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Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

Soins maternels intensifs (Maternal Intensive Care) en Belgique - KCE

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<strong>KCE</strong> Reports 94 <strong>Maternal</strong> <strong>Int<strong>en</strong>sive</strong> <strong>Care</strong> in Belgium 133<br />

45%<br />

40%<br />

35%<br />

30%<br />

25%<br />

20%<br />

15%<br />

10%<br />

5%<br />

0%<br />

Duration of hospitalisation for delivery<br />

For the unmerged stays, the mean l<strong>en</strong>gth of stay for a vaginal delivery is 4.8 days (P10=<br />

2 days; P50=5 days; P90= 6 days). The mean LoS for a caesarean delivery is 8.2 days<br />

(P10= 5 days; P50= 7 days; P90=11 days).<br />

These LoS differ slightly from those computed for the merged stays as shown in graph<br />

XX. For the unmerged stays, the higher number of stays with low LoS is also translated<br />

into a P10 = 2 lower than P10 = 3 for the merged stays. The higher number of stays<br />

with longer LoS for the c-section is described by a differ<strong>en</strong>ce in P90 = 11 days for the<br />

unmerged stays and P90 = 9 days for the merged stays.<br />

Figure 2: L<strong>en</strong>gth of stay by mode of delivery (merged and unmerged stays)<br />

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20<br />

Vaginal delivery - Unlinked (n=2094) Vaginal delivery - Linked (n=78705) C-section - Unlinked (n=585) C-section - Linked (n=18167)<br />

Source: Merged IMA and MKG/RCM Data 01/10/2003 – 30/09/2004<br />

Ante-and postpartum hospitalisations<br />

This information is not available for unmerged stays; the link betwe<strong>en</strong> differ<strong>en</strong>t stays of<br />

the same wom<strong>en</strong> in differ<strong>en</strong>t institution can not be done without IMA/AIM information.<br />

T<strong>en</strong> most frequ<strong>en</strong>t ICD-9-CM codes by mode of delivery<br />

As m<strong>en</strong>tioned in the methodology section, each woman has only one main diagnosis per<br />

specialty, but can have more than one secondary diagnosis.<br />

Among unmerged stays, 55.26% have more than one secondary diagnosis against 48.9%<br />

for the merged stays.<br />

The detailed frequ<strong>en</strong>cies of these codes are pres<strong>en</strong>ted in the tables underneath.<br />

These tables give an overview of the coded pathologies.

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