Background
Serious unintended outcomes (SUOs) associated with cesarean section (CS), defined
in this study as sepsis, endometritis, or wound disruption, occurring during the admission
to deliver an infant by CS, or on readmission for wound disruption, are not routinely
measured in a manner that continuously evaluates their impact on women's health.
Methods
The Texas Healthcare Information Collection Public Use Data File was used to investigate
trends in the diagnosis of SUOs over a 5-year period from January 1, 2010-December
31, 2014.
Results
CS-associated SUOs affected 9.24 women for every 1,000 CSs. During the study period,
a large decrease in the rate of SUOs occurred (R2 = 0.60). This was potentially influenced by a large decrease in the rate of endometritis
(R2 = 0.41). Decreases in the diagnosis of and readmission for CS wound disruption were
not as large (R2 = 0.06 and R2 = 0.03, respectively). A large increase in CS-associated sepsis (R2 = .32) was identified. Administrative coded data used to identify SUOs in this study
may have utility for the identification of serious unintended outcomes associated
with CS at the population level.
Conclusions
Increases in length of stay and utilization of critical care were noted among women
affected by CS-associated SUOs. Additional study is needed to determine factors that
increase the likelihood of the development of SUO and to evaluate the preventability
of these events.
Key Words
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Article info
Publication history
Published online: November 22, 2017
Footnotes
Conflicts of interest: None to report.
Identification
Copyright
© 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
