TY - JOUR
T1 - Hospital readmission after delivery
T2 - evidence for an increased incidence of nonurogenital infection in the immediate postpartum period
AU - Belfort, Michael A.
AU - Clark, Steven L.
AU - Saade, George R.
AU - Kleja, Kacie
AU - Dildy, Gary A.
AU - Van Veen, Teelkien R.
AU - Akhigbe, Efe
AU - Frye, Donna R.
AU - Meyers, Janet A.
AU - Kofford, Shalece
PY - 2010/1
Y1 - 2010/1
N2 - 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.
AB - 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.
KW - appendicitis
KW - cholecystitis
KW - pneumonia
KW - postpartum readmission
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U2 - 10.1016/j.ajog.2009.08.029
DO - 10.1016/j.ajog.2009.08.029
M3 - Article
C2 - 19889389
AN - SCOPUS:72149121299
SN - 0002-9378
VL - 202
SP - 35.e1-35.e7
JO - American journal of obstetrics and gynecology
JF - American journal of obstetrics and gynecology
IS - 1
ER -