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与产后败血症相关的风险因素,趋势和结果 产后败血症再入院
Lilly Y Liu1, Timothy Wen, Uma M Reddy
1Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York, New York; and the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, California.
Obstetrics and gynecology
|November 9, 2023
概括
孕产妇败血症是产后再入院的重要原因,导致严重的不良结果. 识别慢性疾病等风险因素可以改善孕产妇的护理,并降低再接收率.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 产后再接收对医疗保健系统构成重大负担.
- 孕产妇败血症是一种危及生命的疾病,是分娩后期的关键问题.
研究的目的:
- 为了确定产后再入院因孕产妇败血症的患病率和时间.
- 为了确定与产后败血症再入院相关的临床风险因素.
- 评估与分娩期间和产后再入院期间的孕产妇败血症相关的不良结果.
主要方法:
- 一项回顾性队列研究分析了来自2016-2020年全国再接收数据库的分娩住院和60天产后再接收.
- 使用关节点回归来评估时间趋势,后勤回归确定了产后败血症再入院的风险因素.
- 记录了不良结果,包括死亡,严重发病率,重症监护和功能衰竭.
主要成果:
- 在1.1/1,000例分娩住院病例和1.3/1,000例产后再入院病例中诊断出败血症,占所有产后再入院病例的7.9%.
- 风险因素包括年龄较小,医疗补助保险,收入较低和慢性疾病 (肥胖,糖尿病,高血压).
- 败血症显著增加了孕产妇死亡,严重发病率,重症监护入院和产后功能衰竭的风险.
结论:
- 孕产妇败血症是产后再入院和不良结果的主要驱动因素.
- 了解风险因素和败血症的影响对于改善孕产妇健康和减少再入院至关重要.
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