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Benchmarking the Hypertensive Disorders of Pregnancy.

TitleBenchmarking the Hypertensive Disorders of Pregnancy.
Publication TypeJournal Article
Year of Publication2016
AuthorsThornton, C, Tooher, J, Ogle, R, von Dadelszen, P, Makris, A, Hennessy, A
JournalPregnancy Hypertens
Volume6
Issue4
Pagination279-284
Date Published2016 Oct
ISSN2210-7797
KeywordsAbruptio Placentae, Adolescent, Adult, Benchmarking, Blood Pressure, Databases, Factual, Diastole, Female, Humans, Hypertension, Pregnancy-Induced, Incidence, Infant, Newborn, Middle Aged, Patient Outcome Assessment, Perinatal Mortality, Postpartum Hemorrhage, Pre-Eclampsia, Pregnancy, Seizures, Stroke, Systole, Young Adult
Abstract

INTRODUCTION: The Hypertensive Disorders of Pregnancy (HDP) affect 7-10% of pregnancies worldwide and are one of the leading causes of mortality and morbidity in the perinatal period. An accurate assessment of mortality and morbidity is essential to provide effective care and treatment and benchmarking of these issues is required to enhance outcomes and define standards.

AIM: To benchmark outcomes for women and babies following a diagnosis of hypertension between obstetric units in similar settings.

METHODS: Utilising a set of pre-defined clinical indicators, Individual Patient Data analysis techniques applied to the medical records of all women diagnosed with a HDP over a 12month period at six obstetric units within Australia and Canada. Statistical analysis included contingency table sand means testing oas appropriate utilising IBM SPSS V.18.

RESULTS: Overall HDP rate of 7.6% of all deliveries, with a 3.0% preeclampsia rate. Outcomes differed significantly between units and did not cluster within any individual unit.

DOI10.1016/j.preghy.2016.04.009
Alternate JournalPregnancy Hypertens
Citation Key612
PubMed ID27939468