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Length of hospital stay after cesarean section in Denmark from 2004 to 2016: a national register-based study

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Kruse, Anne Raabjerg ; Arendt, Linn Håkonsen ; Jakobsen, Dorthe Hjort ; Kehlet, Henrik ; Lauszus, Finn Friis ; Forman, Axel ; Uldbjerg, Niels ; Sundtoft, Iben Blaabjerg ; Kesmodel, Ulrik Schiøler. / Length of hospital stay after cesarean section in Denmark from 2004 to 2016 : a national register-based study. In: Acta Obstetricia et Gynecologica Scandinavica. 2021 ; Vol. 100, No. 2. pp. 244-251.

Bibtex

@article{d2b98973c1044fd297fd2fb3b2942394,
title = "Length of hospital stay after cesarean section in Denmark from 2004 to 2016: a national register-based study",
abstract = "INTRODUCTION: Length of hospital stay after birth has decreased during the last decades, but nationwide data on length of hospital stay after cesarean section are lacking. Elements of Enhanced Recovery Programs were reported to reduce the length of hospital stay. The aim of this nationwide study was to describe the length of hospital stay after cesarean section in Denmark from 2004 to 2016 taking into account birth- and health related factors as well as demographic changes and further, to assess potential differences between the five Danish regions.MATERIAL AND METHODS: Length of hospital stay was assessed in 164 209 deliveries by cesarean section in Denmark from 2004 to 2016. Data were obtained from the Danish National Patient Register. All deliveries by cesarean section at gestational age < 22 weeks were excluded. Median length of hospital stay was reported based on crude and adjusted analyses.RESULTS: The median length of hospital stay was significantly reduced by 39 hours (95% CI; 37.9 to 40.1) from 97 hours (4.0 days) in 2004 to 58 hours (2.4 days) in 2016. Reductions were observed among both planned and emergency cesarean sections. When birth- and health related factors as well as demographic changes were accounted for, median length of hospital stay was reduced by 30 hours (95% CI; 29.3 to 30.8) in the period. The decrease in length of hospital stay from 2004 to 2016 varied between the five Danish regions with adjusted reductions between 19 and 46 hours.CONCLUSIONS: A nationwide decrease in length of hospital stay after cesarean section was observed from 2004 to 2016 across all five regions but with significant regional variations. Further studies on the optimal length of hospital stay are needed, especially with regard to implementation of enhanced recovery programs.",
keywords = "Cesarean section, enhanced recovery, length of stay, patient discharge, postoperative care, postpartum period",
author = "Kruse, {Anne Raabjerg} and Arendt, {Linn H{\aa}konsen} and Jakobsen, {Dorthe Hjort} and Henrik Kehlet and Lauszus, {Finn Friis} and Axel Forman and Niels Uldbjerg and Sundtoft, {Iben Blaabjerg} and Kesmodel, {Ulrik Schi{\o}ler}",
note = "{\textcopyright} 2020 Nordic Federation of Societies of Obstetrics and Gynecology (NFOG). Published by John Wiley & Sons Ltd.",
year = "2021",
month = feb,
doi = "10.1111/aogs.14000",
language = "English",
volume = "100",
pages = "244--251",
journal = "Acta Obstetricia et Gynecologica Scandinavica",
issn = "0001-6349",
publisher = "Informa Healthcare",
number = "2",

}

RIS

TY - JOUR

T1 - Length of hospital stay after cesarean section in Denmark from 2004 to 2016

T2 - a national register-based study

AU - Kruse, Anne Raabjerg

AU - Arendt, Linn Håkonsen

AU - Jakobsen, Dorthe Hjort

AU - Kehlet, Henrik

AU - Lauszus, Finn Friis

AU - Forman, Axel

AU - Uldbjerg, Niels

AU - Sundtoft, Iben Blaabjerg

AU - Kesmodel, Ulrik Schiøler

N1 - © 2020 Nordic Federation of Societies of Obstetrics and Gynecology (NFOG). Published by John Wiley & Sons Ltd.

PY - 2021/2

Y1 - 2021/2

N2 - INTRODUCTION: Length of hospital stay after birth has decreased during the last decades, but nationwide data on length of hospital stay after cesarean section are lacking. Elements of Enhanced Recovery Programs were reported to reduce the length of hospital stay. The aim of this nationwide study was to describe the length of hospital stay after cesarean section in Denmark from 2004 to 2016 taking into account birth- and health related factors as well as demographic changes and further, to assess potential differences between the five Danish regions.MATERIAL AND METHODS: Length of hospital stay was assessed in 164 209 deliveries by cesarean section in Denmark from 2004 to 2016. Data were obtained from the Danish National Patient Register. All deliveries by cesarean section at gestational age < 22 weeks were excluded. Median length of hospital stay was reported based on crude and adjusted analyses.RESULTS: The median length of hospital stay was significantly reduced by 39 hours (95% CI; 37.9 to 40.1) from 97 hours (4.0 days) in 2004 to 58 hours (2.4 days) in 2016. Reductions were observed among both planned and emergency cesarean sections. When birth- and health related factors as well as demographic changes were accounted for, median length of hospital stay was reduced by 30 hours (95% CI; 29.3 to 30.8) in the period. The decrease in length of hospital stay from 2004 to 2016 varied between the five Danish regions with adjusted reductions between 19 and 46 hours.CONCLUSIONS: A nationwide decrease in length of hospital stay after cesarean section was observed from 2004 to 2016 across all five regions but with significant regional variations. Further studies on the optimal length of hospital stay are needed, especially with regard to implementation of enhanced recovery programs.

AB - INTRODUCTION: Length of hospital stay after birth has decreased during the last decades, but nationwide data on length of hospital stay after cesarean section are lacking. Elements of Enhanced Recovery Programs were reported to reduce the length of hospital stay. The aim of this nationwide study was to describe the length of hospital stay after cesarean section in Denmark from 2004 to 2016 taking into account birth- and health related factors as well as demographic changes and further, to assess potential differences between the five Danish regions.MATERIAL AND METHODS: Length of hospital stay was assessed in 164 209 deliveries by cesarean section in Denmark from 2004 to 2016. Data were obtained from the Danish National Patient Register. All deliveries by cesarean section at gestational age < 22 weeks were excluded. Median length of hospital stay was reported based on crude and adjusted analyses.RESULTS: The median length of hospital stay was significantly reduced by 39 hours (95% CI; 37.9 to 40.1) from 97 hours (4.0 days) in 2004 to 58 hours (2.4 days) in 2016. Reductions were observed among both planned and emergency cesarean sections. When birth- and health related factors as well as demographic changes were accounted for, median length of hospital stay was reduced by 30 hours (95% CI; 29.3 to 30.8) in the period. The decrease in length of hospital stay from 2004 to 2016 varied between the five Danish regions with adjusted reductions between 19 and 46 hours.CONCLUSIONS: A nationwide decrease in length of hospital stay after cesarean section was observed from 2004 to 2016 across all five regions but with significant regional variations. Further studies on the optimal length of hospital stay are needed, especially with regard to implementation of enhanced recovery programs.

KW - Cesarean section

KW - enhanced recovery

KW - length of stay

KW - patient discharge

KW - postoperative care

KW - postpartum period

U2 - 10.1111/aogs.14000

DO - 10.1111/aogs.14000

M3 - Journal article

C2 - 32979215

VL - 100

SP - 244

EP - 251

JO - Acta Obstetricia et Gynecologica Scandinavica

JF - Acta Obstetricia et Gynecologica Scandinavica

SN - 0001-6349

IS - 2

ER -

ID: 60936408