Implementation and Outcomes of a Model of Care for Placenta Accreta Spectrum in a Community-Based Private Practice Article Swipe
YOU?
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· 2022
· Open Access
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· DOI: https://doi.org/10.1055/s-0042-1749664
Objective The aim of the study is to describe a model of care and outcomes for placenta accreta spectrum (PAS) implemented in the context of a community based non-academic health system. Study Design The program for management of PAS includes a multidisciplinary team approach with protocols for ultrasound assessment, diagnosis, and surgery. The program was implemented in the two largest private hospitals in the Twin Cities, Minnesota, United States. Maternal and fetal outcomes as well as cost were compared for histopathologic confirmed PAS cases before (2007–2014, n = 41) and after (2015–2017, n = 26) implementation of the PAS program. Results Implementation of the PAS program was associated with ICU admission reductions from 53.7 to 19.2%, p = 0.005; a decrease of 1,682 mL in mean estimated blood loss (EBL) (p = 0.061); a decrease in transfusion from 85.4 to 53.9% (p = 0.005). The PAS program also resulted in a (non-significant) decrease in both surgical complications from 48.8 to 38.5% (p = 0.408) and postoperative complications from 61.0 to 42.3% (p = 0.135). The total cost of care for PAS cases in the 3 years after implementation of the program decreased by 33%. Conclusion The implementation of a model of care for PAS led by a perinatology practice at a large regional non-academic referral center resulted in reductions of ICU admissions, operating time, transfusion, selected surgical complications, overall postoperative complications, and cost. Key Points
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1055/s-0042-1749664
- http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0042-1749664.pdf
- OA Status
- hybrid
- Cited By
- 4
- References
- 22
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4285038465
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4285038465Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1055/s-0042-1749664Digital Object Identifier
- Title
-
Implementation and Outcomes of a Model of Care for Placenta Accreta Spectrum in a Community-Based Private PracticeWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-07-10Full publication date if available
- Authors
-
William Wagner, Matthew Loichinger, Abbey Sidebottom, Whitney Wunderlich, Marc Vacquier, Theresa Jentink, Marijo Aguilera, Sureshbabu N. Ahanya, Elizabeth A. Morgan, Meiling Parker, Donald D. WotheList of authors in order
- Landing page
-
https://doi.org/10.1055/s-0042-1749664Publisher landing page
- PDF URL
-
https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0042-1749664.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0042-1749664.pdfDirect OA link when available
- Concepts
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Medicine, Placenta accreta, Context (archaeology), Referral, Obstetrics, Emergency medicine, Pediatrics, Pregnancy, Placenta, Family medicine, Fetus, Paleontology, Biology, GeneticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2024: 3, 2023: 1Per-year citation counts (last 5 years)
- References (count)
-
22Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.selected | 225 |
| abstract_inverted_index.spectrum | 18 |
| abstract_inverted_index.surgery. | 51 |
| abstract_inverted_index.surgical | 155, 226 |
| abstract_inverted_index.Objective | 0 |
| abstract_inverted_index.admission | 110 |
| abstract_inverted_index.community | 26 |
| abstract_inverted_index.confirmed | 81 |
| abstract_inverted_index.decreased | 191 |
| abstract_inverted_index.estimated | 126 |
| abstract_inverted_index.hospitals | 61 |
| abstract_inverted_index.operating | 222 |
| abstract_inverted_index.protocols | 45 |
| abstract_inverted_index.Conclusion | 194 |
| abstract_inverted_index.Minnesota, | 66 |
| abstract_inverted_index.associated | 107 |
| abstract_inverted_index.diagnosis, | 49 |
| abstract_inverted_index.management | 36 |
| abstract_inverted_index.reductions | 111, 218 |
| abstract_inverted_index.ultrasound | 47 |
| abstract_inverted_index.admissions, | 221 |
| abstract_inverted_index.assessment, | 48 |
| abstract_inverted_index.implemented | 20, 55 |
| abstract_inverted_index.transfusion | 136 |
| abstract_inverted_index.non-academic | 28, 213 |
| abstract_inverted_index.perinatology | 207 |
| abstract_inverted_index.transfusion, | 224 |
| abstract_inverted_index.(2007–2014, | 85 |
| abstract_inverted_index.(2015–2017, | 91 |
| abstract_inverted_index.complications | 156, 166 |
| abstract_inverted_index.postoperative | 165, 229 |
| abstract_inverted_index.Implementation | 101 |
| abstract_inverted_index.complications, | 227, 230 |
| abstract_inverted_index.implementation | 95, 187, 196 |
| abstract_inverted_index.histopathologic | 80 |
| abstract_inverted_index.(non-significant) | 151 |
| abstract_inverted_index.multidisciplinary | 41 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 11 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/17 |
| sustainable_development_goals[0].score | 0.44999998807907104 |
| sustainable_development_goals[0].display_name | Partnerships for the goals |
| citation_normalized_percentile.value | 0.83536544 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |