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Trends in hospitalizations and emergency department visits among women with hyperglycemia in pregnancy between 2008 and 2017 in Taiwan

INTRODUCTION: We investigated health service utilization, including hospitalizations and emergency department visits, for women with hyperglycemia in pregnancy between 2008 and 2017 in Taiwan. METHODS: Data from the Health and Welfare Data Science Center were used to conduct this nationwide populati...

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Detalles Bibliográficos
Autores principales: Wang, Jun-Sing, Chin, Ming-Chu, Chen, Jung-Fu, Huang, Chien-Ning, Hwu, Chii-Min, Ou, Horng-Yih, Yang, Yi-Sun, Hsu, Chih-Cheng, Wang, Chih-Yuan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9730532/
https://www.ncbi.nlm.nih.gov/pubmed/36506052
http://dx.doi.org/10.3389/fendo.2022.1005722
Descripción
Sumario:INTRODUCTION: We investigated health service utilization, including hospitalizations and emergency department visits, for women with hyperglycemia in pregnancy between 2008 and 2017 in Taiwan. METHODS: Data from the Health and Welfare Data Science Center were used to conduct this nationwide population-based study. We identified pregnant women and the date of childbirth according to Birth Certificate Applications from 2007 to 2018. The study population was divided into four groups: known DM, newly diagnosed DM, GDM, and no DM/GDM. To assess quality of healthcare during the gestation period, trends in 30-day readmission rate, number of emergency department visits/hospitalizations per 100 childbirths, and length of hospital stay from 2008 to 2017 were examined. RESULTS: A total of 1830511 childbirths and 990569 hospitalizations were identified for analyses. Between 2008 and 2017, women with hyperglycemia in pregnancy (known DM, newly diagnosed DM, and GDM) had a higher rate of hospitalization, a longer length of hospital stay, and higher rates of various maternal and fetal outcomes, compared with women with no DM/GDM. Nevertheless, the differences between women with GDM and those with no DM/GDM in the aforementioned outcome measures were modest. Women with GDM had a modest decrease in the 30-day readmission rate (p for trend 0.046) with no significant difference in the number of emergency department visits during the study period. DISCUSSION: Our findings provide evidence of the quality of healthcare for women with GDM between 2008 and 2017 in Taiwan.