Evidence map›Paper›PMID 38934854›Full record

ArticleJournal of the American Heart Association2024

Postpartum Weight Change Association With Readmission and Blood Pressure Trend Among Individuals With Hypertensive Disorders of Pregnancy.

Lara S Lemon, Kripa Venkatakrishnan, Malamo Countouris, Hyagriv Simhan, Alisse Hauspurg

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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.

  1. Review
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4 · The record

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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

5 authors.

Lara S LemonDepartment of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital University of Pittsburgh School of Medicine Pittsburgh PA USA.ORCID 0000-0001-6806-7787
Kripa VenkatakrishnanDepartment of Clinical Analytics University of Pittsburgh Medical Center Pittsburgh PA USA.ORCID 0000-0003-3178-3397
Malamo CountourisDivision of Cardiology, Department of Medicine University of Pittsburgh Medical Center Pittsburgh PA USA.ORCID 0000-0003-2535-0309
Hyagriv SimhanDepartment of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital University of Pittsburgh School of Medicine Pittsburgh PA USA.
Alisse HauspurgDepartment of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital University of Pittsburgh School of Medicine Pittsburgh PA USA.ORCID 0000-0001-5009-7371

Funding

Postpartum low-dose aspirin to augment vascular recovery following a hypertensive disorder of pregnancyK23HL168356 · NHLBI · WOMEN AND INFANTS HOSPITAL-RHODE ISLAND · PI Alisse Hauspurg · 2023 to 2026
$678k
Development of a smartphone-based device to detect fluid overload among postpartum women with hypertensive disorders of pregnancyR21EB031515 · NIBIB · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI HAUSPURG, ALISSE · 2021 to 2023
$463k
NHLBI NIH HHS K23 HL168356NIBIB NIH HHS R21 EB031515
6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the association between early postpartum weight change and (1) hospital readmission and (2) 2-week blood pressure trajectory. METHODS AND

resultsThis retrospective study cohort included 1365 individuals with a hypertensive disorder of pregnancy enrolled in a postpartum hypertension remote monitoring program. Exposure was percentage weight change from delivery to first weight recorded within 10 days postpartum. We first modeled likelihood of hospital readmission within 8 weeks postpartum using logistic regression adjusting for age, race, insurance, type of hypertensive disorder of pregnancy, early body mass index, gestational weight gain, mode of delivery, and any discharge antihypertensive medications. We then performed case-control analysis additionally matching in a 1:3 ratio on breastfeeding, early body mass index, discharge on antihypertensive medications, and days between weight measurements. Both analytic approaches were repeated, limiting to readmissions attributable to hypertension or heart failure. Finally, we compared blood pressure trajectories over first 2 weeks postpartum. Individuals who did not lose weight in the early postpartum period had more admissions compared with weight loss groups (group 3: 14.1% versus group 2: 5.8% versus group 1: 4.5%). These individuals had 4 times the odds of postpartum readmissions (adjusted odds ratio [aOR], 3.9 [95% CI, 1.8-8.6]) to 7 (aOR, 7.8 [95% CI, 2.3-26.5]) compared with those with the most weight loss. This association strengthened when limited to hypertension or heart failure readmissions. These individuals also had more adverse postpartum blood pressure trajectories, with significant differences by weight change group.

conclusionsWeight change is readily accessible and may identify individuals at high risk for postpartum readmission following a hypertensive disorder of pregnancy who could benefit from targeted interventions.

Indexed as

Blood PressureHypertension, Pregnancy-InducedPatient ReadmissionPostpartum PeriodAdultFemaleHumansPregnancyRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsWeight GainWeight LossYoung Adultpostpartum hypertensionpostpartum readmissionweight change

Identifiers

PMID38934854
PMCPMC11255696

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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.