Evidence map›Paper›PMID 30877505›Full record

ArticleJournal of racial and ethnic health disparities2019

Racial and Ethnic Disparities in Severe Maternal Morbidity in the United States.

Kylea L Liese, Mulubrhan Mogos, Sarah Abboud, Karen Decocker, Abigail R Koch, Stacie E Geller

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04828070 (The Heart Outcomes in Pregnancy Expectations), which is not on this map. Cited by 66 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04828070 active not recruitingnot on this mapstarted 2020, after this paper: background citation

The Heart Outcomes in Pregnancy Expectations (H.O.P.E) Registry Pilot

Typeobservational_patient_registrySponsorSaint Luke's Health SystemRan2020 to 2026Enrolled75ConditionsPregnancy Related, Cardiac DiseaseArmsObservation
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kylea L LieseDepartment of Women, Children and Family Health Science, University of Illinois, Chicago, IL, USA. kylea3@uic.edu.ORCID 0000-0003-1330-0136
Mulubrhan MogosDepartment of Women, Children and Family Health Science, University of Illinois, Chicago, IL, USA.
Sarah AbboudDepartment of Women, Children and Family Health Science, University of Illinois, Chicago, IL, USA.
Karen DecockerDepartment of Women, Children and Family Health Science, University of Illinois, Chicago, IL, USA.
Abigail R KochCenter for Research on Women and Gender, University of Illinois Chicago, Chicago, IL, USA.
Stacie E GellerDepartment of Medicine and Center for Research on Women and Gender, University of Illinois Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe maternal morbidity (SMM) is 50 to 100 times more common than maternal death, and has increased disproportionately among ethnic/racial minority women in the United States. However, specific knowledge about how the types and timing of severe maternal morbidities deferentially affect ethnic/racial minority women is poorly understood. This study examines racial/ethnic disparities in severe maternal morbidity during antepartum (AP), intrapartum (IP), and postpartum (PP) hospital admissions in the United States (US) for 2002-2014. We identified AP, IP, and PP hospitalizations in the National Inpatient Sample. Distribution of sociodemographic, behavioral and hospital characteristics, insurance, comorbidities, and SMM occurrence was summarized using descriptive statistics. Through Joinpoint regression, temporal SMM trends of hospitalizations were examined and stratified by race. Multivariate logistic regression assessed the association between race and SMM. We found black women have the highest proportion of SMM across all pregnancy intervals with a 70% greater risk of SMM during AP after adjusting for all cofactors. In the PP period, Hispanic women's risk of SMM is 19% less when compared to white women. Racial/ethnic disparities in SMM vary in timing and SMM type. Systematic investigation is needed to understand risks to black women and the protective factors associated with Hispanic women in the PP. Addressing racial disparities in maternal morbidity and mortality requires national policies and initiatives tailored to black women that address the specific types and timings of life-threatening obstetric complications.

Indexed as

AdolescentAdultBlack or African AmericanComorbidityCross-Sectional StudiesEthnicityFemaleHealth BehaviorHispanic or LatinoHospitalizationHumansLogistic ModelsMiddle AgedPregnancyPregnancy ComplicationsResidence CharacteristicsMaternal mortalityObstetric complicationsPregnancyReproductive health disparitiesSevere maternal morbidity

Identifiers

PMID30877505

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.