What factors contribute to hospital variation in obstetric transfusion rates?

ABSTRACT:

Background and objectives

To explore variation in red blood cell transfusion rates between hospitals, and the extent to which this can be explained. A secondary objective was to assess whether hospital transfusion rates are associated with maternal morbidity.

Materials and methods

Linked hospital discharge and birth data were used to identify births (n = 279 145) in hospitals with at least 10 deliveries per annum between 2008 and 2010 in New South Wales, Australia. To investigate transfusion rates, a series of random-effects multilevel logistic regression models were fitted, progressively adjusting for maternal, obstetric and hospital factors. Correlations between hospital transfusion and maternal, neonatal morbidity and readmission rates were assessed.

Results

Overal

SUBMITTER: Patterson JA 

PROVIDER: S-EPMC4302973 | biostudies-literature | 2015 Jan

REPOSITORIES: biostudies-literature