Screening for inter-hospital differences in cesarean section rates in low-risk deliveries using administrative data: An initiative to improve the quality of care

Aelvoet, Willem; Windey, Francis; Molenberghs, Geert; Verstraelen, Hans; Van Reempts, Patrick; Foidart, Jean-Michel

doi:10.1186/1472-6963-8-3

Table 5 Neonatal endpoints according to mode of delivery and CSR group. Belgium 2001–4.

From: Screening for inter-hospital differences in cesarean section rates in low-risk deliveries using administrative data: An initiative to improve the quality of care

		CSR groups
		High	(%)	Average	(%)	Low	(%)	Total	P
1 min Apgar	Vaginal
	< 4	299	1.05	3,169	1.22	672	1.52	4,140	<0.01
	4 – 6	1,512	5.31	12,857	4.95	2,281	5.16	16,650
	>6	26,680	93.64	243,671	93.83	41,218	93.31	311,569
	CS
	< 4	96	1.41	918	2.38	127	2.98	1,141	<0.01
	4 – 6	349	5.14	2,223	5.77	285	6.68	2,857
	>6	6,351	93.45	35,366	91.84	3,853	90.34	45,570
5 min Apgar	Vaginal
	< 4	32	0.11	478	0.18	77	0.17	587	<0.01
	4 – 6	180	0.63	2,533	0.98	482	1.09	3195
	>6	28,279	99.26	256,686	98.84	43,609	98.73	328,574
	CS
	< 4	11	0.16	135	0.35	17	0.40	163	<0.01
	4 – 6	51	0.75	564	1.46	88	2.06	703
	>6	6,734	99.09	37,808	98.18	4,160	97.54	48,702
RDS	Vaginal
	Absent	28,405	99.68	258,913	99.69	44,038	99.66	331,356	0.73
	Present	90	0.32	816	0.31	149	0.34	1,055
	CS
	Absent	6,718	98.84	38,174	99.12	4,206	98.57	49,098	<0.01
	Present	79	1.16	340	0.88	61	1.43	480
MAS	Vaginal
	Absent	28,331	99.42	257,974	99.32	43,964	99.50	330,269	<0.01
	Present	164	0.58	1,755	0.68	223	0.50	2,142
	CS
	Absent	6,744	99.22	38,116	98.97	4,208	98.62	49,068	<0.01
	Present	53	0.78	398	1.03	59	1.38	510
TTN	Vaginal
	Absent	28,425	99.75	258,814	99.65	44,022	99.63	331,261	<0.01
	Present	70	0.25	915	0.35	165	0.37	1,150
	CS
	Absent	6,740	99.16	38,082	98.88	4,204	98.52	49,026	<0.01
	Present	57	0.84	432	1.12	63	1.48	552
Intubation/Ventilation	Vaginal
	Absent	28,295	99.30	257,854	99.28	43,781	99.08	329,930	<0.01
	Present	200	0.70	1,875	0.72	406	0.92	2,481
	CS
	Absent	6,670	98.13	37,804	98.16	4,145	97.14	48,619	<0.01
	Present	127	1.87	710	1.84	122	2.86	959
Admission to specialized neonatal service	Vaginal
	Absent	27,818	97.62	212,951	81.99	37,166	84.11	277,935	<0.01
	Present	677	2.38	46,778	18.01	7,021	15.89	54,476
	CS
	Absent	6,459	95.03	29,950	77.76	3,319	77.78	39,728	<0.01
	Present	338	4.97	8,564	22.24	948	22.22	9,850

(%): Column percentage

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ISSN: 1472-6963

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