ArticleJournal of racial and ethnic health disparities2019
Socioeconomic, Racial, and Ethnic Disparities in Postpartum Readmissions in Patients with Preeclampsia: a Multi-state Analysis, 2007-2014.
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. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- The effect of a neonatal sleep intervention on maternal postpartum hypertension: a randomized trial.American journal of obstetrics & gynecology MFM · 2024Trial
- Placental discrepancies between Black and White patients with preeclampsia in a southeastern US cohort.American journal of physiology. Endocrinology and metabolism · 2026Article
- Risk Factors Associated with Maternal Postpartum Hospital Readmission: A Systematic Review.Nursing reports (Pavia, Italy) · 2026Review
- Association of patient and clinical characteristics with cesarean delivery operating times at a Texas level IV maternal center: a single-center retrospective study.Proceedings (Baylor University. Medical Center) · 2026Article
- Prospective Survey of Discrimination in Pregnant Persons and Correlation with Unplanned Healthcare Utilization.Journal of racial and ethnic health disparities · 2024Article
- Risk of postpartum readmission after hypertensive disorder of pregnancy and variation by discharge antihypertensive medication prescription.American journal of obstetrics and gynecology · 2024Article
- Association of Race and Ethnicity and Social Factors With Postpartum Primary Care or Cardiology Follow-Up Visits Among Individuals With Preeclampsia.Journal of the American Heart Association · 2024Article
- Risk factors for readmission with preeclampsia: a call for more preventative surveillance and counseling.Archives of gynecology and obstetrics · 2024Article
- Implementation and early effects of medicaid policy interventions to promote racial equity in pregnancy and early childhood outcomes in Pennsylvania: protocol for a mixed methods study.BMC health services research · 2024Article
- Evaluating Racial Disparities in Implementation and Monitoring of a Remote Blood Pressure Program in a Pregnant Population-A Retrospective Cohort Study.Ochsner journal · 2024Article
- Postpartum readmission in Maryland by race and ethnicity, 2016-2019.AJOG global reports · 2023Article
- Validation of a Remote Monitoring Blood Pressure Device in Pregnancy.American journal of hypertension · 2023Article
- Postpartum Hospital Readmissions With and Without Severe Maternal Morbidity Within 1 Year of Birth, Oregon, 2012-2017.American journal of epidemiology · 2023Article
- Postpartum Hospital Readmissions and Emergency Department Visits Among High-Risk, Medicaid-Insured Women in New York City.Journal of women's health (2002) · 2022Article
- Improving preeclampsia risk prediction by modeling pregnancy trajectories from routinely collected electronic medical record data.NPJ digital medicine · 2022Article
- Reduced rate of postpartum readmissions among homeless compared with non-homeless women in New York: a population-based study using serial, cross-sectional data.BMJ quality & safety · 2022Article
- Racial Disparities in Diagnosis, Management, and Outcomes in Preeclampsia.Current hypertension reports · 2022Review
- Addressing racial disparities: Time for action.Obstetric medicine · 2022Article
- Intertwined disparities: Applying the maternal-infant dyad lens to advance perinatal health equity.Seminars in perinatology · 2021Review
- A Critical Review on the Use of Race in Understanding Racial Disparities in Preeclampsia.The journal of applied laboratory medicine · 2021Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeChildbirth is the most common reason for hospitalization for reproductive-aged women, with about 4 million annual deliveries nationally. Hypertension is the leading indication for postpartum readmission and therefore women with preeclampsia are at high risk for readmission. Social determinants of health are associated with increased readmission in postpartum patients; however, no study has specifically investigated readmissions in this higher risk group of patients. We sought to evaluate the effect of social determinants of health on postpartum readmissions in all postpartum patients and in a subgroup analysis of those with a diagnosis of preeclampsia.
methodsWe conducted a retrospective (2007-2014) analysis of all singleton deliveries in Florida, California, New York, and Maryland from the State Inpatient Databases, Healthcare Cost and Utilization Project. Primary outcomes were readmission at 30 days after delivery. Descriptive statistics were calculated, and multivariate regression analysis was used to estimate the adjusted odds ratio (OR) for readmissions. Subgroup analysis was performed on preeclampsia patients only. Statistical significance was evaluated at the < 0.05 alpha level.
resultsA total of 4,999,993 patients were included in our analysis. Among all postpartum patients and in subgroup analysis for preeclampsia patients only, readmission rates are higher for black patients, patients in the poorest quartile of median income, and patients with public insurance (Medicare or Medicaid).
conclusionsThe present study has shown that socioeconomic and racial/ethnic disparities exist in postpartum readmissions. These findings additionally exist among the already highest-risk preeclamptic patients. Future research should further elucidate this relationship and develop amelioration strategies.
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