HOSPITALIZATION FOR PREGNANCY COMPLICATIONS, UNITED-STATES, 1986 AND 1987

被引:48
作者
FRANKS, AL [1 ]
KENDRICK, JS [1 ]
OLSON, DR [1 ]
ATRASH, HK [1 ]
SAFTLAS, AF [1 ]
MOIEN, M [1 ]
机构
[1] NATL CTR HLTH STAT,DIV HLTH CARE STAT,ATLANTA,GA
关键词
MATERNAL MORBIDITY; PREGNANCY COMPLICATIONS; HOSPITALIZATION; RACE;
D O I
10.1016/0002-9378(92)91601-6
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
OBJECTIVE: The purpose of our analysis was to provide a national overview of the magnitude of the public health burden associated with inpatient care for pregnancy complications. STUDY DESIGN: We analyzed data from the National Hospital Discharge Survey for 1986 and 1987. We calculated ratios of hospitalizations for pregnancy complications for every 100 hospitalizations involving a birth. Standard errors for these ratios were calculated with RATIOEST, and relative ratios with 95% confidence intervals were calculated for subgroups of interest. RESULTS: We found that for every 100 hospitalizations involving birth, there were 22.2 nondelivery hospitalizations for pregnancy complications (14.6 antenatal complications, 7.6 pregnancy loss complications). These ratios were higher for black than for white women (relative ratio 1.4, 95% confidence interval 1.2 to 1.6). The effects of marital status, age, and insurance coverage differed between black and white women, and mean length of stay was longer for black than for white women. CONCLUSION: Hospitalization for pregnancy complications is far more common than is widely appreciated and is more frequent among black than white women.
引用
收藏
页码:1339 / 1344
页数:6
相关论文
共 25 条
[1]   ACCESS TO MEDICAL-CARE FOR BLACK AND WHITE AMERICANS - A MATTER OF CONTINUING CONCERN [J].
BLENDON, RJ ;
AIKEN, LH ;
FREEMAN, HE ;
COREY, CR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 261 (02) :278-281
[2]   CORONARY ARTERIOGRAPHY AND CORONARY-BYPASS SURVEY AMONG WHITES AND OTHER RACIAL GROUPS RELATIVE TO HOSPITAL-BASED INCIDENCE RATES FOR CORONARY-ARTERY DISEASE - FINDINGS FROM NHDS [J].
FORD, E ;
COOPER, R ;
CASTANER, A ;
SIMMONS, B ;
MAR, M .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1989, 79 (04) :437-440
[3]   EFFECTS OF PRENATAL CARE UPON THE HEALTH OF THE NEWBORN [J].
GORTMAKER, SL .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1979, 69 (07) :653-660
[4]   ACCESS TO KIDNEY-TRANSPLANTATION - HAS THE UNITED-STATES ELIMINATED INCOME AND RACIAL-DIFFERENCES [J].
HELD, PJ ;
PAULY, MV ;
BOVBJERG, RR ;
NEWMANN, J ;
SALVATIERRA, O .
ARCHIVES OF INTERNAL MEDICINE, 1988, 148 (12) :2594-2600
[5]  
KJELLSTRAND CM, 1988, ARCH INTERN MED, V148, P1305
[6]   BLACKS IN THE CORONARY-ARTERY SURGERY STUDY (CASS) - RACE AND CLINICAL DECISION-MAKING [J].
MAYNARD, C ;
FISHER, LD ;
PASSAMANI, ER ;
PULLUM, T .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1986, 76 (12) :1446-1448
[7]  
SHAH BV, 1981, SESUDAAN STANDARD ER
[8]  
SHAH BV, 1981, RATIOEST STANDARD ER
[9]  
SHAH BV, 1981, J AM STAT ASS
[10]   RACIAL INEQUALITIES IN THE USE OF PROCEDURES FOR PATIENTS WITH ISCHEMIC HEART-DISEASE IN MASSACHUSETTS [J].
WENNEKER, MB ;
EPSTEIN, AM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 261 (02) :253-257