Rates of postpartum glucose testing after gestational diabetes mellitus
Rates of postpartum glucose testing after gestational diabetes mellitus
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DOI：
10.1097/01.aog.0000245446.85868.73
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发表时间：
2006-12-01
影响因子：
7.2
通讯作者：
Carpenter, Marshall W.
中科院分区：
文献类型：
--
作者：
Russell, Michelle A.;Phipps, Maureen G.;Carpenter, Marshall W.
目的：估计诊断为妊娠期糖尿病 (GDM) 的女性的产后葡萄糖耐量测试率，并评估与测试相关的因素。 方法：这是一项回顾性队列研究，对象为 2001 年至 2004 年期间在孕产妇糖尿病诊所接受产前护理的 344 名 GDM 女性。产后血糖检测率是根据医院、诊所和实验室记录估计的。人口统计、临床（产科史、产前和分娩）和医疗保健信息通过图表审查获得。 结果：我们队列中不到一半 (45%) 的 GDM 女性接受了产后血糖检测，其中超过三分之一 (36%) 患有持续性糖耐量异常。在调整临床和医疗保健特征后，大多数人口特征和产后测试之间不存在独立关系。临床特征与接受检测的可能性之间也不存在关联。产后检测仅与参加产后访视密切相关：参加产后访视的女性中有 54% 接受了检测，而未参加的女性只有 17% 接受了检测（调整后相对风险 3.04，95% 置信区间 1.75-5.34，P
OBJECTIVE: To estimate rates of postpartum glucose tolerance testing in women diagnosed with gestational diabetes mellitus (GDM) and to assess factors associated with testing.METHODS: This was a retrospective cohort study of 344 women with GDM who received prenatal care in a maternal diabetes clinic during 2001-2004. Rates of postpartum glucose testing were estimated from hospital, clinic, and laboratory records. Demographic, clinical (obstetric history, antenatal, and delivery), and health care information was obtained from chart review.RESULTS: Less than one half (45%) of women with GDM in our cohort underwent postpartum glucose testing - more than one third (36%) of whom had persistent abnormal glucose tolerance. After adjusting for clinical and health care characteristics, there was no independent relationship between most demographic characteristics and postpartum testing. Nor was there an association between clinical characteristics and the likelihood of being tested. Postpartum testing was strongly associated only with attendance of the postpartum visit: 54% of women who attended the visit were tested compared with 17% of women who did not attend (adjusted relative risk 3.04, 95% confidence interval 1.75-5.34, P