Huissoud C, du Mesnildot P, Sayegh I, Dupuis O, Clément H-J, Thévenet S, Dubernard G, Rudigoz R-C
Service de gynécologie-obstétrique, hôpital de la Croix-Rousse, hospices civils de Lyon, Lyon cedex 04, France.
J Gynecol Obstet Biol Reprod (Paris). 2009 Feb;38(1):51-9. doi: 10.1016/j.jgyn.2008.09.011. Epub 2008 Nov 11.
To assess the efficiency of a new tool designed to shorten the decision-to-delivery interval (DDI) for emergency C-sections (CS).
DDI comparisons during three 6-month periods in a third level maternity. In stage A we evaluated the spontaneous DDI, in stage B the DDI was measured after the introduction of a color-code communication tool related to the degree of urgency for CS (amber code indicated urgent CS with an ideal DDI of 30 min and red code for very urgent CS with an ideal DDI of 15 min). In stage C we assessed the impact of the color-codes related protocols implementation.
Two hundred and fifty-three C-sections were included (211 urgent CS and 42 very urgent CS). Mean DDI decreased significantly from 42 min to 24 min between period A and period C for amber codes (corresponding to 43.2% and 82.1% of the objectives respectively) and from 24.9 min to 10.7 min for red codes (20% et 83.3% of the objectives).
This study suggests that color-codes and their related application protocols significantly shorten the DDI during the evaluation periods.
评估一种旨在缩短急诊剖宫产（CS）决策至分娩间隔时间（DDI）的新工具的效率。
在一家三级妇产医院的三个6个月期间进行DDI比较。在A阶段，我们评估了自然DDI；在B阶段，引入了与CS紧急程度相关的颜色编码沟通工具后测量DDI（琥珀色编码表示紧急CS，理想DDI为30分钟，红色编码表示非常紧急CS，理想DDI为15分钟）。在C阶段，我们评估了颜色编码相关协议实施的影响。
纳入了253例剖宫产（211例紧急CS和42例非常紧急CS）。对于琥珀色编码，A阶段和C阶段之间的平均DDI从42分钟显著降至24分钟（分别对应目标的43.2%和82.1%），对于红色编码，从24.9分钟降至10.7分钟（20%和83.3%的目标）。
本研究表明，颜色编码及其相关应用协议在评估期间显著缩短了DDI。
