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Journal of hypertension. 2018 Mar;36(3):608-618. doi: 10.1097/HJH.0000000000001594 Q23.32024

Hypertensive disorders of pregnancy and postpartum readmission in the United States: national surveillance of the revolving door

美国妊娠期高血压疾病与产后再次入院:全国监测报告住院治疗的循环往复现象 翻译改进

Mulubrhan F Mogos  1, Jason L Salemi  2, Kiara K Spooner  2, Barbara L McFarlin  1, Hamisu H Salihu  2

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作者单位

  • 1 Department of Women, Children and Family Health Science, College of Nursing, University of Illinois at Chicago, Chicago, Illinois.
  • 2 Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas, USA.
  • DOI: 10.1097/HJH.0000000000001594 PMID: 29045342

    摘要 Ai翻译

    Objectives: Hypertensive disorders of pregnancy (HDP) represent the most common cause of maternal-fetal morbidity and mortality. Yet, the prevalence and cost of postpartum (42-day) readmission (PPR) among HDP-complicated pregnancies in the United States remains unknown. This study provides national prevalence and cost estimates of HDP, and examine factors associated with potentially preventable PPR following HDP-complicated pregnancies.

    Method: The 2013 and 2014 Nationwide Readmissions Databases were used to investigate HDP and PPR among delivery hospitalizations to women aged 15-49 years. PPR rates, length of stay, and costs were stratified by four HDP subtypes based on timing and severity of their condition. Survey logistic regression was employed to generate adjusted odds ratios for the association between HDP and PPR.

    Result: In 2013 and 2014, there were 6.3 million delivery hospitalizations; 666 506 (10.6%) were complicated by HDP. Annually, HDP was responsible for higher rates of potentially preventable PPR. Among HDP-complicated pregnancies, the 42-day all-cause PPR rate ranged from 2.5% (gestational hypertension) to 4.6% (superimposed preeclampsia/eclampsia). Compared with normotensive pregnancies, HDP resulted in an excess 404 800 hospital days and inpatient care costs of $731 million. Even after controlling for patient-level and hospital-level confounders, all hypertensive subgroups continued to have at least two-fold, statistically significant, increased odds of potentially preventable PPR.

    Conclusion: HDP is associated with increased risk of PPR and substantial medical costs. Preventive efforts should be made to identify women at increased risk of PPR during hospitalization so that transition care intervention can be initiated.

    Keywords:hypertensive disorders; postpartum readmission; United States

    Copyright © Journal of hypertension. 中文内容为AI机器翻译,仅供参考!

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    期刊名:Journal of hypertension

    缩写:J HYPERTENS

    ISSN:0263-6352

    e-ISSN:1473-5598

    IF/分区:3.3/Q2

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    Hypertensive disorders of pregnancy and postpartum readmission in the United States: national surveillance of the revolving door