Evidence map›Paper›PMID 39342111›Full record

Observational studyBMC pregnancy and childbirth2024

Association of inpatient postpartum recovery with patient-reported outcome measures following hospital discharge: a prospective cohort study.

Carrie M Stump, Feyce M Peralta, Pervez Sultan, Michael E Holland, Nevert Badreldin, Lelesse C Shepard, Robert J McCarthy

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in BMC pregnancy and childbirth, 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

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.

  1. Review
  2. Review
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.

Carrie M StumpDepartment of Anesthesiology, Northwestern University Feinberg School of Medicine, Prentice Women's Hospital of Northwestern University, 251 E. Huron St. F5-704, Chicago, IL, 60611, USA.
Feyce M PeraltaDepartment of Anesthesiology, Northwestern University Feinberg School of Medicine, Prentice Women's Hospital of Northwestern University, 251 E. Huron St. F5-704, Chicago, IL, 60611, USA. feyce.peralta@northwestern.edu.
Pervez SultanDepartment of Anesthesiology, Stanford University, Stanford, CA, 94304, USA.
Michael E HollandDepartment of Anesthesiology, Rush University, Chicago, IL, 60612, USA.
Nevert BadreldinDepartment of Obstetrics, Prentice Women's Hospital of Northwestern University, Chicago, IL, 60611, USA.
Lelesse C ShepardDepartment of Anesthesiology, Rush University, Chicago, IL, 60612, USA.
Robert J McCarthyDepartment of Anesthesiology, Rush University, Chicago, IL, 60612, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between the quality of inpatient versus outpatient obstetric postpartum recovery is under-explored. We examined the association between inpatient reported quality of recovery with outpatient global recovery, pain severity, pain interference, anxiety, and depression screening scores postpartum.

methodsWe conducted a multicenter observational cohort study of women in labor who underwent vaginal, operative vaginal, or intrapartum cesarean birth. Subjects completed baseline assessments of pain, social support, anxiety, and depression in early labor. We assessed the Obstetric Quality of Recovery-10 (ObsQoR-10) on the day of discharge and the ObsQoR-10, Global Health Scale (GHVAS; 0-100), Brief Pain Inventory (BPI), and the Edinburgh Postnatal Depression Scale (EPDS) on postpartum day seven. We hypothesized that the ObsQoR-10 scores at discharge would be useful in predicting postpartum day seven measures of recovery and postpartum depression screening scores.

resultsWe consented 558 subjects, 551/558(98%) completed baseline assessments, 400/551(72%) completed the ObsQoR-10 tool, and 344/551(62%) completed an EPDS assessment. Median (1st, 3rd quartile) ObsQoR-10 scores were 78 (63, 90) at discharge and 85 (68,93) on postpartum day seven, (difference of 7 [99% CI 2 to 13], P < 0.001). GHVAS on postpartum day seven identified 204/344 (59%) of subjects with good recovery. An ObsQoR-10 score of > 86 at discharge had a RR of 1.5 [95% CI 1.2 to 1.8], P < 0.001 for good recovery at postpartum day seven, the EPDS identified 20/344 (5.8%) respondents with a score ≥ 13 on postpartum day seven. The area under the curve between the ObsQoR-10 at discharge with an EPDS ≥ 13 was 0.74 (99% CI 0.61 to 0.86, P < 0.001). The RR for an EPDS ≥ 13 on postpartum day seven with an ObsQoR-10 < 77 on the day of discharge was 7.8 (95% CI 1.8 to 33.8; P = 0.001).

conclusionsObsQoR-10 scores at discharge and postpartum day seven demonstrated increased obstetric recovery in the post-discharge period. The observed association between the ObsQoR-10 and the EPDS, suggests that the ObsQoR-10 might facilitate identification of women at increased risk of postpartum anxiety or depression. Identification of high-risk women at discharge may allow early interventions to reduce morbidity secondary to postpartum depression.

Indexed as

Depression, PostpartumPatient DischargePatient Reported Outcome MeasuresPostpartum PeriodAdultAnxietyFemaleHumansInpatientsPain MeasurementPregnancyProspective StudiesYoung AdultBrief pain inventoryEdinburgh postpartum depression scaleGlobal health scaleMaternal recoveryPain interferencePatient-reported outcome measuresPostpartum depression

Identifiers

PMID39342111
PMCPMC11438177

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.