Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UFMG |
Texto Completo: | https://doi.org/10.11606/s1518-8787.2019053000688 http://hdl.handle.net/1843/59820 https://orcid.org/0000-0002-4477-5241 https://orcid.org/0000-0002-3421-9495 https://orcid.org/0000-0001-5934-7453 https://orcid.org/0000-0002-0031-3862 https://orcid.org/0000-0003-1368-4248 https://orcid.org/0000-0002-1053-5450 https://orcid.org/0000-0002-7115-0925 https://orcid.org/0000-0001-6040-2499 https://orcid.org/0000-0002-9180-5490 |
Resumo: | OBJECTIVE: To analyze the impact of the Hospital-Acquired Conditions (HAC) in women inthe puerperal and pregnancy cycle during length of stay.METHODS: This cross-sectional study was conducted with 113,456 women, between July2012 and July 2017, in Brazil’s national hospitals of the supplementary healthcare networks andphilanthropists accredited to the Unified Health System (SUS). Data on hospital dischargeswere collected using the Diagnosis-Related Groups (DRG Brasil) system. All DRGs of themajor diagnostic category 14 (MDC14), including pregnancy, childbirth and puerperium, wereincluded. The impact of HAC on length of stay was estimated by Student’s t-test, and the effectsize by Cohen’s d, which allows to assess clinical relevance.RESULTS: Th e m ost p revalent d iagnostic c ategories r elated t o M DC14 w ere v aginal a ndcesarean deliveries without complicating diagnoses, both at institutions accredited to SUSand those for supplementary health care. The prevalence of HAC was 3.8% in supplementaryhealth and 2.5% in SUS. Hospitals providing services to supplementary health care providershad a longer length of stay considering HAC for patients classified as DRG: cesarean sectionwith complications or comorbidities at admission (p < 0.001; Cohen’s d = 0.74), cesarean sectionwithout complications or comorbidities at admission (p < 0.001, Cohen’s d = 0.31), postpartumand post abortion without listed procedure (p < 0.001, Cohen’s d = 1.05), and other antepartumdiagnoses with medical complications (p < 0.001; Cohen’s d = 0.77).CONCLUSIONS: This study showed that the prevalence of HAC was low both in the institutionsaccredited to attend by SUS and in those of supplementary health; however, its presencecontributes to increasing the length of stay in cases of cesarean sections without complicationsor comorbidities in supplementary health institutions. |
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2023-10-20T19:55:36Z2023-10-20T19:55:36Z2019-08-1953https://doi.org/10.11606/s1518-8787.20190530006881518-8787http://hdl.handle.net/1843/59820https://orcid.org/0000-0002-4477-5241https://orcid.org/0000-0002-3421-9495https://orcid.org/0000-0001-5934-7453https://orcid.org/0000-0002-0031-3862https://orcid.org/0000-0003-1368-4248https://orcid.org/0000-0002-1053-5450https://orcid.org/0000-0002-7115-0925https://orcid.org/0000-0001-6040-2499https://orcid.org/0000-0002-9180-5490OBJECTIVE: To analyze the impact of the Hospital-Acquired Conditions (HAC) in women inthe puerperal and pregnancy cycle during length of stay.METHODS: This cross-sectional study was conducted with 113,456 women, between July2012 and July 2017, in Brazil’s national hospitals of the supplementary healthcare networks andphilanthropists accredited to the Unified Health System (SUS). Data on hospital dischargeswere collected using the Diagnosis-Related Groups (DRG Brasil) system. All DRGs of themajor diagnostic category 14 (MDC14), including pregnancy, childbirth and puerperium, wereincluded. The impact of HAC on length of stay was estimated by Student’s t-test, and the effectsize by Cohen’s d, which allows to assess clinical relevance.RESULTS: Th e m ost p revalent d iagnostic c ategories r elated t o M DC14 w ere v aginal a ndcesarean deliveries without complicating diagnoses, both at institutions accredited to SUSand those for supplementary health care. The prevalence of HAC was 3.8% in supplementaryhealth and 2.5% in SUS. Hospitals providing services to supplementary health care providershad a longer length of stay considering HAC for patients classified as DRG: cesarean sectionwith complications or comorbidities at admission (p < 