Hospital-acquired conditions and length of stay in the pregnancy and puerperal cycle

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dc.creatorAlexandra Dias Moreira
dc.creatorAriene Silva do Carmo
dc.creatorJuliana Fantini Chaves Pereira
dc.creatorLarissa Loures Mendes
dc.creatorFernanda Penido Matozinhos
dc.creatorMilene Cristine Pessoa
dc.creatorThales Philipe Rodrigues da Silva
dc.creatorLuna Cosenza
dc.creatorTaiane Gonçalves Novaes
dc.date.accessioned2023-10-20T19:55:36Z
dc.date.accessioned2025-09-08T22:56:13Z
dc.date.available2023-10-20T19:55:36Z
dc.date.issued2019-08-19
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.11606/s1518-8787.2019053000688
dc.identifier.issn1518-8787
dc.identifier.urihttps://hdl.handle.net/1843/59820
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofRevista de Saúde Pública
dc.rightsAcesso Aberto
dc.subjectGestantes
dc.subjectTranstornos puerperais
dc.subjectHospitalização
dc.subjectTempo de internação
dc.subjectEconomia hospitalar
dc.subjectCustos hospitalares
dc.subject.otherPregnant women
dc.subject.otherPuerperal disorders
dc.subject.otherHospitalization
dc.subject.otherLength of stay
dc.subject.otherEconomics
dc.subject.otherHospital Costs
dc.titleHospital-acquired conditions and length of stay in the pregnancy and puerperal cycle
dc.title.alternativeCondições adquiridas no hospital e tempo de permanência na gravidez e ciclo puerperal
dc.typeArtigo de periódico
local.citation.volume53
local.description.resumoOBJECTIVE: To analyze the impact of the Hospital-Acquired Conditions (HAC) in women inthe puerperal and pregnancy cycle during length of stay.METHODS: This cross-sectional study was conducted with 113,456 women, between July2012 and July 2017, in Brazil’s national hospitals of the supplementary healthcare networks andphilanthropists accredited to the Unified Health System (SUS). Data on hospital dischargeswere collected using the Diagnosis-Related Groups (DRG Brasil) system. All DRGs of themajor diagnostic category 14 (MDC14), including pregnancy, childbirth and puerperium, wereincluded. The impact of HAC on length of stay was estimated by Student’s t-test, and the effectsize by Cohen’s d, which allows to assess clinical relevance.RESULTS: Th e m ost p revalent d iagnostic c ategories r elated t o M DC14 w ere v aginal a ndcesarean deliveries without complicating diagnoses, both at institutions accredited to SUSand those for supplementary health care. The prevalence of HAC was 3.8% in supplementaryhealth and 2.5% in SUS. Hospitals providing services to supplementary health care providershad a longer length of stay considering HAC for patients classified as DRG: cesarean sectionwith complications or comorbidities at admission (p < 0.001; Cohen’s d = 0.74), cesarean sectionwithout complications or comorbidities at admission (p < 0.001, Cohen’s d = 0.31), postpartumand post abortion without listed procedure (p < 0.001, Cohen’s d = 1.05), and other antepartumdiagnoses with medical complications (p < 0.001; Cohen’s d = 0.77).CONCLUSIONS: This study showed that the prevalence of HAC was low both in the institutionsaccredited to attend by SUS and in those of supplementary health; however, its presencecontributes to increasing the length of stay in cases of cesarean sections without complicationsor comorbidities in supplementary health institutions.
local.identifier.orcidhttps://orcid.org/0000-0002-4477-5241
local.identifier.orcidhttps://orcid.org/0000-0002-3421-9495
local.identifier.orcidhttps://orcid.org/0000-0001-5934-7453
local.identifier.orcidhttps://orcid.org/0000-0002-0031-3862
local.identifier.orcidhttps://orcid.org/0000-0003-1368-4248
local.identifier.orcidhttps://orcid.org/0000-0002-1053-5450
local.identifier.orcidhttps://orcid.org/0000-0002-7115-0925
local.identifier.orcidhttps://orcid.org/0000-0001-6040-2499
local.identifier.orcidhttps://orcid.org/0000-0002-9180-5490
local.publisher.countryBrasil
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA
local.publisher.departmentENF - DEPARTAMENTO DE NUTRIÇÃO
local.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICA
local.publisher.initialsUFMG
local.url.externahttps://www.scielosp.org/article/rsp/2019.v53/64/

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