伊朗孕妇产科出血和创伤的季节性趋势和急诊入院情况。

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Maternal and Child Health Journal Pub Date : 2025-01-01 Epub Date: 2024-12-11 DOI:10.1007/s10995-024-04022-1
Elham Nazari, Rizwana Biviji, Fateme Sistanian, Fazilat Biviji, Cauveri Gurav-Kolhar, Zahra Ebnehoseini, Reza Akhavan, Hamed Tabesh
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引用次数: 0

摘要

目的:在全球范围内,产科出血和创伤是妊娠期间孕产妇和胎儿发病和死亡的主要原因。因此,向这些患者提供高质量的医疗服务是当务之急。本研究旨在探讨转诊月份与因产科出血和创伤而转诊的孕妇急诊入院严重程度之间的关系。材料与方法:对2016年1月至12月在伊朗马什哈德伊玛目礼萨医院急诊中心因出血或创伤入院的1,684名孕妇的住院记录进行回顾性横断面分析。从医院信息系统(HIS)中提取的二次数据用于计算患者人口统计学(年龄、保险类型)、临床特征(入院类型、急诊严重程度、伤害原因、转诊原因)和外部因素(转诊月份)的频率。使用Logistic回归来评估转诊月份与出血和创伤的紧急严重程度(紧急/非紧急)之间的关系。结果:妊娠期出血是全年转诊最常见的原因(1636例,占97.1%)。转诊月份与急诊严重程度显著相关(P结论:在夏季和秋季观察到急诊转诊的高峰,其中10月份因产科出血和创伤转诊的人数最多。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Seasonal Trends and Emergency Admissions for Obstetric Hemorrhage and Trauma among Pregnant Women in Iran.

Objective: Globally, obstetric hemorrhage and trauma are the leading causes of maternal and fetal morbidity and mortality during pregnancy. Delivering high-quality medical care to these patients is therefore imperative.This study aims to examine the relationship between month of referral and the severity of emergency admissions among pregnant women referred for obstetric hemorrhage and trauma.

Materials and methods: A retrospective cross-sectional analysis was conducted on hospital records of 1,684 pregnant women admitted to the case emergency center at Imam Reza Hospital in Mashhad, Iran for hemorrhage or trauma between January and December 2016. Secondary data extracted from the hospital information system (HIS) were used to calculate frequencies for patient demographics (age, insurance type), clinical characteristics (admission type, emergency severity, injury cause, referral reason) and external factors (month of referral). Logistic regression was used to assess the relationship between the month of referral and emergency severity (urgent/non-urgent) for hemorrhage and trauma.

Results: Hemorrhage during pregnancy (n = 1,636, 97.1%) was the most prevalent reason for referral throughout the year. The month of referral was significantly associated with emergency severity (P < 0.001). Compared to March, the odds of urgent referrals were notably higher in August (OR 3.822), October (OR 5.084), and November (OR 4.720).

Conclusion: A peak in emergency referrals were observed during the summer and fall months, with October having the highest number of referrals for obstetric hemorrhage and trauma.

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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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