药物使用障碍和严重的孕产妇发病率:是否存在差异性影响?
Justine M Keller1, Noor Al-Hammadi2, Sabel Bass3
1Department of Obstetrics, Gynecology, and Women's Health, Division of Maternal Fetal Medicine, Saint Louis University/SSM Health, St. Louis, MO (Keller and Chavan).
患有物质使用障碍 (SUD) 的孕妇面临严重孕产妇发病率 (SMM) 的风险明显更高. 兴奋剂和镇静剂的使用,以及心血管事件,对于那些有SUD的人来说尤其令人担忧.
科学领域:
- 围产期健康 围产期健康
- 公共卫生 公共卫生
- 孕产妇和胎儿的医学
背景情况:
- 药物使用障碍 (SUD) 是一个日益严重的公共卫生问题,影响着母亲和婴儿的福祉.
- 妊娠中SUD的上升率与严重孕产妇发病率 (SMM) 的增加相吻合.
- 围产SUD和SMM之间的关联需要进一步调查.
研究的目的:
- 评估围产SUD和SMM之间的关联.
- 测试SUD增加SMM事件的风险的假设.
主要方法:
- 住院妊娠住院病人的横截面分析 (2016-2020年).
- 使用ICD-10代码来识别SUD和SMM.
- 执行多变量后勤回归来评估与SUD相关的SMM的可能性.
主要成果:
- 在SUD患者中,SMM患病率明显高于SUD患者 (3.20%) 与没有SUD患者 (2.02%) 相比.
- 患有SUD的患者患SMM的可能性是1.5倍 (aOR 1.52).
- 兴奋剂和镇静剂SUD显示了与SMM最强的关联 (aORs~3.8).
结论:
- 有SUD的孕妇患有SMM的风险大幅增加.
- 特定的SUD类型,特别是兴奋剂和镇静剂,增加了SMM风险.
- 与心血管相关的SMM事件在SUD患者中最常见.
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