2009年至2017年,纽约市第一季度血红蛋白A1c查的预测因素和趋势,2009年至2017年
Luciana Vieira1, Katharine McCarthy2,3, Shelley H Liu3
1Department of Obstetrics and Gynecology, Stamford Health System, Stamford, Connecticut.
American journal of perinatology
|August 21, 2023
概括
怀孕早期的头三个月血红蛋白A1c查显著增加,但对高风险人群的查变得不那么有针对性. 这一转变与妊娠期糖尿病患病率的增加和风险人群不那么歧视性测试相吻合.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖化血红蛋白 (A1c) 对于在怀孕早期评估血糖控制至关重要.
- 监测A1c水平有助于识别和管理孕妇糖尿病.
研究的目的:
- 检查2009年至2017年第一季度A1c查的趋势.
- 确定与怀孕早期A1c查相关的孕产妇预测因素.
- 评估随着时间的推移,A1c查对高风险人群的向.
主要方法:
- 使用了相关的医院出院,重要登记数据和纽约市A1C登记 (N=798,312).
- 分析了第一季度A1c查率和A1c平均值的趋势.
- 评估了与妊娠糖尿病高风险因素相关的查模式.
主要成果:
- 第一个三个月的A1c查从2.3% (2009) 增加到7.7% (2017).
- 查对高风险患者的查变得不那么有针对性,平均A1c值下降 (5.8%至5.3%).
- 妊娠期糖尿病的患病率上升,而测试显示,对高风险群体的歧视减少 (例如,妊娠期糖尿病,肥胖,晚期母亲年龄,特定种族).
结论:
- 尽管查增加了,但怀孕早期的A1c测试对高风险个体的关注越来越少.
- 这些发现表明需要重新评估查策略,以确保公平有效地识别妊娠糖尿病.
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