Season of delivery and risk of venous thromboembolism during hospitalization among pregnant women.
Season of delivery and risk of venous thromboembolism during hospitalization among pregnant women.
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DOI：
10.3389/fpubh.2023.1272149
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发表时间：
2023
影响因子：
5.2
通讯作者：
Hu, Yu
中科院分区：
文献类型：
--
作者：
Li, Qian;Wang, Hongfei;Wang, Huafang;Deng, Jun;Cheng, Zhipeng;Lin, Wenyi;Zhu, Ruiqi;Chen, Shi;Guo, Jinrong;Li, Huarong;Chen, Yong;Yuan, Xiaowei;Dai, Shulan;Tian, Yan;Xu, Yanyan;Wu, Ping;Zhang, Fan;Wang, Xiaojiang;Tang, Liang V.;Hu, Yu
发现季节与住院患者静脉血栓栓塞（VTE）的发生有关。以前没有研究探讨季节是否与孕妇的VTE风险有关。本研究旨在探讨分娩季节与孕妇住院期间静脉血栓栓塞风险之间的关系。这是一项针对孕妇的多中心回顾性队列研究。参与者是2017年1月至2022年12月期间在中国湖北省七个指定地点分娩的人员。他们是根据他们的季节/月交付分类。随访住院期间新发VTE的信息。约0.28%（104/37，778）的孕妇在住院分娩期间发生新发VTE。调整后，与春季组的参与者相比，夏季，秋季和冬季组的参与者在住院期间发生VTE的风险增加。夏季、秋季和冬季组的OR分别为2.59 [1.30，5.15]、2.83 [1.43，5.60]和2.35 [1.17，4.75]。合并组（夏+秋+冬）的孕妇在住院期间发生静脉血栓栓塞的风险高于春季组（OR，2.59 [1.39，4.85]）。通过限制对未进行体外受精的孕妇、妊娠期糖尿病和早产儿的分析，结果仍然保持稳健。与3月、4月和5月分娩的参与者相比，6月、7月、9月、11月、12月和2月分娩的参与者在住院期间发生VTE的风险更高。这项研究表明，在夏季，秋季和冬季分娩的孕妇在住院期间与春季分娩的孕妇相比，静脉血栓栓塞风险增加。
Seasons were found to be related to the occurrences of venous thromboembolism (VTE) in hospitalized patients. No previous study has explored whether seasons were associated with VTE risk in pregnant women. This study aimed to investigate the relationships between the season of delivery and VTE risk during hospitalization among pregnant women. This is a multi-center retrospective cohort study of pregnant women. Participants were those who delivered at seven designated sites in Hubei Province, China, during the period from January 2017 to December 2022. They were categorized according to their season/month of delivery. Information on new-onset VTE during hospitalization was followed. Approximately 0.28% (104/37,778) of the pregnant women developed new-onset VTE during hospitalization for delivery. After adjustment, compared with participants in the spring group, participants in the summer, autumn, and winter groups had an increased risk of VTE during hospitalization. The ORs were 2.59 [1.30, 5.15], 2.83 [1.43, 5.60], and 2.35 [1.17, 4.75] for the summer, autumn, and winter groups, respectively. Pregnant women in the combined group (summer + autumn + winter) had an increased risk of VTE during hospitalization than those in the spring group (OR, 2.59 [1.39, 4.85]). By restricting the analyses among pregnant women without in vitro fertilization, gestational diabetes mellitus, and preterm, the results still remained robust. Compared with participants who delivered in March, April, and May, participants who delivered in June, July, September, November, December, and February had a higher risk of VTE during hospitalization. This study demonstrated that pregnant women who delivered in summer, autumn, and winter had an increased VTE risk during hospitalization compared with those who delivered in spring.
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影响因子：
3.7
作者：
Chiu HH;Whittaker P
通讯作者：
Whittaker P
影响因子：
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作者：
Jacobsen, Anne Flem;Skjeldestad, Finn Egil;Sandset, Per Morten
通讯作者：
Sandset, Per Morten
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10.4
作者：
Dales, R. E.;Cakmak, S.;Vidal, C. B.
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Vidal, C. B.
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3.3
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Lee, Cheng-Han;Cheng, Ching-Lan;Yang, Yea-Huei Kao
通讯作者：
Yang, Yea-Huei Kao
影响因子：
7.5
作者：
Fink, AM;Mayer, W;Steiner, A
通讯作者：
Steiner, A