首页 / 院系成果 / 成果详情页

Practice audits to reduce caesareans in a tertiary referral hospital in south-western China 期刊论文

编号：

d3690aef-b440-4798-a0d3-e990910887f3
作者：

Ma Runmei(马润玫)#*^[1]Lao, Terence T.^[2];Sun Yonghu^[1];Xiao Hong^[1];Tian Yuqin(田玉芹)^[1]Li Bailuan(李白鸾)^[1]Yang Minghui^[1];Yang Weihong^[1];Liang Kun(梁琨)^[3]Liang Guohua^[1];Li Hongyu^[1];Geng Li^[1];Ni Renmin(倪仁敏)^[1]Qi Wenjin(祁文瑾)^[1]Chen Zhuo(陈卓)^[1]Du Mingyu(杜明钰)^[1]Zhu Bei^[1];Xu Jing^[1];Tao Yanping^[1];Zhang Lan^[1];Song Xianyan^[1];Qu Zaiqing^[1];Sun Qian^[1];Yi Xiaoyun^[1];Yu Jihui^[1];Zhang Dandan^[1];
语种：

英文
期刊：

BULLETIN OF THE WORLD HEALTH ORGANIZATION ISSN：0042-9686 2012 年 90 卷 7 期 (488 - 494) ; JUL
收录：
摘要：

Objective To assess the effectiveness of a three-stage intervention to reduce caesarean deliveries in a Chinese tertiary hospital.
Methods A retrospective study was conducted to assess whether educating staff, educating patients and auditing surgeon practices (introduced in 2005) had reduced caesarean delivery rates. Multiple logistic regression was used to check for a potential association between caesarean rates and rates of admission to the neonatal intensive care unit (NICU).:
Findings The caesarean delivery rate ranged from 53.5% to 56.1% in 2001-2004 and from 43.9% to 36.1% in 2005-2011. When 2001-2004 and 2005-2011 were treated as "before" and "after" periods to evaluate the intervention's impact on the mean caesarean section rate, a significant reduction was noted: from 54.8% to 40.3% (odds ratio, OR: 0.56; 95% confidence interval, Cl: 0.52-0.59;X-2 test: P < 0.001). The overall drop in the caesarean section rate was significant (X-2 test: P < 0.001) and inversely correlated with the years (Spearman's p: -0.096; P < 0.001). Although complicated pregnancies increased after 2004, the primary caesarean section rate decreased annually by 20% on average in 2005-2011, after practice audits were implemented. Multiple logistic regression showed a positive association between the caesarean delivery rate and the rate of admission to the NICU (adjusted OR: 1.26; 95% CI: 1.14-1.40).
Conclusion Patient and staff education and practice audits reduced the Caesarean section rate in a tertiary referral hospital without an increase in admissions to the NICU.
推荐引用方式
GB/T 7714：

Ma Runmei,Lao Terence T.,Sun Yonghu, et al. Practice audits to reduce caesareans in a tertiary referral hospital in south-western China [J].BULLETIN OF THE WORLD HEALTH ORGANIZATION,2012,90(7):488-494.
APA：

Ma Runmei,Lao Terence T.,Sun Yonghu,Xiao Hong,&Zhang Dandan.(2012).Practice audits to reduce caesareans in a tertiary referral hospital in south-western China .BULLETIN OF THE WORLD HEALTH ORGANIZATION,90(7):488-494.
MLA：

Ma Runmei, et al. "Practice audits to reduce caesareans in a tertiary referral hospital in south-western China" .BULLETIN OF THE WORLD HEALTH ORGANIZATION 90,7(2012):488-494.
条目包含文件：

文件类型：PDF,文件大小：

正在加载全文

未找到全文

浏览次数：161  下载次数：0

分享到：

浏览次数：161

下载次数：0

打印次数：0