logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990.

    Article - En anglais

    Background 

    Anesthesia-related complications are the sixth leading cause of pregnancy-related death in the United States.

    This study reports characteristics of anesthesia-related deaths during obstetric delivery in the United States from 1979-1990.

    Methods 

    Each state reports deaths that occur within 1 yr of delivery to the Centers for Disease Control and Prevention as part of the ongoing Pregnancy Mortality Surveillance.

    Maternal death certificates (with identifiers removed) matched with live birth or fetal death certificates when available from 1979-1990 were reviewed to identify deaths due to anesthesia, the cause of death, the procedure for delivery, and the type of anesthesia provided.

    Maternal mortality rates per million live births were calculated.

    Case fatality rates and risk ratios were computed to compare general to regional anesthesia for cesarean section deliveries.

    Results 

    The anesthesia-related maternal mortality rate decreased from 4.3 per million live births in the first triennium (1979-1981) to 1.7 per million in the last (1988-1990).

    The number of deaths involving general anesthesia have remained stable, but the number of regional anesthesia-related deaths have decreased since 1984.

    The case-fatality risk ratio for general anesthesia was 2.3 (95% confidence interval [CI], 1.9-2.9) times that for regional anesthesia before 1985, increasing to 16.7 (95% CI, 12.9-21.8) times that after 1985. (...)

    Mots-clés Pascal : Anesthésie générale, Anesthésie régionale, Complication, Mortalité, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Homme, Femelle, Obstétrique, Accouchement

    Mots-clés Pascal anglais : General anesthesia, Regional anesthesia, Complication, Mortality, United States, North America, America, Epidemiology, Human, Female, Obstetrics, Delivery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0183271

    Code Inist : 002B27A02. Création : 21/05/1997.