Nazari Elham, Biviji Rizwana, Sistanian Fateme, Biviji Fazilat, Gurav-Kolhar Cauveri, Ebnehoseini Zahra, Akhavan Reza, Tabesh Hamed
Department of Health Information, Technology and Management, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Medical Informatics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Matern Child Health J. 2025 Jan;29(1):108-113. doi: 10.1007/s10995-024-04022-1. Epub 2024 Dec 11.
Globally, obstetric hemorrhage and trauma are the leading causes of maternal and fetal morbidity and mortality during pregnancy. Delivering high-quality medical care to these patients is therefore imperative.This study aims to examine the relationship between month of referral and the severity of emergency admissions among pregnant women referred for obstetric hemorrhage and trauma.
A retrospective cross-sectional analysis was conducted on hospital records of 1,684 pregnant women admitted to the case emergency center at Imam Reza Hospital in Mashhad, Iran for hemorrhage or trauma between January and December 2016. Secondary data extracted from the hospital information system (HIS) were used to calculate frequencies for patient demographics (age, insurance type), clinical characteristics (admission type, emergency severity, injury cause, referral reason) and external factors (month of referral). Logistic regression was used to assess the relationship between the month of referral and emergency severity (urgent/non-urgent) for hemorrhage and trauma.
Hemorrhage during pregnancy (n = 1,636, 97.1%) was the most prevalent reason for referral throughout the year. The month of referral was significantly associated with emergency severity (P < 0.001). Compared to March, the odds of urgent referrals were notably higher in August (OR 3.822), October (OR 5.084), and November (OR 4.720).
A peak in emergency referrals were observed during the summer and fall months, with October having the highest number of referrals for obstetric hemorrhage and trauma.
在全球范围内，产科出血和创伤是孕期母婴发病和死亡的主要原因。因此，为这些患者提供高质量的医疗护理势在必行。本研究旨在探讨转诊月份与因产科出血和创伤而转诊的孕妇急诊入院严重程度之间的关系。
对2016年1月至12月期间因出血或创伤入住伊朗马什哈德伊玛目礼萨医院病例急诊中心的1684名孕妇的医院记录进行回顾性横断面分析。从医院信息系统（HIS）中提取的二手数据用于计算患者人口统计学特征（年龄、保险类型）、临床特征（入院类型、急诊严重程度、损伤原因、转诊原因）和外部因素（转诊月份）的频率。采用逻辑回归分析评估转诊月份与出血和创伤急诊严重程度（紧急/非紧急）之间的关系。
孕期出血（n = 1636，97.1%）是全年转诊的最常见原因。转诊月份与急诊严重程度显著相关（P < 0.001）。与3月相比，8月（OR 3.822）、10月（OR 5.084）和11月（OR 4.720）紧急转诊的几率明显更高。
在夏季和秋季月份观察到急诊转诊高峰，10月因产科出血和创伤转诊的人数最多。
