延长产后结果,包括系统治疗和管理产后高血压计划
Courtney Bisson1, Easha Patel1, Ariel Mueller2
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of Chicago Medicine, Chicago, IL, United States.
Pregnancy hypertension
|June 15, 2024
概括
一项针对产后高血压的质量改善计划显示,一年后的随访率很低,特别是在黑人患者和公共保险患者中. 这凸显了需要更好的策略来管理高风险产后个体的心血管疾病风险.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 质量改善倡议 质量改善倡议
背景情况:
- 产后高血压 (PPH) 影响了大量的分娩.
- 有效管理PPH对于长期孕产妇心血管健康至关重要.
- 质量改进计划旨在标准化护理并改善患者的治疗结果.
研究的目的:
- 评估质量改善计划对产后高血压管理的长期影响.
- 评估产后高血压系统治疗和管理计划 (STAMPP) 中产后一年的患者随访率.
主要方法:
- 在2018年10月至2020年6月期间分娩的1480名患者的回顾性研究.
- 参与STAMPP计划的患者接受了标准化的袖口,教育和后续协议.
- 主要结局:产后6周至1年期间的医生访问 (PCP或心脏病学).
主要成果:
- 63%的患者在12个月内进行了一些随访.
- 12%的人看了心脏病学,19%的人看了初级保健医生 (PCP).
- 没有随访的患者更有可能获得公共援助 (73.9%) 和认定为黑人 (77%的队列).
结论:
- 少数患者完成了为期一年的产后随访,这表明了护理上的差距.
- 黑人患者和公共保险患者的随访率明显较低.
- 需要进一步的干预,以优化高风险患者的长期随访,以减少心血管疾病的流行率.
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