远程血压监测程序与产后不良结果的关联
Adi Hirshberg1, Yifan Zhu, Aaron Smith-McLallen
1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, University of Pennsylvania, and Independence Blue Cross, Philadelphia, Pennsylvania.
远程血压监测减少了产后不良结果和医疗费用. 该计划有望改善孕产妇的健康状况,减少医疗保健的使用率.
科学领域:
- 孕产妇健康 孕产妇健康
- 心血管医学 心血管医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 妊娠高血压疾病 (HDP) 是孕产妇发病率的重要原因之一.
- 有效的产后监测对于管理HDP和预防不良结果至关重要.
- 远程监控为改善产后护理的可访问性和遵守性提供了一个潜在的解决方案.
研究的目的:
- 评估远程血压监测程序与产后不良临床结果之间的关联.
- 评估远程监控对HDP患者医疗利用率和医疗总费用的影响.
主要方法:
- 使用行政索赔数据 (2017-2021) 对HDP患者进行回顾性队列研究.
- 基于文本的远程血压监测程序中的患者与两个倾向性得分匹配的队列 (异步和同时) 的比较.
- 评估不良临床结果,医疗保健服务利用率和分娩后的总医疗费用.
主要成果:
- 与异步队列相比,远程监测患者在产后6个月内出现的不良结果较少 (2.9%与4.7%相比).
- 与同期队列相比,没有观察到不良结果的显著差异 (3.2%对4.5%).
- 远程监控导致了更多的心脏病诊所,但ED诊所和再入院的数量减少,从而降低了总体医疗费用.
结论:
- 远程血压监测与减少产后不良结果和降低医疗成本有关.
- 远程监控程序的实施可以减少医院再入院和急诊室的访问.
- 基于证据的远程监测可以改善孕产妇的健康状况,并降低风险人群的死亡率.
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