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Risk assessment in ginecology and obstetrics in Sicily: an approach based on Wolff's Criteria
- Source :
- Scopus-Elsevier
- Publication Year :
- 2013
- Publisher :
- SEU, 2013.
-
Abstract
- Objectives To apply Wolff’s Criteria to hospital discharge records (HDR) in order to detect adverse events worthy of further study. Methods Gynecology and Obstetrics Units of three Sicilian hospitals were considered and HDR regarding ordinary and day hospital admissions in 2008 were collected. A matched case-control study was designed, by random selection of 10 controls at maximum for each case. Matching was performed on the variables age and speciality of admission (gynecology or obstetrics). Results Out of a total of 7011 HDR examined, 114 cases were identified with Wolff’s Criteria. Multivariate analysis confirmed a statistically significant association with the origin of admission, diagnosis at the acceptance and length of stay: there was a decreased risk of Wolff’s event in patients having urgent admission compared to elective (OR = 0.47, 95% CI = [0.28-0.78]), an increased risk in patients reporting tumor (OR = 5:41, 95 % CI [1.89-15.47]) and other causes (OR = 2.16, 95% CI [1.10-4.24]) compared to delivery diagnosis at acceptance and in patients whose length of stay was more than 6 days (OR = 23.17, 95% CI = [12.56-42.7]) compared to less or equal than 3 days Conclusion Wolff’s Criteria can be applied for the analysis of clinical risk in hospitals with different structural characteristics, on condition that the HDR database is complete and good quality.
- Subjects :
- Patient Transfer
Reoperation
Genital Neoplasms, Female
Settore MED/42 - Igiene Generale E Applicata
Patient Readmission
Risk Assessment
Settore MED/01 - Statistica Medica
Gynecologic Surgical Procedures
Pregnancy
Risk Factors
Ambulatory Care
Prevalence
Humans
Hospital Mortality
Obstetrics and Gynecology Department, Hospital
Risk Management
Length of Stay
Delivery, Obstetric
Quality Improvement
Patient Discharge
Intensive Care Units
Italy
Case-Control Studies
Wolff’s Criteria, Adverse Events, Clinical Risk, Obstetrics, Gynecology
Female
Patient Safety
Emergencies
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Scopus-Elsevier
- Accession number :
- edsair.pmid.dedup....c29f42a008a3f4ddf277ea0ab206fa93