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  1. Fulltext. Hospital-and patient-related characteristics determining maternity length of stay : A hierarchical linear model approach.

    Article - En anglais

    Fulltext.

    Objectives

    The purpose of this study was to identify factors related to pregnancy and childbirth that might be predictive of a patient's length of stay after delivery and to model variations in length of stay.

    Methods

    California hospital discharge data on maternity patient (n=499 912) were analyzed.

    Hierarchical linear modeling was used to adjust for patient case mix and hospital characteristics and to account for the dependence of outcome variables within hospitals.

    Results

    Substantial variation in length of stay among patients was observed.

    The variation was mainly attributed to delivery type (vaginal of cesarean section), the patient's clinical risk factors, and severity of complications (if any).

    Furthermore, hospitals differed significantly in maternity lengths of stay even after adjustment for patient case mix.

    Conclusions

    Developing risk-adjusted models for length of stay is a complex process but is essential for understanding variation.

    The hierarchical linear model approach described here represents a more efficient and appropriate way of studying interhospital variations than the traditional regression approach.

    Mots-clés Pascal : Maternité(établissement), Temps séjour, Epidémiologie, Facteur prédictif, Facteur sociodémographique, Accouchement, Obstétrique, Californie, Etats Unis, Amérique du Nord, Amérique, Homme, Femelle, Système hiérarchisé, Modèle linéaire

    Mots-clés Pascal anglais : Obstetrics clinics, Residence time, Epidemiology, Predictive factor, Sociodemographic factor, Delivery, Obstetrics, California, United States, North America, America, Human, Female, Hierarchical system, Linear model

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

    Cote : 98-0196259

    Code Inist : 002B30A01A2. Création : 11/09/1998.



Fermeture du portail BDSP le 1er juillet 2019

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