Postpartum Hospital Readmissions Among Massachusetts Women Who are Deaf or Hard of Hearing.
Postpartum Hospital Readmissions Among Massachusetts Women Who are Deaf or Hard of Hearing.
复制标题
马萨诸塞州聋哑或听力障碍妇女产后再次入院的情况。
DOI：
10.1089/jwh.2022.0068
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Mitra,Monika
中科院分区：
文献类型：
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作者：
McKee,KimberlyS;Akobirshoev,Ilhom;McKee,Michael;Li,FrankS;Mitra,Monika
目的：与其他女性相比，聋人或重听（DHH）女性发生不良妊娠和分娩结局的风险更高。然而，对DHH妇女的产后结果知之甚少。目的是比较产后住院DHH的风险与非DHH妇女和产后admissions.Materials和方法的主要指标：我们分析了1998 - 2017年马萨诸塞州妊娠早期纵向数据系统的数据，并确定了3，546单胎分娩DHH妇女和1，381，439单胎分娩非DHH妇女。我们使用考克斯比例风险模型比较DHH和非DHH妇女在分娩后1 - 42天、43 - 90天和91 - 365天内的首次住院和≥ 2次住院。结果：DHH妇女在所有时期的任何住院风险均较高（1 - 42天内风险比[HR]= 1.84; 95%置信区间[CI] 1.46 - 2.34; 43 - 90天内HR = 2.76; 95%CI 1.99 - 3.83; HR = 3.10; 95%CI 2.66 - 3.60（91 - 365天）。与未使用DHH的妇女相比，她们在分娩后43 - 90天内重复住院的风险几乎高出7倍（HR = 6.84; 95%CI 1.66 - 28.21），在分娩后91 - 365天内的风险几乎高出4倍（HR = 3.63; 95%CI 2.00 - 6.59）。DHH妇女再入院的主要指征包括：产褥期并发症/出血和软组织disorders.Conclusion：与其他妇女相比，DHH妇女在产后所有时期和重复入院> 42天的再入院率显著较高。主要产后指征与非DHH妇女不同。
Objectives:Deaf or hard of hearing (DHH) women are at a higher risk of adverse pregnancy and birth outcomes compared with other women. However, little is known about postpartum outcomes among DHH women. The objective was to compare the risk of postpartum hospitalizations for DHH compared with non-DHH women and the leading indications for postpartum admissions.Materials and Methods:We analyzed data from the 1998–2017 Massachusetts Pregnancy to Early Life Longitudinal Data System and identified 3,546 singleton deliveries to DHH women and 1,381,439 singleton deliveries to non-DHH women. We used Cox proportional hazard models to compare the first hospital admission and ≥2 hospital admissions between DHH and non-DHH women within 1–42, 43–90, and 91–365 days after delivery.Results:DHH women had a higher risk for any hospital admissions across all periods (hazard ratios [HR] = 1.84; 95% confidence intervals [CI] 1.46–2.34 within 1–42 days; HR = 2.76; 95%CI 1.99–3.83 within 43–90 days; and HR = 3.10; 95%CI 2.66–3.60 91–365 days) after childbirth compared with non-DHH women. They had an almost seven times higher risk for repeated hospital admissions within 43–90 days (HR = 6.84; 95%CI 1.66–28.21) and nearly four times higher the risk within 91–365 days (HR = 3.63; 95%CI 2.00–6.59) after delivery compared with non-DHH women. The leading indications for readmission among DHH women included: conditions complicating the puerperium/hemorrhage and soft tissues disorders.Conclusion:Compared with other women, DHH women had significantly higher readmissions across all postpartum periods and for repeated admissions >42 days. Leading postpartum indications were distinct from those of non-DHH women.