Evidence map›Paper›PMID 31529451›Full record

ArticleAmerican journal of perinatology2020

Risk Factors for Maternal Readmission with Sepsis.

Megan E Foeller, Lillian Sie, Timothy M Foeller, Anna I Girsen, Suzan L Carmichael, Deirdre J Lyell, Henry C Lee, Ronald S Gibbs

Abstract readComparative Study
In one paragraph

Article in American journal of perinatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Infection-Related Preterm Birth.Maternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
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

8 authors.

Megan E FoellerDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.ORCID 0000-0003-2823-7678
Lillian SieDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California.
Timothy M FoellerDepartment of Medicine, Stanford University School of Medicine, Stanford, California.
Anna I GirsenDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.
Suzan L CarmichaelDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California.
Deirdre J LyellDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.
Henry C LeeDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California.
Ronald S GibbsDepartment of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, California.ORCID 0000-0002-6130-2702

Funding

Severe Maternal Morbidity: An Investigation of Racial-Ethnic Disparities, Social Disadvantage & Maternal WeightR01NR017020 · NINR · STANFORD UNIVERSITY · PI SUZAN L CARMICHAEL · 2018 to 2026
$5.2M
NINR NIH HHS R01 NR017020
6 · The paper itself

Abstract

objectiveOur primary objective was to identify risk factors for maternal readmission with sepsis. Our secondary objectives were to (1) assess diagnoses and infecting organisms at readmission and (2) compare early (<6 weeks) and late (6 weeks to 9 months postpartum) maternal readmission with sepsis. STUDY

designWe identified our cohort using linked hospital discharge data and birth certificates for California deliveries from 2008 to 2011. Consistent with the 2016 sepsis classification, we defined sepsis as septicemia plus acute organ dysfunction. We compared women with early or late readmission with sepsis to women without readmission with sepsis.

resultsAmong 1,880,264 women, 494 (0.03%) were readmitted with sepsis, 61% after 6 weeks. Risk factors for readmission with sepsis included preterm birth, hemorrhage, obesity, government-provided insurance, and primary cesarean. For both early and late sepsis readmissions, the most common diagnoses were urinary tract infection and pyelonephritis, and the most frequently identified infecting organism was gram-negative bacteria. Women with early compared with late readmission with sepsis shared similar obstetric characteristics.

conclusionMaternal risk factors for both early and late readmission with sepsis included demographic characteristics, cesarean, hemorrhage, and preterm birth. Risks for sepsis after delivery persist beyond the traditional postpartum period of 6 weeks.

Indexed as

AdultBody Mass IndexCaliforniaCesarean SectionFemaleGram-Negative BacteriaGram-Negative Bacterial InfectionsHumansMultiple Organ FailurePatient ReadmissionPostpartum HemorrhagePremature BirthPuerperal DisordersRisk FactorsSepsisSocioeconomic Factors

Identifiers

PMID31529451
PMCPMC7075723

What OpenQuestion holds

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Registered trials

None linked

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.