Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, US.
Division of Maternal-Fetal Medicine, California Pacific Medical Center, San Francisco, CA, US.
J Perinatol. 2021 Dec;41(12):2730-2735. doi: 10.1038/s41372-021-01237-w. Epub 2021 Oct 21.
To examine the association between the Weighted Adverse Outcome Score (WAOS) and race/ethnicity among a large and diverse population-based cohort of women and neonates in the United States.
This was a retrospective cohort study of women who delivered in the United States between 2011 and 2013. We identified mother-infant pairs with adverse maternal and/or neonatal outcomes. These outcomes were assigned weighted scores to account for relative severity. The association between race/ethnicity and WAOS was examined using chi-square test and multivariable logistic regression.
Compared to White women and their neonates, Black women and their neonates were at higher odds of an adverse outcome.
CONCLUSION(S): The vast majority of women and neonates had no adverse outcome. However, Black women and their neonates were found to have a higher WAOS. This tool could be used to designate hospitals or regions with higher-than-expected adverse outcomes and target them for intervention.
在美国一个大型且多样化的基于人群的女性和新生儿队列中，研究加权不良结局评分（WAOS）与种族/民族之间的关联。
这是一项回顾性队列研究，纳入了 2011 年至 2013 年期间在美国分娩的女性。我们确定了母婴不良结局的母婴对。这些结局被赋予加权分数以考虑相对严重程度。使用卡方检验和多变量逻辑回归来检验种族/民族与 WAOS 之间的关联。
与白人女性及其新生儿相比，黑人女性及其新生儿不良结局的发生几率更高。
绝大多数女性和新生儿没有不良结局。然而，黑人女性及其新生儿的 WAOS 更高。该工具可用于指定不良结局发生率高于预期的医院或地区，并针对这些地区进行干预。
