在阿司匹林处方中错过了机会,用于预防产前
Noreen Singh1,2, Saskia Shuman3, Jacqueline Chiofalo3
1The Institute for Family Health, 230 W 17th St, New York, NY, 10011, USA. nosingh@institute.org.
低剂量阿司匹林可以预防孕前,这是孕产妇死亡的主要原因. 然而,许多有风险的孕妇,特别是那些有多种中度风险因素的孕妇,没有接受这种关键的阿司匹林预防.
科学领域:
- 产科和妇科 产科和妇科
- 围产期健康 围产期健康
- 健康差异 在健康上的差异
背景情况:
- 孕前是美国孕产妇和婴儿发病率和死亡率的一个重要原因.
- 低收入和边缘化群体受到了不成比例的影响.
- 低剂量阿司匹林预防建议在患有子宫前风险增加的个体.
研究的目的:
- 检查在联邦合格卫生中心 (FQHCs) 接受护理的患者的孕前风险因素和阿司匹林处方模式.
- 为了确定不接受阿司匹林推预防的风险最高的患者群体.
主要方法:
- 在2019年1月至2020年12月期间接受至少两次产前检查的523名孕妇 (年龄18-50岁) 的回顾性图表审查.
- 使用后勤回归模型,对患有中度和高危孕前的患者的处方模式进行分析.
主要成果:
- 在249名高危患者中,只有39%的患者获得阿司匹林处方.
- 患有高风险因素的患者在57.89%的时间处方阿司匹林,而患有多种中度风险因素的患者仅在27.27%的时间处方阿司匹林.
- 亚司匹林处方在有先兆子或高血压病史的患者中最高,但仍低于最佳水平.
结论:
- 尽管有指导方针,但在使用阿司匹林预防孕产前方面,仍有错失的机会.
- 干预措施应针对多种中度风险因素的患者,这些患者可能没有高风险并发症.
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