scholarly journals Increased rate of acute caesarean sections in women with epilepsy: results from the Oppland Perinatal Database in Norway

2018 ◽  
Vol 26 (4) ◽  
pp. 617-623 ◽  
Author(s):  
A. H. Farmen ◽  
J. H. Grundt ◽  
J. O. Nakling ◽  
P. Mowinckel ◽  
K. O. Nakken ◽  
...  
Keyword(s):  
Perinatal Database

A Perinatal Database Management System for Ambulatory Care

1982 ◽  
Vol 61 (s109) ◽  
pp. 40-41
Author(s):  
W. E. Hammond ◽  
William W. Stead ◽  
Mark J. Straube ◽  
Frederick R. Jelovsek
Keyword(s):  
Ambulatory Care ◽  
Management System ◽  
Database Management ◽  
Database Management System ◽  
Perinatal Database

scholarly journals Risk Factors for Retinopathy of Prematurity in the Netherlands: A Comparison of Two Cohorts

Neonatology ◽  
2021 ◽  
pp. 1-8
Author(s):  
Kasia Trzcionkowska ◽  
Floris Groenendaal ◽  
Peter Andriessen ◽  
Peter H. Dijk ◽  
Frank A.M. van den Dungen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
The Netherlands ◽  
Retinopathy Of Prematurity ◽  
Screening Guideline ◽  
Potential Risk Factors ◽  
Second Period ◽  
Perinatal Database ◽  
Rop Screening

<b><i>Introduction:</i></b> Retinopathy of prematurity (ROP) remains an important cause for preventable blindness. Aside from gestational age (GA) and birth weight, risk factor assessment can be important for determination of infants at risk of (severe) ROP. <b><i>Methods:</i></b> Prospective, multivariable risk-analysis study (NEDROP-2) was conducted, including all infants born in 2017 in the Netherlands considered eligible for ROP screening by pediatricians. Ophthalmologists provided data of screened infants, which were combined with risk factors from the national perinatal database (Perined). Clinical data and potential risk factors were compared to the first national ROP inventory (NEDROP-1, 2009). During the second period, more strict risk factor-based screening inclusion criteria were applied. <b><i>Results:</i></b> Of 1,287 eligible infants, 933 (72.5%) were screened for ROP and matched with the Perined data. Any ROP was found in 264 infants (28.3% of screened population, 2009: 21.9%) and severe ROP (sROP) (stage ≥3) in 41 infants (4.4%, 2009: 2.1%). The risk for any ROP is decreased with a higher GA (odds ratio [OR] 0.59 and 95% confidence interval [CI] 0.54–0.66) and increased for small for GA (SGA) (1.73, 1.11–2.62), mechanical ventilation &#x3e;7 days (2.13, 1.35–3.37) and postnatal corticosteroids (2.57, 1.44–4.66). For sROP, significant factors were GA (OR 0.37 and CI 0.27–0.50), SGA (OR 5.65 and CI 2.17–14.92), postnatal corticosteroids (OR 3.81 and CI 1.72–8.40), and perforated necrotizing enterocolitis (OR 7.55 and CI 2.29–24.48). <b><i>Conclusion:</i></b> In the Netherlands, sROP was diagnosed more frequently since 2009. No new risk factors for ROP were determined in the present study, apart from those already included in the current screening guideline.

Pregnancy Outcomes among Hispanics Stratified by Country of Origin

2019 ◽  
Author(s):  
Hector Mendez-Figueroa ◽  
Suneet P. Chauhan ◽  
Haleh Sangi-Haghpeykar ◽  
Kjersti Aagaard
Keyword(s):  
Cohort Analysis ◽  
Perinatal Outcomes ◽  
Adverse Outcomes ◽  
Foreign Born ◽  
Retrospective Cohort Analysis ◽  
Increased Risk ◽  
The Us ◽  
The Usa ◽  
Baseline Characteristics ◽  
Perinatal Database

Abstract Objective To compare the perinatal outcomes among U.S.-born and foreign-born Hispanics and Caucasians and ascertain if length of time in the US was associated with the rate of adverse outcomes. Study Design Retrospective cohort analysis of gravidae enrolled in our institutional perinatal database. Women delivering a non-anomalous, singleton, at 24 weeks or more and self-identified as Caucasian or Hispanic were included. Women were stratified by country of birth and ethnicity into U.S.-born Caucasian, U.S.-born Hispanic, and U.S. foreign-born Hispanic. Composite maternal (CMM) and neonatal (CNM) morbidity was assessed. Results Of 20,422 women, 21% were Caucasian, 15% were U.S.-born Hispanics, and 64% were U.S. foreign-born Hispanics. Compared to Caucasians, U.S.-born and foreign-born Hispanic were older, more likely to be a grand multiparous, obese and less likely to be married. Compared to Caucasians, foreign-born Hispanics had a 1.42-fold increased risk of CMM (95% CI 1.26–1.30). Paradoxically, the rate of CNM was 40% lower among neonates born to foreign-born Hispanics (95% CI 0.51–0.74). A significant direct relationship was noted between time in the USA and CMM but not CNM among foreign-born Hispanics. Conclusion Despite less favorable baseline characteristics, U.S. foreign-born Hispanics have 40% less CNM compared to both Caucasians and U.S.-born Hispanics.

