Association between surgical complications and early academic period in women undergoing cesarean delivery.

MedStar author(s):
Citation: Journal of Maternal-Fetal & Neonatal Medicine. 35(2):379-383, 2022 Jan.PMID: 31992095Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and Gynecology/ Maternal-Fetal MedicineForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Cesarean Section | *Intensive Care Units | Cesarean Section/ae [Adverse Effects] | Female | Gestational Age | Humans | Pregnancy | Retrospective Studies | Time FactorsYear: 2022Local holdings: Available online through MWHC library: 2013 to the presentISSN:
  • 1476-4954
Name of journal: The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal ObstetriciansAbstract: Objective: To compare rates of operative complications between the earlier and later academic periods. Study design: This was a retrospective cohort study of women undergoing cesarean delivery at 23 weeks' gestation or greater during the academic calendar between 2012 and 2017. Our primary outcome was a composite of surgical complications including hemorrhage (4 or more red blood cell transfusion), bladder injury, bowel injury, neonatal injury, cellulitis, wound complications, intensive care unit admission, and readmission. Outcomes were compared between two periods - the earlier academic period (July and August) and the later academic period (April and May). Multivariable logistic regression or linear regression was performed, controlling for predefined covariates. Results: There were 1251 and 1111 cesarean delivery in the earlier and later academic periods, respectively. The earlier academic period compared to the late academic period was associated with a minute longer incision to delivery time (9 versus 8 min, adjusted p < .01) and a 2.5-min longer surgical duration (49 versus 46.5 min, adjusted p < .01). There was no difference in the primary outcome (10.5 versus 9.6%; adjusted odds ratio 1.11 [0.84-1.46]). Conclusions: Cesarean deliveries performed in the early months of the academic period was not associated with increased odds of surgical complications.All authors: Kawakita T, Landy HJOriginally published: Journal of Maternal-Fetal & Neonatal Medicine. :1-5, 2020 Jan 28Journal of Maternal-Fetal & Neonatal Medicine. 35(2):379-383, 2022 Jan.Fiscal year: FY2020Fiscal year of original publication: FY2020Digital Object Identifier: Date added to catalog: 2020-02-10
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 31992095 Available 31992095

Available online through MWHC library: 2013 to the present

Objective: To compare rates of operative complications between the earlier and later academic periods. Study design: This was a retrospective cohort study of women undergoing cesarean delivery at 23 weeks' gestation or greater during the academic calendar between 2012 and 2017. Our primary outcome was a composite of surgical complications including hemorrhage (4 or more red blood cell transfusion), bladder injury, bowel injury, neonatal injury, cellulitis, wound complications, intensive care unit admission, and readmission. Outcomes were compared between two periods - the earlier academic period (July and August) and the later academic period (April and May). Multivariable logistic regression or linear regression was performed, controlling for predefined covariates. Results: There were 1251 and 1111 cesarean delivery in the earlier and later academic periods, respectively. The earlier academic period compared to the late academic period was associated with a minute longer incision to delivery time (9 versus 8 min, adjusted p < .01) and a 2.5-min longer surgical duration (49 versus 46.5 min, adjusted p < .01). There was no difference in the primary outcome (10.5 versus 9.6%; adjusted odds ratio 1.11 [0.84-1.46]). Conclusions: Cesarean deliveries performed in the early months of the academic period was not associated with increased odds of surgical complications.

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