美国出生证明和索赔数据上的严重孕产妇病率差异报告,按种族和种族分类
Beth L Pineles1,2, Anthony D Harris3,4, Lisa Pineles3
1Department of Obstetrics & Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States of America.
Epidemiology (Cambridge, Mass.)
|January 22, 2026
概括
与医院索赔数据相比,出生证明显著低于严重孕产妇死亡率 (SMM). 这种报告不足在非西班牙裔黑人和西班牙裔患者中更为明显,可能会扭曲研究结果.
科学领域:
- 孕产妇健康 孕产妇健康
- 公共卫生监督 公共卫生监督
- 医疗保健数据分析数据分析
背景情况:
- 准确报告严重孕产妇发病率 (SMM) 对于理解和改善孕产妇健康结果至关重要.
- 跨不同数据源和种族/族群的SMM报告中的差异可能会影响公共卫生研究和政策.
- 出生证明数据和医院索赔数据是跟踪母亲健康事件的主要来源,但它们的一致性尚未得到充分确立.
研究的目的:
- 为了比较美国出生证明数据和医院索赔数据之间的严重孕产妇发病率 (SMM) 报告.
- 评估报告差异如何根据母亲的种族/种族而有所不同.
主要方法:
- 2019年美国分娩严重孕产妇发病率的比较分析,使用出生证明数据和首席医疗数据库索赔.
- 关键的SMM指标包括输血,子宫切除,ICU入院,子宫破裂和围破伤.
- 使用发病率比率 (IRR) 和后勤回归模型来评估母亲的种族/种族差异.
主要成果:
- 与医院索赔数据相比,出生证明数据报告了在所有研究的疾病中,SMM的发病率要低得多.
- 这两种数据来源之间的SMM报告的差异因母亲的种族/种族而异.
- 例如,出生证明数据中的输血率为非西班牙裔白人患者的索赔数据的50%,对其他种族/族群来说甚至更低.
结论:
- 与医院索赔数据相比,出生证明数据显著低于严重孕产妇死亡率 (SMM).
- 非西班牙裔黑人和西班牙裔患者的差异性报告不足更为显著,可能会在基于出生证明的研究中引入偏见.
- 这些发现强调了在分析孕产妇发病率和差异时需要仔细考虑数据来源的必要性.
关键词:
在ICU中,医生会对患者进行治疗.这是一个SMM,SMM.偏见 偏见 偏见 偏见 偏见出生证明出生证明.输血 输血 输血 输血 输血不同的差异,不平等的差异.切除子宫术 (hysterectomy) 是一种切除子宫的方法.重症监护室的重症监护室是重症监护室的重症监护室.孕产妇发病率 孕产妇发病率孕产妇死亡率 孕产妇死亡率这是一个少数民族的少数民族.服务于少数群体的人群.绿洲绿洲是一个绿洲.产科的伤口 产科的伤口怀孕 怀孕 怀孕 怀孕 怀孕子宫破裂 发生子宫破裂更多相关视频
11:48A Contrast of Three Inoculation Techniques used to Determine the Race of Unknown Fusarium oxysporum f.sp. niveum Isolates
Published on: October 28, 2021
3.7K
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
12.5K
相关概念视频
01:24Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K
01:22Birth Control Methods
5.9K
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
5.9K
01:11Testing a Claim about Mean: Known Population SD
3.2K
A complete procedure of testing the hypothesis about a population mean is explained here.
Estimating a population mean requires the samples to be distributed normally. The data should be collected from the randomly selected samples having no sampling bias. The sample size needed to be higher than 30, and most importantly, the population standard deviation should be already known.
In most realistic situations, the population standard deviation is often unknown, but in rare circumstances, when it...
Estimating a population mean requires the samples to be distributed normally. The data should be collected from the randomly selected samples having no sampling bias. The sample size needed to be higher than 30, and most importantly, the population standard deviation should be already known.
In most realistic situations, the population standard deviation is often unknown, but in rare circumstances, when it...
3.2K
01:27Ethnic Identity within a Larger Culture
231
Adolescents from ethnic minority backgrounds face a multifaceted journey in forming their identities, shaped by the intersections of cultural expectations and personal exploration. For these adolescents, identity formation involves not only typical developmental challenges but also navigating the perceptions and attitudes of the majority culture. As they grow, adolescents in ethnic minority groups often become increasingly aware of stereotypes, social biases, and discrimination, all of which...
231
01:24Testing a Claim about Population Proportion
3.9K
A complete procedure for testing a claim about a population proportion is provided here.
There are two methods of testing a claim about a population proportion: (1) Using the sample proportion from the data where a binomial distribution is approximated to the normal distribution and (2) Using the binomial probabilities calculated from the data.
The first method uses normal distribution as an approximation to the binomial distribution. The requirements are as follows: sample size is large...
There are two methods of testing a claim about a population proportion: (1) Using the sample proportion from the data where a binomial distribution is approximated to the normal distribution and (2) Using the binomial probabilities calculated from the data.
The first method uses normal distribution as an approximation to the binomial distribution. The requirements are as follows: sample size is large...
3.9K
01:19Testing a Claim about Standard Deviation
2.9K
A complete procedure to test a claim about population standard deviation or population variance is explained here.
The hypothesis testing for the claim of population standard deviation (or variance) requires the data and samples to be random and unbiased. The population distribution also must be normal. There is no specific requirement on the sample size as the estimation is based on the chi-square distribution.
As a first step, the hypothesis (null and alternative) concerning the claim about...
The hypothesis testing for the claim of population standard deviation (or variance) requires the data and samples to be random and unbiased. The population distribution also must be normal. There is no specific requirement on the sample size as the estimation is based on the chi-square distribution.
As a first step, the hypothesis (null and alternative) concerning the claim about...
2.9K