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2016-2021年北卡罗来纳州怀孕和急诊室利用情况:基于人口的监视研究

Elizabeth M Nazzal¹, Anna E Waller², Michelle L Meyer²

¹University of North Carolina School of Medicine, Chapel Hill, North Carolina.

|October 4, 2023

概括

在北卡罗来纳州的生育年龄妇女中,因与怀孕相关的问题而访问急诊室的数量正在增加. 这些访问更有可能导致住院,突出显示母亲获得医疗保健的差异.

科学领域:

公共卫生公共卫生
流行病学流行病学
孕产妇健康孕产妇健康

背景情况:

怀孕相关的投诉经常导致生育年龄的妇女前往急诊室 (ED).
在怀孕期间使用ED与母亲和婴儿的不良分娩结果有关.

研究的目的:

描述与ED相关的社会人口统计因素,用于与怀孕有关的问题.
分析这些急救诊所访问后的随后住院率.

主要方法:

利用北卡罗来纳州疾病事件跟踪和流行病学收集工具 (NC DETECT) 的数据从2016年到2021年.
分析了15-44岁妇女的ED遭遇,使用ICD-10-CM代码将访问归类为与怀孕相关的访问.
采用多变量逻辑回归来确定入院预测因素.

主要成果:

分析了超过640万次ED访问,其中10.1%与怀孕相关,这一数字明显高于预期,并且随着时间的推移而增加.
与怀孕相关的ED访问在年轻女性 (15-24岁),黑人妇女和农村/郊区妇女中不成比例地高.
与非怀孕相关的访问 (7.0%) 相比,与怀孕相关的ED访问 (15.6%) 更常见.

结论:

与怀孕相关的急救诊所和随后的住院住院病例正在增加,这表明孕产妇获得医疗保健的潜在差距.
公共卫生监测数据可以识别差异,并为改善孕产妇健康结果的干预提供信息.
需要有针对性的策略来应对妊娠期间不断增加的ED使用率和相关的住院治疗.

关键词:

怀孕怀孕怀孕怀孕紧急服务,医院急救服务.医疗保健中的差异.

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