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October 1, 1999Anaesthesia

Definitions in obstetric anaesthesia: how should we measure anaesthetic workload and what is ‘epidural rate’?

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Why the study?

Does the number of anaesthetic interventions provide a more accurate measure of obstetric anaesthetic workload than crude delivery rate?

Population

31,211 deliveries over 5 years in two hospitals in the UK

Comparison

Measurement of obstetric anaesthetic activity… vs Measurement using crude delivery rate and…

Design

Cohort

Follow-up

5 years

Authors

SYS. M. YentisChelsea and Westminster HospitalPRP.N. RobinsonRoyal London Hospital

Discussion

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Implication

May support intervention counts over delivery numbers for obstetric anaesthetic workload; leaves open prospective validation and standardized definitions.

Structured PICO

Does the number of anaesthetic interventions provide a more accurate measure of obstetric anaesthetic workload than crude delivery rate?

P
Population
31,211 deliveries over 5 years in two hospitals (Northwick Park Hospital and Chelsea & Westminster Hospital) in the UK
I
Intervention
Measurement of obstetric anaesthetic activity using number of anaesthetic interventions and 'regional anaesthesia rate'
C
Comparator
Measurement using crude delivery rate and 'epidural rate'
O
Outcome
Accuracy of reflecting obstetric anaesthetic activity

The number of anaesthetic interventions, rather than crude delivery rate, should be used to measure obstetric anaesthetic workload.

Cite This Study

Yentis et al. (1999) studied this question.

synapsesocial.com/papers/6a75736cef3d015f2ddd722dhttps://doi.org/10.1046/j.1365-2044.1999.01064.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The quality of routinely collected maternity data1994 · 87 citations
  2. 2The standard primipara as a basis for inter‐unit comparisons of maternity care1996 · 55 citations
  3. 3Abnormalities of Glucose Tolerance Following Gestational Diabetes1990 · 89 citations
  4. 4Comparison of ante-natal hospital records with retrospective interviewing1985 · 39 citations
  5. 5Evaluating the quality of the maternity services—a discussion paper1991 · 43 citations