Emergency department use during the postpartum period: implications for current management of the puerperium
Emergency department use during the postpartum period: implications for current management of the puerperium
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DOI：
10.1016/j.ajog.2010.02.033
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发表时间：
2010-07-01
影响因子：
9.8
通讯作者：
Perlin, Jonathan A.
中科院分区：
文献类型：
--
作者：
Clark, Steven L.;Belfort, Michael A.;Perlin, Jonathan A.
目的：本研究的目的是确定妇女在产后期间在出院后42天和100天内到急诊科就诊的发病率模式。研究设计：我们对出院诊断代码和急诊科就诊描述进行了回顾性检查，并分析了急诊科就诊和再入院的时间模式。2007年期间，有222 084名患者在美国医院公司的设施中分娩。在这些妇女中，有10,751人在分娩后42天内急诊就诊（4.8%）。58%的患者出现与妊娠相关的疾病; 42%的患者出现与妊娠无关的疾病。50%的患者在产后期间看到无论是在急诊科（21,833例）或再入院（5190例）在2007年和2008年有这种遭遇在10天内discharge.CONCLUSION：传统的产后教育和临床访问的时间表和内容似乎不适合预防产后疾病。
OBJECTIVE: The purpose of this study was to define patterns of morbidity that are experienced by women in the postpartum period who seek care in the emergency department within 42 and 100 days of discharge.STUDY DESIGN: We conducted a retrospective examination of discharge diagnosis codes and descriptions for emergency department visits and analyzed temporal patterns of both emergency department visits and hospital readmissions.RESULTS: During 2007, 222,084 patients delivered in Hospital Corporation of America facilities in the United States. Among these women, there were 10,751 emergency department visits within 42 days of de-livery (4.8%). Fifty-eight percent of the patients were seen for conditions that were related to pregnancy; 42% of the patients were seen for conditions unrelated to pregnancy. Fifty percent of patients in the postpartum period who were seen either in the emergency department (21,833 patients) or readmitted (5190 patients) during both 2007 and 2008 had this encounter within 10 days of discharge.CONCLUSION: The scheduling and content of traditional postpartum education and clinical visits appear poorly suited to the prevention of puerperal morbidity.