Contemporary pregnancy outcomes for women with moderate and severe congenital heart disease.

IF 0.8 Q4 OBSTETRICS & GYNECOLOGY

Obstetric Medicine Pub Date : 2023-03-01 Epub Date: 2021-12-09 DOI:10.1177/1753495X211064458

Samantha A Kops, Danielle D Strah, Jennifer Andrews, Scott E Klewer, Michael D Seckeler

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引用次数: 0

Abstract

Background: Women with congenital heart disease (CHD) are surviving into adulthood, with more undergoing pregnancy.

Methods: Retrospective review of the Vizient database from 2017-2019 for women 15-44 years old with moderate, severe or no CHD and vaginal delivery or caesarean section. Demographics, hospital outcomes and costs were compared.

Results: There were 2,469,117 admissions: 2,467,589 with no CHD, 1277 with moderate and 251 with severe CHD. Both CHD groups were younger than no CHD, there were fewer white race/ethnicity in the no CHD group and more women with Medicare in both CHD groups compared to no CHD. With increasing CHD severity there was an increase in length of stay, ICU admission rates and costs. There were also higher rates of complications, mortality and caesarean section in the CHD groups.

Conclusion: Pregnant women with CHD have more problematic pregnancies and understanding this impact is important to improve management and decrease healthcare utilization.

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患有中度和重度先天性心脏病妇女的当代妊娠结局。

背景：患有先天性心脏病（CHD）的女性越来越多地存活到成年：患有先天性心脏病（CHD）的女性正在步入成年，其中越来越多的女性正在接受妊娠：回顾性审查 Vizient 数据库 2017-2019 年期间 15-44 岁患有中度、重度或无先天性心脏病并经阴道分娩或剖腹产的女性。比较了人口统计学、住院结果和费用：入院人数为 2,469,117 人：结果：共有 246.9117 万例住院患者：246.7589 万例无先天性心脏病患者、1277 例中度先天性心脏病患者和 251 例重度先天性心脏病患者。两组冠心病患者的年龄均小于无冠心病患者，与无冠心病患者相比，无冠心病患者组中的白人种族/人种较少，且两组冠心病患者中均有更多女性享受医疗保险。随着先天性心脏病严重程度的增加，住院时间、重症监护室入院率和费用也随之增加。患有先天性心脏病组的并发症、死亡率和剖腹产率也较高：结论：患有先天性心脏病的孕妇妊娠问题较多，了解这种影响对于改善管理和减少医疗使用非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obstetric Medicine OBSTETRICS & GYNECOLOGY-

CiteScore

1.90

自引率

0.00%

发文量