Evidence map›Paper›PMID 31973601›Full record

Observational studyJournal of the American Heart Association2020

Maternal Race/Ethnicity, Hypertension, and Risk for Stroke During Delivery Admission.

Eliza C Miller, Maria Daniela Zambrano Espinoza, Yongmei Huang, Alexander M Friedman, Amelia K Boehme, Natalie A Bello, Kirsten L Cleary, Jason D Wright, Mary E D'Alton

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
5.6field-weighted citation impact, top 3% of its field
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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Optimal blood pressure target to prevent severe hypertension in pregnancy: A systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
    Pooled it
  4. Article
  5. Cardiovascular complications of pregnancy.The Journal of clinical investigation · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Regression with race-modifiers: towards equity and interpretability.medRxiv : the preprint server for health sciences · 2024
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

9 authors at 1 institution in 1 country.

Eliza C MillerDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York NY.
Maria Daniela Zambrano EspinozaDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York NY.
Yongmei HuangDepartment of Obstetrics and Gynecology Vagelos College of Physicians and Surgeons Columbia University New York NY.
Alexander M FriedmanDepartment of Obstetrics and Gynecology Vagelos College of Physicians and Surgeons Columbia University New York NY.
Amelia K BoehmeDepartment of Neurology Vagelos College of Physicians and Surgeons Columbia University New York NY.
Natalie A BelloDepartment of Medicine Vagelos College of Physicians and Surgeons Columbia University New York NY.
Kirsten L ClearyDepartment of Obstetrics and Gynecology Vagelos College of Physicians and Surgeons Columbia University New York NY.
Jason D WrightDepartment of Obstetrics and Gynecology Vagelos College of Physicians and Surgeons Columbia University New York NY.
Mary E D'AltonDepartment of Obstetrics and Gynecology Vagelos College of Physicians and Surgeons Columbia University New York NY.
Columbia University · US

Funding

Institutional Career Development CoreKL2TR001874 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GENKINGER, JEANINE M., SHIMBO, DAICHI · 2016 to 2025
$13.6M
Neurovascular Unit Dysfunction in Women with Severe PreeclampsiaK23NS107645 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MILLER, ELIZA C · 2019 to 2023
$1.1M
Blood Pressure Measurement and Hypertension in PregnancyK23HL136853 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BELLO, NATALIE A · 2018 to 2022
$948k
Mentored Clinical Scientist Research Career Development AwardK08HD082287 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FRIEDMAN, ALEXANDER M · 2015 to 2018
$593k
NCATS NIH HHS KL2 TR001874NHLBI NIH HHS K23 HL136853NHLBI NIH HHS L30 HL129418NICHD NIH HHS K08 HD082287NINDS NIH HHS K23 NS107645NINDS NIH HHS L30 NS103295
6 · The paper itself

Abstract

Background Racial disparities contribute to maternal morbidity in the United States. Hypertension is associated with poor maternal outcomes, including stroke. Disparities in hypertension might contribute to maternal strokes. Methods and Results Using billing data from the Healthcare Cost and Utilization Project's National Inpatient Sample, we analyzed the effect of race/ethnicity on stroke during delivery admission in women aged 18 to 54 years delivering in US hospitals from January 1, 1998, through December 31, 2014. We categorized hypertension as normotensive, chronic hypertension, or pregnancy-induced hypertension. Adjusted risk ratios (aRRs) and 95% CIs were calculated using log-linear Poisson regression models, testing for interactions between race/ethnicity and hypertensive status. A total of 65 286 425 women were admitted for delivery during the study period, of whom 7764 were diagnosed with a stroke (11.9 per 100 000 deliveries). Hypertension modified the effect of race/ethnicity (

Indexed as

Black or African AmericanBlood PressureHispanic or LatinoPatient AdmissionWhite PeopleAdolescentAdultCross-Sectional StudiesDatabases, FactualFemaleHumansHypertensionHypertension, Pregnancy-InducedInpatientsMaternal MortalityMiddle Ageddisparitieshypertensionmaternal morbiditypreeclampsiapregnancystroke

Identifiers

PMID31973601
PMCPMC7033883
OpenAlexW3002788839

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.