Evidence map›Paper›PMID 38804208›Full record

ArticleJournal of the American Heart Association2024

Cardiovascular Complications With Delivery Hospitalizations in Patients With Pulmonary Hypertension: A Nationwide Study From 2011 to 2020.

Ankit Agrawal, Suryansh Bajaj, Umesh Bhagat, Abdullah Yesilyaprak, Sanya Chandna, Aro Daniela Arockiam, Yasser Jamil, Mahmoud El Iskandarani, Rahul Gupta, Muhammad Majid and 2 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

12 authors.

Ankit AgrawalDepartment of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute Cleveland Clinic Cleveland OH.ORCID 0000-0001-7885-6667
Suryansh BajajDepartment of Radiology University of Arkansas for Medical Sciences Little Rock AR.ORCID 0000-0002-1642-4620
Umesh BhagatDepartment of Hospital Medicine Cleveland Clinic Cleveland OH.
Abdullah YesilyaprakDepartment of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute Cleveland Clinic Cleveland OH.ORCID 0000-0002-4644-4518
Sanya ChandnaDepartment of Hospital Medicine Cleveland Clinic Cleveland OH.ORCID 0000-0003-0260-8039
Aro Daniela ArockiamDepartment of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute Cleveland Clinic Cleveland OH.ORCID 0009-0004-9691-7258
Yasser JamilDepartment of Internal Medicine Yale School of Medicine New Haven CT.ORCID 0009-0008-5853-4538
Mahmoud El IskandaraniDepartment of Internal Medicine Eastern Connecticut Health Network Manchester CT.ORCID 0000-0002-7585-070X
Rahul GuptaLehigh Valley Heart Institute Lehigh Valley Health Network Allentown PA.ORCID 0000-0002-8975-9202
Muhammad MajidDepartment of Cardiovascular Medicine, Heart, Vascular, and Thoracic Institute Cleveland Clinic Cleveland OH.ORCID 0000-0002-9353-361X
Divya NayarDepartment of Neurology University of Arkansas for Medical Sciences Little Rock AR.ORCID 0000-0002-0711-9720
Erin D MichosDivision of Cardiology Johns Hopkins University, School of Medicine Baltimore MD.ORCID 0000-0002-5547-5084

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPregnancy in patients with pulmonary hypertension (PH) is associated with a heightened risk of medical complications including right heart failure, pulmonary edema, and arrhythmias. Our study investigated the association between PH and these complications during delivery. METHODS AND

resultsThe National Inpatient Sample was used to identify delivery hospitalizations from 2011 to 2020. Multivariable logistic regression was performed to study the association of PH with the primary outcomes of in-hospital medical and obstetric complications. A total of 37 482 207 delivery hospitalizations in women ≥18 years of age were identified, of which 9593 patients had PH. Pregnant patients with PH had higher incidence of complications during delivery including preeclampsia/eclampsia, arrhythmias, and pulmonary edema among others, compared with those without PH. Pregnant patients with PH also had a higher incidence of in-hospital mortality compared with those without PH (0.51% versus 0.007%). In propensity-matched analyses, PH was still significantly associated with a higher risk of in-hospital mortality (odds ratio [OR], 5.02 [95% CI, 1.82-13.90];

conclusionsDelivery hospitalizations in patients with PH are associated with a high risk of mortality, pulmonary edema, peripartum cardiomyopathy, venous thromboembolism, arrhythmias, acute kidney injury, preeclampsia/eclampsia, and acute coronary syndrome.

Indexed as

HospitalizationHospital MortalityHypertension, PulmonaryPregnancy Complications, CardiovascularAdultArrhythmias, CardiacDelivery, ObstetricFemaleHumansIncidencePregnancyPulmonary EdemaRetrospective StudiesRisk AssessmentRisk FactorsUnited Statescardiac arrhythmiascongestive heart failurehypertension, pulmonarypregnancy

Identifiers

PMID38804208
PMCPMC11255631

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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.