严重孕产妇发病率监测,时间趋势和区域差异:基于人口的队列研究
Eleni Tsamantioti1, Anna Sandström1, Giulia M Muraca1,2,3
1Clinical Epidemiology Division, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
BJOG : an international journal of obstetrics and gynaecology
|October 6, 2023
概括
瑞典的严重孕产妇死亡率在1999年至2019年之间波动,观察到区域差异很大. 这些时空趋势为改善孕产妇保健优先事项提供了洞察力.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 严重的孕产妇发病率 (SMM) 是孕产妇健康质量的关键指标.
- 了解中小企业管理的时间趋势和区域差异对于有针对性的干预措施至关重要.
研究的目的:
- 量化瑞典严重孕产妇死亡率 (SMM) 的时间趋势和区域差异.
- 确定有助于这些趋势的SMM的特定类型和亚型.
主要方法:
- 一项回顾性队列研究分析了1999年至2019年瑞典活产和死产的分娩情况.
- 通过使用经过修改的诊断和程序代码标准清单,确定了SMM病例.
- 通过使用比率比率来评估区域对比,并描述时间变化.
主要成果:
- 复合中小企业利率最初上升,在2006年达到顶峰,然后在2019年下降.
- 严重出血率反映了复合SMM趋势.
- 常见的SMM类型包括严重出血,孕前/孕/HELLP综合征和败血症;栓塞,败血症和辅助呼吸率增加,而手术并发症减少.
结论:
- 在瑞典发现了SMM及其亚型的显著时空变化.
- 这些发现突出了提高孕产妇健康结果的区域优先事项.
- 该研究为公共卫生政策和临床实践改进提供了有价值的数据.
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