postpartum readmissions. Rather, the accretion postpartum readmission amount appears to be accompanying to affectionate comorbidities.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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