加纳的子痫前期:关于阿散蒂地区产后再入院的发生率和风险因素的研究

E. Anto, W. I. O. Boadu, Lovelace Kwaku Gyamfi, E. E. Korsah, Ezekiel Ansah, Joseph Frimpong, V. C. K. T. Tamakloe, A. Tawiah, Elizabeth Aboagye, Albright Etwi‐Mensah, Agartha Odame Anto, C. Obirikorang
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引用次数: 0

摘要

尽管子痫前期的治疗有了很大的改进,但它仍然是导致产后再次入院的常见原因之一。为了减少产后再入院的发生率和相关并发症,需要提高对产后再入院风险因素的认识。这项基于医院的回顾性研究在加纳 Komfo Anokye 教学医院的妇产科进行。我们查阅了子痫前期患者的病历,包括社会人口学特征和产科特征。使用社会科学统计软件包 26.0 版和 GraphPad Prism 8.0 版进行了统计分析,P 值小于 0.05 视为具有统计学意义。子痫前期妇女产后因高血压疾病再次入院的比例为 46%。在多变量逻辑模型中对多种混杂因素进行调整后,有高血压家族史[aOR = 3.512,95% CI (1.669-7.394),p = 0.0028]与产后再入院的几率增加有关。然而,无子宫[aOR = 0.321,95% CI (0.116-0.887),p = 0.0028]与产后再入院几率降低独立相关。我们的研究结果突出表明,必须继续努力改善母亲和新生儿的健康状况,包括加强对加纳高危患者的监测。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Preeclampsia in Ghana: A study on the prevalence and risk factors of postpartum readmission in the Ashanti Region
Despite significant improvements in its management, preeclampsia continues to be one of the frequent causes of postpartum readmission. Increased awareness of the risk factors for postpartum readmission is required to reduce its incidence and related complications. This study determined the prevalence and associated risk factors for postpartum readmission among women with preexisting preeclampsia in a Ghanaian population.This hospital‐based retrospective study was conducted at the obstetrics and gynaecology units of Komfo Anokye Teaching Hospital in Ghana. We reviewed the medical records including sociodemographic and obstetric characteristics of preeclampsia patients. Statistical analyses were performed using Statistical Package for Social Sciences Version 26.0 and GraphPad Prism version 8.0. p‐Value <0.05 was considered statistically significant.A total of 208 preeclampsia patients were considered in this study. The rate of postpartum readmission for a hypertensive disorder among women with preeclampsia was 46%. After adjusting for multiple confounders in the multivariate logistic model, having a family history of hypertension [aOR = 3.512, 95% CI (1.669–7.394), p = 0.0028] was associated with increased odds for postpartum readmission. However, being nulliparous [aOR = 0.321, 95% CI (0.116–0.887), p = 0.0028] was independently associated with a reduced odd for postpartum readmission.The rates of postpartum readmission are significantly high among preeclampsia women. Our findings highlight the importance of continued efforts to improve the health outcomes of both mother and newborn, including heightened monitoring of at‐risk patients in the Ghanaian population.
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