A multicenter study on the appropriateness of hospitalization in obstetric wards: application of Obstetric Appropriateness Evaluation Protocol (Obstetric AEP)

Alberto Firenze, Alice Mannocci, Antonio Malvasi, Chiara De Waure, Guglielmo Giraldi, Walter Ricciardi, Pierpaolo Cavallo, Giovanni Boccia, Fabrizio Turchetta, Nicola Nicolotti, Maria Rosaria Gualano, Domitilla Di Thiene, Silvio Capizzi, Giuseppina Poppa, Claudia Vaschetto, Andrea Poscia, Leda Semyonov, Francesco Di Nardo, Chiara Cadeddu, Rosella SaulleBrigid Unim, Elvira D'Andrea, Davide Renzi, Roberto Falvo, Annamaria Ferriero, Alessandro Rinaldi, Danila Basso, Serena Carovillano, Giulia Silvestrini, Benedetto Simone, Caterina Palazzo, Guerino Gatto, Alessandra Marani, Daniela Gliubizzi, Agostino Mancuso, Marta Marino, Giuseppe Del Prete, Francesco De Caro, Andrea Silenzi, Antonio Di Lascio, Mario Capunzo, Vincenzo Aleandri, Giuseppe Vetrano, Antonio Boccia, Giuseppe La Torre, Maria Lucia Specchia

Risultato della ricerca: Articlepeer review

4 Citazioni (Scopus)

Abstract

The cross-sectional study has been based on the implementation of the Obstetric Appropriateness Evaluation Protocol (OAEP) in seven hospitals to determine inappropriate hospital admissions and days of stay. The outcomes were: inappropriateness of admission and "percentage of inappropriateness" for one hospitalization. A total number of 2196 clinical records were reviewed. The mean percentage of inappropriateness for hospitalization was 22%. The percentage of inappropriateness for the first 10 d of hospitalization peaked in correspondence of the fourth (42%). The logistic regression model on inappropriated admission reported that emergency admission was a protective factor (OR = 0.4) and to be hospitalized in wards with ≥30 beds risk factor (OR = 5.12). The second linear model on "percentage of inappropriateness" showed that inappropriated admission and wards with ≥30 beds increased the percentage (p < 0.001); whereas the admission in Teaching Hospitals was inversely associated (p < 0.001). The present study suggests that the percentage of inappropriate admission depends especially on the inappropriate admission and the large number of beds in obstetric wards. This probably indicates that management of big hospitals, which is very complex, needs improving the processes of support and coordination of health professionals. The OAEP tool seems to be an useful instrument for the decision-makers to monitor and manage the obstetric wards. © 2014 Informa UK Ltd. All rights reserved.
Lingua originaleEnglish
pagine (da-a)1-7
Numero di pagine7
RivistaTHE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
Volume27
Stato di pubblicazionePublished - 2015

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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