Evidence map›Paper›PMID 32402792›Full record

ArticleDisability and health journal2020

Prolonged postpartum length of hospital stay among women with disabilities.

Willi Horner-Johnson, Blair G Darney, Frances M Biel, Aaron B Caughey

Open access · greenAbstract readComparative Study
In one paragraph

Article in Disability and health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 24% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Willi Horner-JohnsonInstitute on Development and Disability, Oregon Health & Science University, Portland, OR, USA. Electronic address: hornerjo@ohsu.edu.
Blair G DarneyDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA.
Frances M BielDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA.
Aaron B CaugheyDepartment of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA.
Oregon Health & Science University · US

Funding

Prevalence and outcomes of pregnancy in women with disabilitiesR21HD081309 · NICHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI HORNER-JOHNSON, WILLI · 2014 to 2015
$419k
NICHD NIH HHS R21 HD081309
6 · The paper itself

Abstract

backgroundPrior studies have found higher proportions of cesarean deliveries and longer postpartum hospital stays among women with disabilities compared to women without disabilities. However, no research has assessed how length of stay may differ for women with different types of disability while also considering mode of delivery.

objectiveTo examine the association of disability status and disability type with length of stay, taking into account disability-related differences in mode of delivery.

methodsWe conducted a retrospective cohort study using linked maternal and infant hospital discharge and vital records data for all births in California between 2000 and 2012 (n = 6,745,201). We used multivariable regression analyses to assess association of disability status and type with prolonged length of stay (>2 days for vaginal delivery or >4 days for cesarean) while controlling for covariates.

resultsWomen with disabilities had significantly elevated adjusted odds of prolonged length of stay compared to women without disabilities (aOR = 1.40, 95% CI = 1.32-1.49). Adjusted odds were highest for women with vision disabilities (aOR = 1.67, 95% CI = 1.46-1.90), followed by women with IDD (aOR = 1.53, 95% CI = 1.30-1.80), and women with physical disabilities (aOR = 1.41, 95% CI = 1.32-1.50). Women with hearing disability had the lowest adjusted odds of prolonged length of stay (aOR = 1.17, 95% CI = 1.03-1.33).

conclusionsProlonged length of stay did not appear to be due solely to the higher proportion of cesarean deliveries in this population. Further research is needed to better understand the reasons for prolonged length of stay among women with disabilities and develop strategies to assist women with disabilities in preparing for and recovering from childbirth.

Indexed as

Postpartum PeriodAdultCaliforniaCesarean SectionCohort StudiesFemaleForecastingHealthy VolunteersHumansLength of StayPatient DischargePersons with DisabilitiesPregnancyRetrospective StudiesLength of stayPersons with disabilitiesPostpartum periodWomen’s health

Identifiers

PMID32402792
PMCPMC7775680
OpenAlexW3018140547

What OpenQuestion holds

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Registered trials

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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.