Risk of unplanned healthcare utilization in postpartum period for patients with hypertensive disorders of pregnancy. Pregnancy Hypertens 2022 Mar;27:189-192
Date
02/07/2022Pubmed ID
35124426DOI
10.1016/j.preghy.2022.01.008Scopus ID
2-s2.0-85123942446 (requires institutional sign-in at Scopus site) 2 CitationsAbstract
OBJECTIVE: To determine which factors are associated with unplanned postpartum healthcare utilization, including hospital readmission and unplanned outpatient and emergency room visits, in patients with hypertensive disorders of pregnancy (HDP).
STUDY DESIGN: This was a case control study of patients with HDP delivering at a single academic institution from 2014 through 2018. The diagnosis of HDP included chronic hypertension, gestational hypertension, preeclampsia and superimposed preeclampsia. Using bivariate and multivariate analysis, demographic and clinical characteristics were compared between patients who had unplanned healthcare utilization, defined as readmission to the hospital, emergency room visit or unplanned outpatient encounter in the first 6-weeks postpartum, and those patients who did not.
RESULTS: Of the 1427 patients with HDP included in this analysis, 174 (12.2%) had unplanned postpartum healthcare utilization. Maternal non-Hispanic Black race and ethnicity and presence of mild blood pressures on the day of discharge after delivery were associated with higher odds of unplanned healthcare utilization (aOR 1.67, 95% CI 1.08 - 2.56 and aOR 1.59, 95% CI 1.12 - 2.27, respectively). In contrast, presence of chronic hypertension was associated with lower odds of unplanned postpartum healthcare utilization (aOR 0.47, 95% CI 0.28 - 0.79) CONCLUSION: Among postpartum patients with HDP, non-Hispanic Black race and ethnicity and discharge home with mild range blood pressures were associated with higher odds of unplanned healthcare utilization in the first 6 weeks postpartum, while chronic hypertension was associated with lower odds.
Author List
Christine Livergood M, Hauck J, Mahlum L, Tallmadge M, Russell R, Kulinski J, Palatnik AAuthors
Jacquelyn P. Kulinski MD Associate Professor in the Medicine department at Medical College of WisconsinAnna Palatnik MD Associate Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AdultBlood Pressure
Case-Control Studies
Emergency Service, Hospital
Female
Humans
Hypertension, Pregnancy-Induced
Patient Readmission
Postnatal Care
Postpartum Period
Pregnancy
Retrospective Studies
Risk Factors