scholarly journals Validation des données périnatales de la Base de données sur les congés des patients de l’Institut canadien d’information sur la santé

2009 ◽  
Vol 29 (3) ◽  
pp. 108-113
Author(s):  
K.S. Joseph ◽  
J. Mahey
Keyword(s):  
Nova Scotia ◽  
Nous Avons ◽  
Post Partum ◽  
Base De Données ◽  
Détresse Respiratoire ◽  
Perinatal Database ◽  
Pratique Clinique

Nous avons comparé les données périnatales consignées dans la base de données sur les hospitalisations de l’Institut canadien d’information sur la santé (ICIS) à celles de la Nova Scotia Atlee Perinatal Database (NSAPD) afin d’évaluer l’exactitude des renseignements de l’ICIS. Le codage des interventions, comme les césariennes, est exact (sensibilité de 99,8 % et spécificité de 98,7 %). L’hémorragie du post-partum, le déclenchement artificiel du travail et l’hémorragie intraventriculaire grave avaient également des taux de sensibilité et de spécificité de plus de 85 % et de plus de 95 %, respectivement. Le codage de certains diagnostics dont les définitions diffèrent dans lesdeux bases de données était moins exact. Citons le cas du syndrome de détresse respiratoire (SDR) qui avait une sensibilité de 50,9 % et une spécificité de 99,8 %. L’exactitude du codage peut être améliorée en limitant l’analyse aux formes les plus graves de la maladie. Par exemple, on obtient une sensibilité de 100 % et une spécificité de 99,6 % en limitant le SDR au SDR grave dans la NSAPD et en combinant les codes du SDR et de l’intubation afin d’identifier le SDR grave dans la base de données de l’ICIS. Notre étude cautionne l’utilisation des données de l’ICIS pour la surveillance nationale de la morbidité périnatale, à condition que leur interprétation soit facilitée par une compréhension de la pratique clinique et par des analyses de sensibilité visant à assurer la fiabilité des résultats.

A Perinatal Database Management System

1981 ◽  
Vol 20 (03) ◽  
pp. 133-141 ◽  
Author(s):  
R. Kooi ◽  
S. Pillay ◽  
J. Hirsch ◽  
I. Zador ◽  
L. Chik ◽  
...  
Keyword(s):  
Management System ◽  
Database Management ◽  
Database Management System ◽  
Research Activity ◽  
Obstetric Services ◽  
Computer Based ◽  
Relational Database Management ◽  
Ongoing Evaluation ◽  
Answering Questions ◽  
Perinatal Database

Obstetric services have long recognized the need for ongoing evaluation of their experiences. Manual »departmental statistics« systems sufficed, but with the advent of more sophisticated care, perinatal re-gionalization and increased research activity, the potential usefulness of computer technology became obvious. At Cleveland Metropolitan General Hospital, a laboratory computer based patient information file system was designed and implemented beginning in 1974. Over the succeeding six years, data have been collected and stored for all delivered pregnancies. There are now over 61,000 files for more than 20,000 consecutively delivered patients. The system provides over 40,000 clinical reports per year. However, the use of a file-oriented system has limited our ability to respond to specific research queries. The application of a relational database management system, INGRES, for perinatal information is reported here. Examples of its use for efficiently »answering questions« are presented, as are guidelines for the development and implementation of computer-based perinatal record systems.

scholarly journals Validation of perinatal data in the Discharge Abstract Database of the Canadian Institute for Health Information

2009 ◽  
Vol 29 (3) ◽  
pp. 96-101 ◽  
Author(s):  
K.S. Joseph ◽  
J. Mahey
Keyword(s):  
Health Information ◽  
Intraventricular Hemorrhage ◽  
Distress Syndrome ◽  
Sensitivity Analyses ◽  
Perinatal Morbidity ◽  
Discharge Abstract Database ◽  
Canadian Institute ◽  
Perinatal Data ◽  
Improved Accuracy ◽  
Perinatal Database

We compared perinatal information submitted to the Canadian Institute for Health Information (CIHI) hospitalization database with information submitted to the Nova Scotia Atlee Perinatal Database (NSAPD) in order to assess the accuracy of the CIHI data. Procedures such as Caesarean delivery were coded accurately (i.e. sensitivity of 99.8%; specificity of 98.7%). Postpartum hemorrhage, induction of labour and severe intraventricular hemorrhage also had sensitivity and specificity rates above 85% and 95%, respectively. Some diagnoses, defined differently in the two databases, were less accurately coded, e.g. respiratory distress syndrome (RDS) had a sensitivity of 50.9% and a specificity of 99.8%. Restriction to more severe forms of the disease improved accuracy, e.g. restriction of RDS to severe RDS in the NSAPD and identification of severe RDS in the CIHI database, using codes for RDS and intubation, resulted in a sensitivity of 100% and a specificity of 99.6%. Our study supports the use of CIHI data for national surveillance of perinatal morbidity, with the caveat that an understanding of clinical practice and sensitivity analyses to identify robust findings be used to facilitate inference.

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