Am J Obstet Gynecol. 2022 Sep;227(3):B2-B8. doi: 10.1016/j.ajog.2022.05.045. Epub 2022 May 27.
Hypertensive disorders of pregnancy are a leading cause of maternal morbidity and mortality. Because postpartum exacerbation of severe hypertension is common, the American College of Obstetricians and Gynecologists recommends that patients with severe hypertension during the childbirth hospitalization be seen within 72 hours after discharge. In this statement, the Society for Maternal-Fetal Medicine proposes a uniform metric reflecting the rate of timely postpartum follow-up of patients with severe hypertension. The metric is designed to be measured using automated calculations based on billing codes derived from claims data. The metric can be used in quality improvement projects to increase the rate of timely follow-up in patients with severe hypertension during the childbirth hospitalization. Suggested steps for implementing such a project are outlined.
妊娠高血压疾病是孕产妇发病率和死亡率的主要原因。由于产后严重高血压恶化较为常见，美国妇产科医师学会建议在分娩住院期间患有严重高血压的患者在出院后 72 小时内进行随访。在本声明中，母胎医学学会提出了一个统一的指标，反映了严重高血压患者产后及时随访的比例。该指标旨在通过使用从索赔数据中提取的计费代码进行自动计算来进行测量。该指标可用于质量改进项目，以提高分娩住院期间严重高血压患者的及时随访率。概述了实施此类项目的建议步骤。
