Deltombe-Bodart S, Grabarz A, Ramdane N, Delporte V, Depret S, Deruelle P, Garabedian C
Département d'obstétrique, hôpital Jeanne-de-Flandre, centre hospitalier universitaire de Lille, 59000 Lille, France.
Département d'obstétrique, hôpital Jeanne-de-Flandre, centre hospitalier universitaire de Lille, 59000 Lille, France.
Gynecol Obstet Fertil Senol. 2018 Jul-Aug;46(7-8):575-579. doi: 10.1016/j.gofs.2018.06.009. Epub 2018 Jul 6.
Evaluation of the compliance of the color codes protocol according to the indication of ceasarean section and on the decision-to-delivery interval according to the color code, the operator and the period.
This is a retrospective monocentric study including women who had to undergo an emergency cesarean section after 37 weeks of amenorrhea in the Jeanne-de-Flandre hospital between 2015 and 2017. Three groups were created: cesarean section with green code, orange code and red code. We compared population characteristics and obstetrical data, then drew up a reassessed color code and analyzed the correspondence between the initial color code and the reassessed one. Finally, we considered the respect of decision-to-delivery interval according to color code, operator level and period.
Eight hundred and eighty-one patients were included, amongst which 303 (34%) fell into the green c-section, 353 (40%) into the orange c-section and 225 (26%) into the red c-section. In the three groups, there was a significant consistency between the initial color code and the reassessed one, with a kappa agreement test of 95% 0.95 (0.93-0.97). The average decision-to-delivery interval was 37±20min for the green c-section, 20±6min for the orange c-section and 12±3min for the red c-section with a significant respect of the decision-to-delivery interval according to color code P<0.001. The decision-to-delivery interval was similar considering the operator level and the period.
In our study, we observed the compliance with color code regarding the indication of ceasarean section and the respect of the decision-to-delivery interval whatever the time of occurrence and the operator.
根据剖宫产指征评估颜色编码方案的依从性，并根据颜色编码、操作者和时间段评估决定分娩间隔。
这是一项回顾性单中心研究，纳入了2015年至2017年在珍妮 - 德 - 弗朗德医院停经37周后必须接受急诊剖宫产的女性。分为三组：绿色编码剖宫产、橙色编码剖宫产和红色编码剖宫产。我们比较了人群特征和产科数据，然后制定了重新评估的颜色编码，并分析了初始颜色编码与重新评估编码之间的对应关系。最后，我们考虑了根据颜色编码、操作者水平和时间段对决定分娩间隔的遵守情况。
共纳入881例患者，其中303例（34%）为绿色编码剖宫产，353例（40%）为橙色编码剖宫产，225例（26%）为红色编码剖宫产。在三组中，初始颜色编码与重新评估的编码之间存在显著一致性，kappa一致性检验为95% 0.95（0.93 - 0.97）。绿色编码剖宫产的平均决定分娩间隔为37±20分钟，橙色编码剖宫产为20±6分钟，红色编码剖宫产为12±3分钟，根据颜色编码，决定分娩间隔有显著差异（P<0.001）。考虑操作者水平和时间段，决定分娩间隔相似。
在我们的研究中，无论发生时间和操作者如何，我们观察到在剖宫产指征方面对颜色编码的依从性以及对决定分娩间隔的遵守情况。