0.001; Cohen’s d = 0.74), cesarean sectionwithout complications or comorbidities at admission (p < 0.001, Cohen’s d = 0.31), postpartumand post abortion without listed procedure (p < 0.001, Cohen’s d = 1.05), and other antepartumdiagnoses with medical complications (p < 0.001; Cohen’s d = 0.77).CONCLUSIONS: This study showed that the prevalence of HAC was low both in the institutionsaccredited to attend by SUS and in those of supplementary health; however, its presencecontributes to increasing the length of stay in cases of cesarean sections without complicationsor comorbidities in supplementary health institutions.engUniversidade Federal de Minas GeraisUFMGBrasilENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICAENF - DEPARTAMENTO DE NUTRIÇÃOMED - DEPARTAMENTO DE CLÍNICA MÉDICARevista de Saúde PúblicaGestantesTranstornos puerperaisHospitalizaçãoTempo de internaçãoEconomia hospitalarCustos hospitalaresPregnant womenPuerperal disordersHospitalizationLength of stayEconomicsHospital CostsHospital-acquired conditions and length of stay in the pregnancy and puerperal cycleCondições adquiridas no hospital e tempo de permanência na gravidez e ciclo puerperalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://www.scielosp.org/article/rsp/2019.v53/64/Alexandra Dias MoreiraAriene Silva do CarmoJuliana Fantini Chaves PereiraLarissa Loures MendesFernanda Penido MatozinhosMilene Cristine PessoaThales Philipe Rodrigues da SilvaLuna CosenzaTaiane Gonçalves Novaesapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGORIGINALHospital-acquired conditions and length of stay in the pregnancy and puerperal cycle_PDF-A.pdfHospital-acquired conditions and length of stay in the pregnancy and puerperal cycle_PDF-A.pdfapplication/pdf234407https://repositorio.ufmg.br/bitstream/1843/59820/2/Hospital-acquired%20conditions%20and%20length%20of%20stay%20in%20the%20pregnancy%20and%20puerperal%20cycle_PDF-A.pdfb3886699e9ef73122fbf3892942927cbMD52LICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/59820/1/License.txtfa505098d172de0bc8864fc1287ffe22MD511843/598202023-10-23 16:57:08.224oai:repositorio.ufmg.br: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Repositório de PublicaçõesPUBhttps://repositorio.ufmg.br/oaiopendoar:2023-10-23T19:57:08Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false |
dc.title.pt_BR.fl_str_mv |
Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle |
dc.title.alternative.pt_BR.fl_str_mv |
Condições adquiridas no hospital e tempo de permanência na gravidez e ciclo puerperal |
title |
Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle |
spellingShingle |
Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle Alexandra Dias Moreira Pregnant women Puerperal disorders Hospitalization Length of stay Economics Hospital Costs Gestantes Transtornos puerperais Hospitalização Tempo de internação Economia hospitalar Custos hospitalares |
title_short |
Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle |
title_full |
Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle |
title_fullStr |
Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle |
title_full_unstemmed |
Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle |
title_sort |
Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle |
author |
Alexandra Dias Moreira |
author_facet |
Alexandra Dias Moreira Ariene Silva do Carmo Juliana Fantini Chaves Pereira Larissa Loures Mendes Fernanda Penido Matozinhos Milene Cristine Pessoa Thales Philipe Rodrigues da Silva Luna Cosenza Taiane Gonçalves Novaes |
author_role |
author |
author2 |
Ariene Silva do Carmo Juliana Fantini Chaves Pereira Larissa Loures Mendes Fernanda Penido Matozinhos Milene Cristine Pessoa Thales Philipe Rodrigues da Silva Luna Cosenza Taiane Gonçalves Novaes |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Alexandra Dias Moreira Ariene Silva do Carmo Juliana Fantini Chaves Pereira Larissa Loures Mendes Fernanda Penido Matozinhos Milene Cristine Pessoa Thales Philipe Rodrigues da Silva Luna Cosenza Taiane Gonçalves Novaes |
dc.subject.por.fl_str_mv |
Pregnant women Puerperal disorders Hospitalization Length of stay Economics Hospital Costs |
topic |
