怀孕期间的创伤:再接收和孕产妇和胎儿后果的预测因素
Yasmin Arda1, May Abiad2, Wardah Rafaqat1
1Division of Trauma, Emergency Surgery, and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
The Journal of surgical research
|December 18, 2025
概括
怀孕的创伤患者有计划外的再入院面临增加的母胎并发症. 年龄较小,多种并发症和没有保险的情况是创伤伤害后再入院的关键风险因素.
科学领域:
- 创伤外科 手术 创伤外科
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
背景情况:
- 创伤是孕妇死亡的主要原因,也是胎儿死亡的重要因素.
- 关于孕妇创伤患者意外再入院预测因素的数据有限.
- 这项研究调查了90天再入院和相关的母胎并发症的预测因素.
研究的目的:
- 确定因创伤而入院的孕妇90天无计划再入院的预测因素.
- 在这个人群中评估与再入院相关的母胎并发症.
- 为减少再接收率提供有针对性的干预信息.
主要方法:
- 利用全国再接收数据库 (2016-2019) 进行成人创伤入院.
- 使用国际疾病分类 - - 妊娠年龄的10个代码识别出孕妇.
- 采用多变量后勤回归来确定再接收预测因素.
主要成果:
- 在孕妇创伤入院中,观察到4.5%的再入院率 (254/5653).
- 重新入院的患者年轻,患有更多的并发症 (例如,物质使用,糖尿病),并经历了更严重的伤害.
- 再入院的独立预测因素包括无保险身份,多种并发症和先前的剖腹产;精神疾病是最常见的再入院原因.
结论:
- 孕妇创伤患者的再接收与不良的孕产妇和胎儿结果有关.
- 年轻的患者,多种并发症患者和没有保险的人面临更高的再接收风险.
- 解决这些风险因素的干预措施对于减轻创伤的影响至关重要.
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