Variation in Hospital Neuraxial Labor Analgesia Rates in California
Authors' conclusion
A long left tail in the distribution and wide variation exist in the neuraxial analgesia prevalence across California hospitals that is not explained by patient and hospital factors.
Study context
- Population
- Birthing patients who underwent labor in 200 California hospitals, 2016–2020
- Participants
- 1,510,750 patients · 200 hospitals
- Exposure
- Between-hospital variation in neuraxial labour analgesia prevalence
- Outcome
- Hospital neuraxial analgesia prevalence and between-hospital variability (median OR, intraclass correlation coefficient), before and after adjustment for patient and hospital factors
Methodological detailsmulticentre
- Multicentre
Main finding
As reported in the abstract
Neuraxial analgesia prevalence and between-hospital variability
- Received neuraxial analgesia, n (%)
- 1,040,483 (68.9%)
- Unadjusted / adjusted prevalence, 1st percentile
- 5.4% / 6.0%
- Unadjusted / adjusted prevalence, 5th percentile
- 21.0% / 21.2%
- Unadjusted / adjusted prevalence, 50th percentile
- 70.6% / 70.7%
- Unadjusted / adjusted prevalence, 95th percentile
- 75.8% / 76.6%
- Unadjusted / adjusted prevalence, 99th percentile
- 75.9% / 78.6%
- Adjusted median OR
- 2.3 (95% CI 2.1 to 2.5)
- Intraclass correlation coefficient
- 19.1% (95% CI 18.8 to 20.5%)
Observational data: associations, not effects.
Original publication
Variation in Hospital Neuraxial Labor Analgesia Rates in California. Anesthesiology. Published 27 February 2024. doi:10.
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