Pregnant women Puerperal disorders Hospitalization Length of stay Economics Hospital Costs Gestantes Transtornos puerperais Hospitalização Tempo de internação Economia hospitalar Custos hospitalares |
dc.subject.other.pt_BR.fl_str_mv |
Gestantes Transtornos puerperais Hospitalização Tempo de internação Economia hospitalar Custos hospitalares |
description |
OBJECTIVE: To analyze the impact of the Hospital-Acquired Conditions (HAC) in women inthe puerperal and pregnancy cycle during length of stay.METHODS: This cross-sectional study was conducted with 113,456 women, between July2012 and July 2017, in Brazil’s national hospitals of the supplementary healthcare networks andphilanthropists accredited to the Unified Health System (SUS). Data on hospital dischargeswere collected using the Diagnosis-Related Groups (DRG Brasil) system. All DRGs of themajor diagnostic category 14 (MDC14), including pregnancy, childbirth and puerperium, wereincluded. The impact of HAC on length of stay was estimated by Student’s t-test, and the effectsize by Cohen’s d, which allows to assess clinical relevance.RESULTS: Th e m ost p revalent d iagnostic c ategories r elated t o M DC14 w ere v aginal a ndcesarean deliveries without complicating diagnoses, both at institutions accredited to SUSand those for supplementary health care. The prevalence of HAC was 3.8% in supplementaryhealth and 2.5% in SUS. Hospitals providing services to supplementary health care providershad a longer length of stay considering HAC for patients classified as DRG: cesarean sectionwith complications or comorbidities at admission (p < 0.001; Cohen’s d = 0.74), cesarean sectionwithout complications or comorbidities at admission (p < 0.001, Cohen’s d = 0.31), postpartumand post abortion without listed procedure (p < 0.001, Cohen’s d = 1.05), and other antepartumdiagnoses with medical complications (p < 0.001; Cohen’s d = 0.77).CONCLUSIONS: This study showed that the prevalence of HAC was low both in the institutionsaccredited to attend by SUS and in those of supplementary health; however, its presencecontributes to increasing the length of stay in cases of cesarean sections without complicationsor comorbidities in supplementary health institutions. |
publishDate |
2019 |
dc.date.issued.fl_str_mv |
2019-08-19 |
dc.date.accessioned.fl_str_mv |
2023-10-20T19:55:36Z |
dc.date.available.fl_str_mv |
2023-10-20T19:55:36Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1843/59820 |
dc.identifier.doi.pt_BR.fl_str_mv |
https://doi.org/10.11606/s1518-8787.2019053000688 |
dc.identifier.issn.pt_BR.fl_str_mv |
1518-8787 |
dc.identifier.orcid.pt_BR.fl_str_mv |
https://orcid.org/0000-0002-4477-5241 https://orcid.org/0000-0002-3421-9495 https://orcid.org/0000-0001-5934-7453 https://orcid.org/0000-0002-0031-3862 https://orcid.org/0000-0003-1368-4248 https://orcid.org/0000-0002-1053-5450 https://orcid.org/0000-0002-7115-0925 https://orcid.org/0000-0001-6040-2499 https://orcid.org/0000-0002-9180-5490 |
url |
https://doi.org/10.11606/s1518-8787.2019053000688 http://hdl.handle.net/1843/59820 https://orcid.org/0000-0002-4477-5241 https://orcid.org/0000-0002-3421-9495 https://orcid.org/0000-0001-5934-7453 https://orcid.org/0000-0002-0031-3862 https://orcid.org/0000-0003-1368-4248 https://orcid.org/0000-0002-1053-5450 https://orcid.org/0000-0002-7115-0925 https://orcid.org/0000-0001-6040-2499 https://orcid.org/0000-0002-9180-5490 |
identifier_str_mv |
1518-8787 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.ispartof.none.fl_str_mv |
Revista de Saúde Pública |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
dc.publisher.initials.fl_str_mv |
UFMG |
dc.publisher.country.fl_str_mv |
Brasil |
dc.publisher.department.fl_str_mv |
ENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA ENF - DEPARTAMENTO DE NUTRIÇÃO MED - DEPARTAMENTO DE CLÍNICA MÉDICA |
publisher.none.fl_str_mv |
Universidade Federal de Minas Gerais |
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UFMG |
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UFMG |
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Repositório Institucional da UFMG |
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