失眠与30天产后再入院的关联:回顾性分析
Anthony M Kendle1, Justin Swanson2, Jason L Salemi1,2
1Department of Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, Tampa, FL 33602, USA.
在分娩期间诊断出患有母亲失眠的母亲住院增加了30天分娩后再入院的风险. 患有失眠的孕妇面临更高的再入院率,这表明需要加强产后支持.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 失眠在怀孕期间很常见,并且与更大的医疗保健利用有关.
- 了解失眠对产后结果的影响对于母亲的护理至关重要.
研究的目的:
- 为了研究在分娩时诊断的失眠和30天产后再入院风险之间的关联.
- 为了确定失眠是否是产后再入院的独立风险因素.
主要方法:
- 全国再接收数据库 (2010-2019) 的回顾性分析.
- 使用ICD-9-CM/ICD-10-CM代码识别了带有失眠诊断的分娩住院情况.
- 使用后勤回归来评估失眠和30天再入院之间的关联,控制共变量.
主要成果:
- 分析了超过3400万次分娩;每10,000例中,有7.6例被诊断为失眠.
- 失眠与3.0%的再入院率有关,而没有失眠的比例为1.4%.
- 在调整后,失眠独立增加了33%的再入院几率 (aOR 1.33;95% CI 1.18-1.48).
结论:
- 在分娩期间住院期间诊断的孕产妇失眠独立地与更高的30天产后再入院率有关.
- 患有失眠的孕妇可能需要额外的产后支持和监测.
- 对怀孕期间失眠的干预措施进行进一步的研究是有必要的.
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