在智力和发育障碍患者中产后再接收
Jessica E Rast1, Jennifer Bromberg1, Arina Chesnokova2
1A.J. Drexel Autism Institute, Drexel University, Philadelphia, Pennsylvania.
American journal of preventive medicine
|June 27, 2025
概括
对于智力和发育障碍 (IDD) 和自闭症谱系障碍 (ASD) 的人来说,产后再接收率明显高. 这项研究强调,迫切需要解决这些脆弱人群中产后再接收风险增加的问题.
科学领域:
- 孕产妇健康 孕产妇健康
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 在美国,产后再接收率和严重的孕产妇发病率不断上升.
- 关于智力和发育障碍 (IDD),包括自闭症谱系障碍 (ASD) 的个人产后再接收风险的有限数据.
研究的目的:
- 在一个具有IDD个体的全国代表性样本中估计产后再接收率.
- 为了比较IDD,ASD和一般人群的个人之间的再接收风险.
主要方法:
- 利用国家再接收数据库 (NRD) 进行2019-2020年分娩.
- 对患有IDD (n=5,721),ASD (n=1,099) 和没有这些疾病的人 (n=3,890,553) 的数据进行分析.
- 采用日志双项回归来确定与产后再接收相关的因素.
主要成果:
- 与一般人口 (1.5%) 相比,IDD (6.6%) 和ASD (3.3%) 患者的产后再入院频率更高.
- 患有IDD的个体的风险增加了3.50倍 (aRR=3.50),而患有自闭症的个体的风险增加了2.06倍 (aRR=2.06).
- 严重的孕产妇发病率与再入院风险增加2.80倍有关.
结论:
- 在IDD患者中产后再接收率较高,需要进一步调查促成因素.
- 潜在的驱动因素包括同时出现的健康和心理健康状况,社会支持和医疗保健的可访问性.
- 研究结果强调需要有针对性的干预措施,以改善IDD和ASD患者的产后护理.
相关概念视频
01:29Intellectual Disability
167
Intellectual disability (ID) is a neurodevelopmental condition characterized by deficits in intellectual and adaptive functioning that manifest during the developmental period. This condition encompasses challenges in reasoning, memory, problem-solving, and learning, accompanied by impairments in everyday life skills, such as communication, self-care, and social interactions. Intellectual disability affects approximately 1% of the population in the United States, impacting an estimated 5...
167
01:30Specialized Care Centers and Settings-II
780
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
780
01:19Restorative Care
2.1K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.1K
01:25Learning Disabilities
278
Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
Dyslexia
Dyslexia is a...
278
01:31Discharge Summary Forms
827
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
827
01:30Specialized Care Centers and Settings-I
1.0K
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.0K