与产后再入院严重产妇发病率相关的患者和医院特征。
Patient and hospital characteristics associated with severe maternal morbidity among postpartum readmissions.
机构信息
The Rutgers School of Public Health, Piscataway, NJ, USA.
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Rutgers Robert Wood Johnson School of Medicine, New Brunswick, NJ, USA.
出版信息
J Perinatol. 2019 Sep;39(9):1204-1212. doi: 10.1038/s41372-019-0426-6. Epub 2019 Jul 16.
OBJECTIVE
To examine the influence of socioeconomic, clinical, and hospital characteristics on the risk of severe maternal morbidity among postpartum readmissions.
STUDY DESIGN
A cross-sectional analysis was conducted using the National Inpatient Sample 2006-2012 to estimate the risk of severe maternal morbidity and identify potential risk factors. Odds ratios were calculated using multivariate logistic regression.
RESULTS
Women aged ≥35 years (ages 35-39: OR 1.12 [CI 1.06, 1.19]; ages 40+: OR 1.27 [CI 1.17, 1.39]), non-Hispanic blacks (OR 1.16 [CI 1.10, 1.22]), and women with pre-existing medical conditions (OR 1.62 [CI 1.56, 1.68]) were at greater risk of severe maternal morbidity during postpartum readmissions. Women hospitalized outside the Northeast region (Midwest: OR 1.20 [CI 1.10, 1.30]; South: OR 1.29 [CI 1.20, 1.38]; West: OR 1.33 [CI 1.22, 1.44]) were also at increased risk.
CONCLUSION
The risk of severe maternal morbidity is heightened beyond delivery hospitalization for a subset of high-risk women.
目的
探讨社会经济、临床和医院特征对产后再入院严重产妇发病率的影响。
研究设计
本研究采用 2006 年至 2012 年国家住院患者样本进行横断面分析，以估计严重产妇发病率的风险，并确定潜在的危险因素。使用多变量逻辑回归计算比值比。
结果
年龄≥35 岁的妇女（35-39 岁：OR 1.12 [CI 1.06, 1.19]；40 岁以上：OR 1.27 [CI 1.17, 1.39]）、非西班牙裔黑人（OR 1.16 [CI 1.10, 1.22]）和患有预先存在的医疗条件的妇女（OR 1.62 [CI 1.56, 1.68]）在产后再入院期间发生严重产妇发病率的风险更高。不在东北部地区（中西部：OR 1.20 [CI 1.10, 1.30]；南部：OR 1.29 [CI 1.20, 1.38]；西部：OR 1.33 [CI 1.22, 1.44]）住院的妇女风险也增加。
结论
对于一部分高危妇女，在分娩后住院治疗之外，严重产妇发病率的风险会增加。
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