跨种族的产前高血压和新生儿结局:2016-2022年
Muhammad Shariq Usman1, Ali Salman2, Eliza Aisha2
1UT Southwestern Medical Center, Dallas, TX, USA; Parkland Health and Hospital System, Dallas, TX, USA.
Current problems in cardiology
|August 22, 2025
概括
在患有高血压的母亲中, 新生儿发病率仍然存在种族差异. 美国黑人母亲面临死亡率和低出生体重的最高风险,
科学领域:
- 围产期健康
- 新生儿结局
- 健康上的差异
背景情况:
- 孕妇高血压是影响新生儿健康的重大妊娠并发症.
- 在美国的高血压怀孕中,新生儿发病率的种族和民族差异.
研究的目的:
- 研究美国高血压孕妇新生儿发病情况的种族差异.
- 确定特定的不良结果和高风险人群.
主要方法:
- 使用CDC WONDER出生数据库 (2016-2022) 的回顾性队列研究.
- 分析高血压母亲的活产,计算新生儿集中治疗室住院率,辅助呼吸,低出生体重和死亡率.
- 根据种族/种族和地理区域分层结果.
主要成果:
- 美国黑人 (BA) 母亲的住院新生儿死亡率最高 (3.6/1000),出生体重低 (235.1/1000).
- 原住民夏威夷/太平洋岛民 (NH/PI) 妇女的新生儿辅助呼吸率最高 (131.8/1000).
- 观察到区域差异,中西部和南部在某些种族群体中出现更高的特定不良结果.
结论:
- 对于高血压母亲的婴儿,新生儿发病率存在显著的种族和地区差异.
- 美国黑人母亲所面临的新生儿死亡率不成比例.
- 针对性干预对于高风险人群来说至关重要,
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