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Inicio Journal of Healthcare Quality Research Cesarean rate in selected hospital network of private sector: A retrospective st...
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Vol. 36. Issue 6.
Pages 317-323 (November - December 2021)
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Vol. 36. Issue 6.
Pages 317-323 (November - December 2021)
Original Article
Cesarean rate in selected hospital network of private sector: A retrospective study
Tasa de cesáreas en una red de hospitales del sector privado: un estudio retrospectivo
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A. Farrésa,
Corresponding author
albfar@dexeus.com

Corresponding author.
, A. Albarracínb, B. Serraa, P. Pratsa
a Obstetrics Service, Department of Obstetrics, Gynecology and Reproductive Medicine, Institut Universitari Quiron Dexeus, Barcelona, Spain
b Planning and Healthcare Evaluation Department, Quirónsalud Grupo Hospitalario, Madrid, Spain
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Statistics
Figures (2)
Tables (4)
Table 1. Global CS rates by type of hospital.
Table 2. Low risk CS and low risk first CS by type of hospital.
Table 3. Maternal age according to type of delivery in total (T) and low risk group (LR).
Table 4. Maternal age distribution by type of hospital and type of delivery and risk of CS according to type of hospital and mother's age.
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Abstract
Introduction

In Spain over the last two decades, cesarean section (CS) rates have increased from 15 to 25% in the Public Health Sector and from 28 to 38% in the private sector. There are multiples causes for this rise, which are often unclear. The aim of our study is to collect and analyze all the CS rates data from a hospital network of the 42 Quirónsalud Hospitals (private sector) and to assess its distribution regarding the different types of hospitals and patient characteristics.

Material and methods

An observational retrospective study between 2017 and 2018 was performed. Hospitals are classified into three groups: large hospitals (11), medium hospitals (17) and small hospitals (14). The cesarean section rate was measured by patient categorization into three groups: total deliveries, low risk cesarean sections and low risk cesarean sections without previous cesarean delivery.

Results

We analyzed 62,685 deliveries: 42,987 were vaginal deliveries (68.6%) and 19,698 CS (31.4%). The mean age for the total number of deliveries was 34.18 years old, whilst the mean age for the low-risk group was 34.12. Of the 19,698 CS, 18.36% (3618) were in high-risk population and 81.63% (16,080) in low risk population. 69.54% (11,183) of the low-risk CS were in patients without a previous CS.

Conclusions

The overall rate of CS in the Quirónsalud group is slightly higher than the one from the Public Healthcare. The older maternal age as well as the hospital resources involved in the delivery attendance can explain this difference.

Keywords:
Caesarean section rate
Private medicine
Maternal age
Private sector
Public health care
Resumen
Introducción

En España durante las últimas dos décadas, la tasa de cesáreas ha aumentado del 15 al 25% en el sector público de salud y del 28 al 38% en el sector privado. Hay múltiples causas de este aumento y a menudo no están claras. El objetivo de nuestro estudio es recoger y analizar todos los datos de tasas de cesáreas de los 42 Hospitales de Quirónsalud (sector privado) y evaluar su distribución respecto a los diferentes tipos de hospitales y características de los pacientes.

Material y métodos

Se realizó un estudio retrospectivo entre 2017 y 2018. Los hospitales se clasifican en tres grupos: hospitales grandes (11), hospitales medianos (17) y hospitales pequeños (14). La tasa de cesáreas se midió mediante la categorización de las pacientes en tres grupos: partos totales, cesáreas de bajo riesgo y cesáreas de bajo riesgo sin cesárea previa.

Resultados

Se estudiaron 62.685 partos: 42.987 fueron partos vaginales (68,6%) y 19.698 fueron cesáreas (31,4%). La edad media del total de las pacientes fue de 34,18 años, mientras que la edad media del grupo de bajo riesgo fue de 34,12. De las 19.698 cesáreas, el 18,36% (3.618) correspondían a población de alto riesgo y el 81,63% (16.080) a población de bajo riesgo. El 69,54% (11.183) de las cesáreas de bajo riesgo fueron en pacientes sin cesárea previa.

Conclusiones

La tasa bruta de cesáreas en el grupo Quirónsalud es ligeramente superior a la de salud pública. La mayor edad materna así como los recursos hospitalarios involucrados en la atención del parto pueden explicar esta diferencia.

Palabras clave:
Tasa de cesáreas
Medicina privada
Edad materna
Sector privado
Sanidad pública

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