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Table 2 Components and total scores for the Adverse Outcome Index and Weighted Adverse Outcome Score

From: Effect of implementation of the MOREOB program on adverse maternal and neonatal birth outcomes in Ontario, Canada: a retrospective cohort study

Variable

Full Sample

n = 1,447,073

WAOS Weights

Total WAOS pointsa

Pre-MOREOB

n = 328,864

During MOREOB

n = 556,550

Post-MOREOB

n = 561,659

 

n(%)

  

n(%)

n(%)

n(%)

Maternal death

69 (0.00)

750

51,750

14 (0.00)

30 (0.01)

25 (0.00)

Uterine rupture

516 (0.04)

100

51,600

106 (0.03)

192 (0.03)

218 (0.04)

Maternal admission to ICU

3566 (0.25)

65

231,790

714 (0.22)

1406 (0.25)

1446 (0.26)

Unanticipated operative procedure

11,081 (0.77)

40

443,240

2112 (0.64)

4168 (0.75)

4801 (0.85)

Blood transfusion

7880 (0.54)

20

157,600

2069 (0.63)

3121 (0.56)

2690 (0.48)

4th degree tearb

5187 (0.36)

5

25,935

1169 (0.36)

2128 (0.38)

1890 (0.34)

Neonatal death

12,074 (0.83)

400

4,829,600

2613 (0.79)

4731 (0.85)

4730 (0.84)

Birth trauma

4045 (0.28)

60

242,700

1242 (0.38)

1641 (0.29)

1162 (0.21)

NICU admissionc

61,079 (4.22)

35

2,137,765

13,199 (4.01)

23,584 (4.24)

24,296 (4.33)

Adverse Outcome Indexd

98,789 (6.83)

21,898 (6.66)

38,462 (6.91)

38,429 (6.84)

 

Mean (SD)

  

Mean (SD)

Mean (SD)

Mean (SD)

Weighted Adverse Outcome Score

4.86 (4.3)

4.52 (4.50)

5.05 (4.15)

4.97 (4.27)

Maternal age

28.86 (4.21)

27.43 (6.17)

29.06 (3.70)

29.83 (1.56)

Maternal comorbidity index

0.48 (0.18)

0.41 (0.20)

0.49 (0.17)

0.53 (0.17)

Gestational age of infant at birth in weeks

38.8 (2.0)

38.9 (2.0)

38.8 (2.1)

38.8 (2.1)

  1. ICU Intensive Care Unit, MOREOB Managing Obstetrical Risk Efficiently, NICU Neonatal Intensive Care Unit
  2. aNumber of events multiplied by the WAOS weight
  3. b3rd degree tear data were of poor quality and therefore only 4th degree tears were included in the composite index
  4. cNICU admission, for at least 2 days, or transfer within 24 h of birth to a facility with a NICU, for an infant with birth weight at least 2500 g
  5. d5 min Apgar not included