Key result
Delivery at low-performing US hospitals was associated with higher rates of major obstetrical complications compared to high-performing hospitals (22.55% vs 10.42% for vaginal deliveries).
Why the study?
Does hospital performance level affect the rate of major obstetrical complications in women giving birth?
Population
More than 750,000 obstetrical deliveries in 2010 from a nationally representative sample of US hospitals
Comparison
Delivery at low-performing hospitals vs Delivery at high-performing hospitals
Design
Cross-sectional
Authors
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Signals need to address US hospital performance gaps; leaves open whether quality initiatives reduce obstetrical complications.
Observational (n=750,000)
Yes
Does hospital performance level affect the rate of major obstetrical complications in women giving birth?
Absolute Event Rate: 22.55% vs 10.42%
There is a nearly fivefold variation in major obstetrical complication rates across US hospitals, highlighting a significant disparity in care quality.
Glance et al. (2014) conducted an observational in Obstetrical deliveries (n=750,000). Delivery at low-performing hospitals vs. Delivery at high-performing hospitals was evaluated on Major obstetrical complications. Delivery at low-performing US hospitals was associated with higher rates of major obstetrical complications compared to high-performing hospitals (22.55% vs 10.42% for vaginal deliveries).
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