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Hospitalization Duration Following Uncomplicated Cesarean Delivery: Predictors, Facility Variation, and Outcomes.

Publication ,  Journal Article
Federspiel, JJ; Suresh, SC; Darwin, KC; Szymanski, LM
Published in: AJP Rep
April 2020

Objectives  This study was designed to: (1) characterize stay duration following cesarean delivery, (2) ascertain whether facility variation exists, and (3) determine whether shorter stays are associated with rates of readmission or costs. Study Design  The 2017 Nationwide Readmissions Database was used to identify uncomplicated cesarean deliveries. Hierarchical logistic regression was used to assess for facility variation in percentage of patients discharged within 2 days. Similar models were used to assess for associations between probability of readmission within 30 days and facility-level rates of discharge within 2 days. Results  In total, 456,312 patients from 1,535 hospitals were included. The median facility discharged 46.8% of patients within 2 days, with the 25th percentile of hospitals 23.7% and the 75th percentile 71.2%. In adjusted regression, there was significant facility heterogeneity ( p  < 0.0001). The overall readmission rate was 1.7%, and proportion of patients discharged within 2 days of cesarean delivery was not associated with readmission probability (adjusted relative risk: 1.02, confidence interval: 0.90-1.16), but was associated with lower inpatient costs (adjusted incremental cost: $111, confidence interval: -181 to -41). Conclusion  Unexplained facility variation in percentage of patients discharged within 2 days of cesarean delivery was not associated with differences in readmissions. Key Points We find significant facility-level variation in outcomes following uncomplicated cesarean delivery in the United States.High rates of early (postoperative day 2) discharge was not associated with differences in readmission rates in adjusted analyses but was associated with lower inpatient costs.

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Published In

AJP Rep

DOI

ISSN

2157-6998

Publication Date

April 2020

Volume

10

Issue

2

Start / End Page

e187 / e197

Location

United States
 

Citation

APA
Chicago
ICMJE
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Federspiel, J. J., Suresh, S. C., Darwin, K. C., & Szymanski, L. M. (2020). Hospitalization Duration Following Uncomplicated Cesarean Delivery: Predictors, Facility Variation, and Outcomes. AJP Rep, 10(2), e187–e197. https://doi.org/10.1055/s-0040-1709681
Federspiel, Jerome J., Sunitha C. Suresh, Kristin C. Darwin, and Linda M. Szymanski. “Hospitalization Duration Following Uncomplicated Cesarean Delivery: Predictors, Facility Variation, and Outcomes.AJP Rep 10, no. 2 (April 2020): e187–97. https://doi.org/10.1055/s-0040-1709681.
Federspiel JJ, Suresh SC, Darwin KC, Szymanski LM. Hospitalization Duration Following Uncomplicated Cesarean Delivery: Predictors, Facility Variation, and Outcomes. AJP Rep. 2020 Apr;10(2):e187–97.
Federspiel, Jerome J., et al. “Hospitalization Duration Following Uncomplicated Cesarean Delivery: Predictors, Facility Variation, and Outcomes.AJP Rep, vol. 10, no. 2, Apr. 2020, pp. e187–97. Pubmed, doi:10.1055/s-0040-1709681.
Federspiel JJ, Suresh SC, Darwin KC, Szymanski LM. Hospitalization Duration Following Uncomplicated Cesarean Delivery: Predictors, Facility Variation, and Outcomes. AJP Rep. 2020 Apr;10(2):e187–e197.
Journal cover image

Published In

AJP Rep

DOI

ISSN

2157-6998

Publication Date

April 2020

Volume

10

Issue

2

Start / End Page

e187 / e197

Location

United States