Abstract 4145375: Examining Maternal and Fetal Outcomes Across Various Subtypes of Hypertension During Pregnancy
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Le résumé fourni par la source
Introduction: Hypertension disorders of pregnancy (HDP) are a leading cause of maternal morbidity and mortality worldwide. It can be categorized as chronic hypertension (CH), gestational hypertension (GHTN), preeclampsia (PRE), and chronic hypertension with superimposed preeclampsia (SPE).We aim to assess in-hospital maternal and fetal outcomes of women in each of these groups in comparison to normotensive controls. Methods: Study sample included women in the National Inpatient Sample dataset from 2016 to 2020 who were categorized into the 4 groups of HDP described above. They were compared to normotensive pregnancies for maternal and fetal outcomes using regression analysis after adjusting for age, race, C-section status, and comorbidities. Results: The study dataset from October 2015- December 2020 included 19,089,780 labor admissions with 2,771,809 patients affected by HDP. The HDP groups were distributed as follows: GHTN - 38%, PRE - 32%, SPE - 11%, and CHTN - 19%. Women with PRE, SPE, and CH had significantly higher rates of mortality, circulatory shock, peripartum cardiomyopathy, acute kidney injury, preterm labor, stillbirth, and cerebrovascular events compared to normotensive patients, while GHTN did not. Specifically, maternal mortality was highest in the SPE group (adjusted odds ratio [aOR] 3.16), followed by PRE (aOR 2.91) and CH (aOR 2.42). Additionally, all HDP groups had higher rates of small for gestational age and significant bleeding compared to normotensive patients. Conclusions: Pregnant patients with CH, PRE, and SPE experience various higher rates of adverse maternal and fetal outcomes when compared to normotensive patients. Future studies should examine the effect of early high-risk group identification on adverse outcomes in hypertension management.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Abstract 4145375: Examining Maternal and Fetal Outcomes Across Various Subtypes of Hypertension During Pregnancy
- Date Crossref
- 12/11/2024
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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University of Minnesota System pays non établi dans la noticeUniversité ou école supérieure
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SIU Medicine pays non établi dans la noticeUniversité ou école supérieure
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Allegheny Health Network pays non établi dans la noticeÉtablissement de santé
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Henry Ford Health pays non établi dans la noticeOrganisation à but non lucratif
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Michigan United pays non établi dans la noticeOrganisation à but non lucratif
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Southern Illinois University pays non établi dans la noticeUniversité ou école supérieure
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Cooper University pays non établi dans la noticeUniversité ou école supérieure
University of Minnesota System, SIU Medicine et Allegheny Health Network, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.