ArticleJACC. Advances2022
Racial and Socioeconomic Disparities in Cardiovascular Outcomes of Preeclampsia Hospitalizations in the United States 2004-2019.
Article in JACC. Advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- "She's Always Made Sure That We Had Black Doctors, Particularly Women Doctors If We Could… and How It Can Sometimes Be the Difference Between Life and Death." Black College Women's Reflections On Medical Racism As a Social Determinant of Health.Journal of racial and ethnic health disparities · 2026Article
- Neurologic Complications of Pregnancy and Menopause.Continuum (Minneapolis, Minn.) · 2026Review
- Trends and Racial and Ethnic Disparities in Maternal Cardiovascular Health in California.Journal of the American Heart Association · 2025Article
- Environmental Toxicants in the Hispanic Community Epigenetically Contributing to Preeclampsia.Cardiovascular toxicology · 2025Review
- Hypertensive Disorders of Pregnancy: Reaching the Rural Population After Delivery.Current hypertension reports · 2025Review
- 2025 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2025Review
- Leveraging the postpartum period to reduce racial disparities in postpartum hypertension care.American heart journal plus : cardiology research and practice · 2025Article
- Relationship Between Race, Predelivery Cardiology Care, and Cardiovascular Outcomes in Preeclampsia/Eclampsia Among a Commercially Insured Population.Circulation. Cardiovascular quality and outcomes · 2025Article
- A Guide to Implementation Science for Phase 3 Clinical Trialists: Designing Trials for Evidence Uptake.Journal of the American College of Cardiology · 2024Review
- Biomarkers and point of care screening approaches for the management of preeclampsia.Communications medicine · 2024Review
- Association of Race and Ethnicity and Social Factors With Postpartum Primary Care or Cardiology Follow-Up Visits Among Individuals With Preeclampsia.Journal of the American Heart Association · 2024Article
- PARCCS: A Machine Learning Risk-Prediction Model for Acute Peripartum Cardiovascular Complications During Delivery Admissions.JACC. Advances · 2024Article
- Economic Disparities in Utilization and Outcomes of Structural Heart Disease Interventions in the United States.JACC. Advances · 2024Article
- Racial/Ethnic, Sex, and Economic Disparities in the Utilization and Outcomes of Intracoronary Imaging.Journal of the Society for Cardiovascular Angiography & Interventions · 2024Article
- Rheumatoid arthritis and cardiovascular complications during delivery: a United States inpatient analysis.European heart journal · 2024Article
- 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2024Review
- Adverse pregnancy outcomes and risk of type 2 diabetes in postmenopausal women.American journal of obstetrics and gynecology · 2024Article
- Echocardiographic Differences in Women Across Subtypes of Hypertensive Disorders of Pregnancy.JACC. Advances · 2024Article
- Article
- Cardiovascular Complications Associated With COVID-19 During Delivery Hospitalizations in Pandemic Year 2020.JACC. Advances · 2023Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Preeclampsia is associated with higher in-hospital cardiovascular events and mortality with known disparities by race/ethnicity, but data on the interaction between income and these outcomes remain limited. Objectives: This study investigated racial and socioeconomic disparities in cardiovascular outcomes of preeclampsia at delivery hospitalizations. Methods: We analyzed National Inpatient Sample data using International Classification of Diseases-9th Revision/-10th Revision codes between 2004 and 2019. We identified a total of 2,436,991 delivery hospitalizations with preeclampsia/eclampsia as a primary diagnosis representing White (43.1%), Black (18.4%), Hispanic (18.7%), and Asian or Pacific Islander (A/PI; 3.3%) women. We stratified the population based on median household income (low income, medium income, and high income). Logistic regression and propensity-matched analysis were used for reporting outcomes adjusted for age, hospital region, and baseline comorbidities. Results: Black Hispanic, and A/PI women with preeclampsia had higher in-hospital mortality compared with White women across all groups of income. Hispanic women had lower odds of peripartum cardiomyopathy (PPCM) compared with White women. A significant interaction effect was observed with race/ethnicity and median household income for in-hospital mortality and PPCM with preeclampsia. Furthermore, high-income Black women had higher odds of PPCM, stroke, acute kidney injury, heart failure, cardiac arrhythmia, and venous thromboembolism compared with low-income White women. Conclusions: Women with preeclampsia experience significant racial/ethnic and socioeconomic disparities in inpatient mortality and cardiovascular outcomes at delivery. Across all income groups, Black, Hispanic, and A/PI women experience higher odds of in-hospital mortality compared with White women. Furthermore, high-income Black women had greater odds of many CV complications compared with low-income White women.
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