美国医疗保健系统的变化和住院孕产妇死亡率
M A Mohamed1, K Venkatesh2, D Abdelatif3
1Division of Neonatology, Cleveland Clinic Children's, Cleveland, USA.
Journal of neonatal-perinatal medicine
|July 20, 2024
概括
住院产妇死亡率与医院的大小,城市位置和保险类型有关. 患有心血管问题,出血或败血症的女性面临的风险明显更高. 提供医疗保健的变化会影响孕产妇死亡率.
科学领域:
- 医疗保健提供系统
- 孕产妇的健康结果
- 公共卫生研究 公共卫生研究
背景情况:
- 住院产妇死亡率仍然是一个关键的公共卫生问题.
- 医疗保健服务供应的变化可能会影响产妇死亡率.
- 了解这些关联对于改善孕产妇安全至关重要.
研究的目的:
- 检查住院孕产妇死亡率与医疗保健服务提供因素之间的关联.
- 调查医院规模,位置,教学地位,地区和保险对孕产妇死亡率的影响.
- 确定导致住院产妇死亡的关键风险因素.
主要方法:
- 国家住院患者样本 (2012-2014) 的综合,横截面分析.
- 使用ICD-9-CM代码来了解母亲的人口统计,临床状况和分娩结果.
- 采用双变量和多变量逻辑回归模型来评估死亡风险.
主要成果:
- 产妇死亡发生在1310例 (12/100,000活产).
- 较高的死亡风险与心血管疾病,出血,败血症,大型医院,城市教学/非教学医院,南部地区和公共保险有关.
- 特定调整的赔率比率 (aOR) 表示这些因素的风险增加.
结论:
- 提供医疗保健的变化与住院孕产妇死亡率有关.
- 病例组合和临床条件部分解释了观察到的死亡率差异.
- 建议进行进一步的定性分析,以了解将医疗保健环境与产妇死亡率联系在一起的机制.
关键词:
经济差异 经济差异提供医疗保健服务的医疗服务.医院学术地位 医院学术地位美国地理区域内的医院所在地.医院的农村/城市指定.医院的大小 医院的大小住院患者的母亲死亡率.保险覆盖范围:保险覆盖范围包括:孕产妇死亡率 孕产妇死亡率产后出血和种族差异问题puerperal 败血症 在婴儿期的败血症.更多相关视频
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