Evidence map›Paper›PMID 38057087›Full record

ArticleAmerican journal of perinatology2024

Trends and Disparities in Severe Maternal Morbidity Indicator Categories during Childbirth Hospitalization in California from 1997 to 2017.

Alison M El Ayadi, Audrey Lyndon, Peiyi Kan, Mahasin S Mujahid, Stephanie A Leonard, Elliott K Main, Suzan L Carmichael

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of perinatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 17% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. 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

7 authors at 4 institutions in 1 country.

Alison M El AyadiDepartment of Obstetrics, Gynecology and Reproductive Sciences, Department of Epidemiology and Biostatistics, University of California, San Francisco, California.ORCID 0000-0003-2674-4887
Audrey LyndonNYU Rory Meyers College of Nursing, New York, New York.ORCID 0000-0003-2215-4273
Peiyi KanDepartment of Pediatrics, Stanford University School of Medicine, Stanford, California.
Mahasin S MujahidDivision of Epidemiology, School of Public Health, University of California Berkeley, Berkeley, California.
Stephanie A LeonardDepartment of Obstetrics and Gynecology, Dunlevie Maternal-Fetal Medicine Center, Stanford University School of Medicine, Stanford, California.
Elliott K MainDepartment of Obstetrics and Gynecology, Dunlevie Maternal-Fetal Medicine Center, Stanford University School of Medicine, Stanford, California.
Suzan L CarmichaelDepartment of Pediatrics, Department of Obstetrics and Gynecology, Stanford University, Stanford, California.
Stanford University · USNew York College of Health Professions · USUniversity of California, Berkeley · USUniversity of California, San Francisco · US

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
Building a causal pathway framework to identify interventions to prevent severe maternal morbidityR01NR020335 · NINR · STANFORD UNIVERSITY · PI CARMICHAEL, SUZAN L · 2021 to 2025
$3.7M
Optimizing treatment of chronic hypertension in pregnancy using a national distributed data networkK01HL171699 · NHLBI · STANFORD UNIVERSITY · PI Stephanie A. Leonard · 2024 to 2026
$514k
National Institute of Nursing Research Grant R01NR017020NHLBI NIH HHS K01 HL171699NINR NIH HHS R01 NR017020NINR NIH HHS R01 NR020335
6 · The paper itself

Abstract

objectiveSevere maternal morbidity (SMM) is increasing and characterized by substantial racial and ethnic disparities. Analyzing trends and disparities across time by etiologic or organ system groups instead of an aggregated index may inform specific, actionable pathways to equitable care. We explored trends and racial and ethnic disparities in seven SMM categories at childbirth hospitalization. STUDY

designWe analyzed California birth cohort data on all live and stillbirths ≥ 20 weeks' gestation from 1997 to 2017 (

resultsSMM occurred in 1.16% of births and nontransfusion SMM in 0.54%. Hemorrhage SMM occurred most frequently (27 per 10,000 births), followed by other obstetric (11), respiratory (7), and sepsis, cardiac, and renal SMM (5). Hemorrhage, renal, respiratory, and sepsis SMM increased over time for all racial and ethnic groups. The largest disparities were for Black individuals, including over 3-fold increased odds of other medical SMM. Renal and sepsis morbidity had the largest relative increases over time (717 and 544%). Sepsis and hemorrhage SMM had the largest absolute changes over time (17 per 10,000 increase). Disparities increased over time for respiratory SMM among Black, U.S.-born Hispanic, and non-U.S.-born Hispanic individuals and for sepsis SMM among Asian or Pacific Islander individuals. Disparities decreased over time for sepsis SMM among Black individuals yet remained substantial.

conclusionOur research further supports the critical need to address SMM and disparities as a significant public health priority in the United States and suggests that examining SMM subgroups may reveal helpful nuance for understanding trends, disparities, and potential needs for intervention. KEY POINTS: · By SMM subgroup, trends and racial and ethnic disparities varied yet Black individuals consistently had highest rates.. · Hemorrhage, renal, respiratory, and sepsis SMM significantly increased over time.. · Disparities increased for respiratory SMM among Black, U.S.-born Hispanic and non-U.S.-born Hispanic individuals and for sepsis SMM among Asian or Pacific Islander individuals..

Indexed as

Hispanic or LatinoHospitalizationPregnancy ComplicationsAdultAsian American Native Hawaiian and Pacific IslanderBlack or African AmericanCaliforniaEthnicityFemaleHealthcare DisparitiesHealth Status DisparitiesHumansLogistic ModelsMorbidityParturitionPregnancy

Identifiers

PMID38057087
PMCPMC11153031
OpenAlexW4389409029

What OpenQuestion holds

Textmetadata
LicenceTDM
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.