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Age, ASA-Physical Status All-Cause 30-Day Mortality Among Caesarean Section in Sweden 2016 to 2022

Norlin, Hanna ; Albert, Johanna ; Jakobsson, Jan

Läkartidningen, 2023-04, Vol.120 [Periódico revisado por pares]

Sweden

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  • Título:
    Age, ASA-Physical Status All-Cause 30-Day Mortality Among Caesarean Section in Sweden 2016 to 2022
  • Autor: Norlin, Hanna ; Albert, Johanna ; Jakobsson, Jan
  • Assuntos: Adult ; Anesthesiology ; Cesarean Section ; Child ; Female ; Humans ; Medicin och hälsovetenskap ; Mothers ; Pregnancy ; Sweden - epidemiology
  • É parte de: Läkartidningen, 2023-04, Vol.120
  • Descrição: There is limited research about how age and ASA-physical status (PS) have changed among women undergoing caesarean sections (CS) and how these characteristics have affected all-cause 30-day mortality in Sweden during recent years. The aim of this study was to determine change in age and ASA-PS and impact on all-cause 30-day mortality among CS in Sweden between 2016 and 2022. Data regarding CS performed from 1 Jan 2016 to 30 Jun 2022 were collected from the Swedish Peri-Operative Register (SPOR). The study cohort included 102,965 CS; 44,404 (43.1%) elective, 47,158 (45.8%) emergency and 11,403 (11.1%) crash emergency CS. Age, ASA-PS, 30-day mortality, and year of procedure were primary study variables. Continuous numerical variables were analysed with ANOVA and categorical data with Chi-2-tests or Fishers-exact-test, in SPSS. The mean age for the entire cohort was 32.1 years and increased by 0.8 years (P<0.001). A shift to higher ASA-PS was seen over the study period (P<0.001). The all-cause 30-day mortality rate found was 0.014% (14/102,965). No significant difference was seen in maternal mortality over the study period. Of the 14 mothers who deceased within 30 days, 5 were classified as ASA III-V, the majority were 31-40 years of age and 7 of them underwent emergency CS. Emergency CS decreased (15.2% to 10.1%), use of neuraxial anaesthesia increased and general anaesthesia (GA) decreased. We conclude that CS mothers in Sweden have become older and have higher ASA-PS during the last 6.5 years. Emergency CS have decreased, as has the use of GA. High ASA-PS and CS with a higher degree of urgency were associated with all-cause 30-day mortality. All-cause mortality associated to CS is reassuringly low in Sweden.
  • Editor: Sweden
  • Idioma: Sueco;Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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