Caesarean sections, Campania has the highest number in Italy. Hospitals improve on coronary angioplasty

Caesarean Sections – Campania is confirmed as the Italian region with the highest incidence of caesarean sections, exceeding 40% of births, according to the annual report of Agenas (National Agency for Regional Health Services). Although it is the second region in percentage terms after Valle d'Aosta, Campania stands out for its high position compared to other regions with high caesarean rates, including Sicily, Puglia, Lazio and Lombardy. The Ministry of Health has scheduled an audit to address the issue.

Despite the critical issues in the obstetric sector, Campania has seen significant progress in other areas of healthcare. The report highlights a significant improvement in access times for coronary angioplasty in heart attack patients, with the procedure taking place within 90 minutes at the Maria SS. Addolorata Hospital in Salerno. Several facilities that had not reached the required standards in the previous three years improved their performance in 2023. These include the SG Moscati Hospital in Avellino, the Cardarelli in Naples, the Villa Dei Fiori Nursing Home in Naples, and the Ospedali Riuniti Area Nolana.

Despite the progress, Campania must continue to focus on the treatment of acute myocardial infarction, where it ranks second in 30-day mortality, surpassed only by Abruzzo. However, the region stands out for its excellence in laparoscopic cholecystectomies, ranking among the best along with Lombardy, with a post-operative hospital stay of less than three days, as required by the ministry.

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In the context of coronary artery bypass grafting (Bac) operations, Campania stands out with facilities such as S. Giovanni di Dio and Ruggi D'Aragona in Salerno and the Casa di Cura Montevergine in Avellino. However, despite the progress, 30-day mortality from an isolated BAC operation exceeds 4% in Campania, in line with data from Sicily and Sardinia, compared to a national average of 1,5%. The Agenas report highlights both the challenges and successes of Campania's healthcare system, suggesting the need for strategic interventions to further improve the quality of care.