{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T22:32:49Z","timestamp":1779229969683,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2014,6,4]],"date-time":"2014-06-04T00:00:00Z","timestamp":1401840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Mennonite Christian Hospital, Hualien, Taiwan","award":["MCH-D100003"],"award-info":[{"award-number":["MCH-D100003"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2014,8]]},"abstract":"Background<\/jats:title>We examined the change in anesthetic practice for C<\/jats:styled-content>aesarean section (CS<\/jats:styled-content>) during the past decade and determined factors influencing anethesiologists' decisions.<\/jats:p><\/jats:sec>Methods<\/jats:title>The cases were identified from data retrieved from L<\/jats:styled-content>ongitudinal H<\/jats:styled-content>ealth I<\/jats:styled-content>nsurance D<\/jats:styled-content>atabase released by the T<\/jats:styled-content>aiwan N<\/jats:styled-content>ational H<\/jats:styled-content>ealth R<\/jats:styled-content>esearch I<\/jats:styled-content>nstitute in 2008. Trend analysis was performed using logistic regression models. The decision tree analysis was performed using the chi\u2010squared automatic interaction detector method and multivariable logistic regression analysis was performed to identify predictors of general anesthesia.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 25,606 women undergoing CS<\/jats:styled-content> were studied. Logistic regression analyses revealed an upward trend of spinal anesthesia from 2000 to 2008 [57.8\u201367.5%, adjusted odds ratio (OR<\/jats:styled-content>)\u2009=\u20091.06, 95% confidence interval (CI<\/jats:styled-content>)\u2009=\u20091.05\u20131.07, P<\/jats:italic>\u2009<\u20090.001] and a decreasing trend across time for both general and epidural anesthesia (5.5\u20133.9% and 36.7\u201328.6%; both OR<\/jats:styled-content>\u2009<\u20091, both P<\/jats:italic>\u2009<\u20090.001). Patterns of change in anesthetic practice across time for emergency and non\u2010emergency CS<\/jats:styled-content> were similar (all P<\/jats:italic>\u2009<\u20090.05). Our data further demonstrated that early or threatened labor, a history of preeclampsia, antepartum hemorrhage, emergency CS<\/jats:styled-content>, and previous CS<\/jats:styled-content> were important predictors that influenced the anesthesiologists' choice of general anesthesia versus neuraxial anesthesia for women undergoing CS<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Spinal anesthesia was the most common mode of anesthesia for CS<\/jats:styled-content> deliveries in T<\/jats:styled-content>aiwan during the past decade. Early or threatened labor, antepartum hemorrhage, emergency CS<\/jats:styled-content>, previous CS<\/jats:styled-content>, and preeclampsia are significant determinants of general anesthesia in CS<\/jats:styled-content> deliveries.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12350","type":"journal-article","created":{"date-parts":[[2014,6,4]],"date-time":"2014-06-04T06:29:00Z","timestamp":1401863340000},"page":"843-850","source":"Crossref","is-referenced-by-count":21,"title":["Anesthetic practice for C<\/scp>aesarean section and factors influencing anesthesiologists' choice of anesthesia: a population\u2010based study"],"prefix":"10.1111","volume":"58","author":[{"given":"H.\u2010Y.","family":"LAI","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Mennonite Christian Hospital Hualien Taiwan"},{"name":"Department of Life Sciences National Dong Hwa University Hualien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.\u2010S.","family":"TSAI","sequence":"additional","affiliation":[{"name":"Graduate Institute of Nursing College of Nursing Taipei Medical University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.\u2010C.","family":"FAN","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Taipei Tzu Chi Hospital The Buddhist Tzu Chi Medical Foundation Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.\u2010J.","family":"HUANG","sequence":"additional","affiliation":[{"name":"School of Medicine Tzu Chi University Hualien Taiwan"},{"name":"Department of Anesthesiology Taipei Tzu Chi Hospital The Buddhist Tzu Chi Medical Foundation Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,6,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000160429.22836.c0"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2008.03.007"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.anes.0000264744.63275.10"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","unstructured":"National Institute for Health and Clinical Excellence (NICE).Caesarean section. 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