schliessen

Filtern

 

Bibliotheken

The Association of Maternal Race and Ethnicity and the Risk of Postpartum Hemorrhage

BACKGROUND:: There are profound racial and ethnic disparities in obstetric outcomes in the United States, but little is known about disparities in risk of postpartum hemorrhage (PPH). We explored the association of race and ethnicity on the risk of PPH due to uterine atony with sequential adjustment... Full description

Journal Title: Anesthesia & Analgesia 2012, Vol.115(5), pp.1127-1136
Main Author: Bryant, M., Allison
Other Authors: Mhyre, R., Jill , Leffert, A., Lisa , Hoban, Y., Rebecca , Yakoob, T., Mohammad , Bateman, T., Brian
Format: Electronic Article Electronic Article
Language:
Subjects:
ID: ISSN: 0003-2999 ; DOI: 10.1213/ANE.0b013e3182691e62
Link: http://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00000539-201211000-00019
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: ovid00000539-201211000-00019
title: The Association of Maternal Race and Ethnicity and the Risk of Postpartum Hemorrhage
format: Article
creator:
  • Bryant, M., Allison
  • Mhyre, R., Jill
  • Leffert, A., Lisa
  • Hoban, Y., Rebecca
  • Yakoob, T., Mohammad
  • Bateman, T., Brian
subjects:
  • Postpartum Hemorrhage -- Ethnology
ispartof: Anesthesia & Analgesia, 2012, Vol.115(5), pp.1127-1136
description: BACKGROUND:: There are profound racial and ethnic disparities in obstetric outcomes in the United States, but little is known about disparities in risk of postpartum hemorrhage (PPH). We explored the association of race and ethnicity on the risk of PPH due to uterine atony with sequential adjustment for possible mediating factors. METHODS:: This analysis was based on the Nationwide Inpatient Sample, from between 2005 and 2008. The frequencies of atonic PPH and atonic PPH resulting in transfusion or hysterectomy were estimated. We developed multivariable logistic regression models to estimate the odds of these outcomes in maternal racial/ethnic groups by sequentially adding potential mediators. RESULTS:: Hispanic ethnicity and Asian/Pacific Islander race were associated with a statistically significant increased odds of atonic PPH in comparison with Caucasians, despite adjustment for potential mediators (adjusted odds ratio [OR] for Hispanics: 1.21, 99% confidence interval [1.18, 1.25]; for Asians/Pacific Islanders: 1.31 [1.25, 1.38], with Caucasians as reference). Similar results were observed for these racial/ethnic groups for atonic PPH resulting in transfusion or hysterectomy. CONCLUSION:: Hispanic ethnicity and Asian/Pacific Islander race are significant risk factors for atonic PPH independent of measured potential mediators; biological differences may play a role.
language:
source:
identifier: ISSN: 0003-2999 ; DOI: 10.1213/ANE.0b013e3182691e62
fulltext: fulltext
issn:
  • 0003-2999
  • 00032999
url: Link


@attributes
ID1795496988
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordid00000539-201211000-00019
sourceidovid
recordidTN_ovid00000539-201211000-00019
sourceformatXML
sourcesystemPC
pqid1115064110
display
typearticle
titleThe Association of Maternal Race and Ethnicity and the Risk of Postpartum Hemorrhage
creatorBryant, M., Allison ; Mhyre, R., Jill ; Leffert, A., Lisa ; Hoban, Y., Rebecca ; Yakoob, T., Mohammad ; Bateman, T., Brian
ispartofAnesthesia & Analgesia, 2012, Vol.115(5), pp.1127-1136
identifierISSN: 0003-2999 ; DOI: 10.1213/ANE.0b013e3182691e62
descriptionBACKGROUND:: There are profound racial and ethnic disparities in obstetric outcomes in the United States, but little is known about disparities in risk of postpartum hemorrhage (PPH). We explored the association of race and ethnicity on the risk of PPH due to uterine atony with sequential adjustment for possible mediating factors. METHODS:: This analysis was based on the Nationwide Inpatient Sample, from between 2005 and 2008. The frequencies of atonic PPH and atonic PPH resulting in transfusion or hysterectomy were estimated. We developed multivariable logistic regression models to estimate the odds of these outcomes in maternal racial/ethnic groups by sequentially adding potential mediators. RESULTS:: Hispanic ethnicity and Asian/Pacific Islander race were associated with a statistically significant increased odds of atonic PPH in comparison with Caucasians, despite adjustment for potential mediators (adjusted odds ratio [OR] for Hispanics: 1.21, 99% confidence interval [1.18, 1.25]; for Asians/Pacific Islanders: 1.31 [1.25, 1.38], with Caucasians as reference). Similar results were observed for these racial/ethnic groups for atonic PPH resulting in transfusion or hysterectomy. CONCLUSION:: Hispanic ethnicity and Asian/Pacific Islander race are significant risk factors for atonic PPH independent of measured potential mediators; biological differences may play a role.
source
subjectPostpartum Hemorrhage -- Ethnology;
version4
lds50peer_reviewed
links
openurl$$Topenurl_article
backlink$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00000539-201211000-00019$$EView_record_at_Wolters_Kluwer_Health_Ovid_Technologies
openurlfulltext$$Topenurlfull_article
addlink$$Uhttp://exlibris-pub.s3.amazonaws.com/aboutOvid.html$$EView_Wolters_Kluwer_Health,_Lippincott,_Williams_&_Wilkins_Copyright_Statement
search
creatorcontrib
0Bryant, M, Allison
1Mhyre, R, Jill
2Leffert, A, Lisa
3Hoban, Y, Rebecca
4Yakoob, T, Mohammad
5Bateman, T, Brian
titleThe Association of Maternal Race and Ethnicity and the Risk of Postpartum Hemorrhage
descriptionBACKGROUND:: There are profound racial and ethnic disparities in obstetric outcomes in the United States, but little is known about disparities in risk of postpartum hemorrhage (PPH). We explored the association of race and ethnicity on the risk of PPH due to uterine atony with sequential adjustment for possible mediating factors. METHODS:: This analysis was based on the Nationwide Inpatient Sample, from between 2005 and 2008. The frequencies of atonic PPH and atonic PPH resulting in transfusion or hysterectomy were estimated. We developed multivariable logistic regression models to estimate the odds of these outcomes in maternal racial/ethnic groups by sequentially adding potential mediators. RESULTS:: Hispanic ethnicity and Asian/Pacific Islander race were associated with a statistically significant increased odds of atonic PPH in comparison with Caucasians, despite adjustment for potential mediators (adjusted odds ratio [OR] for Hispanics: 1.21, 99% confidence interval [1.18, 1.25]; for Asians/Pacific Islanders: 1.31 [1.25, 1.38], with Caucasians as reference). Similar results were observed for these racial/ethnic groups for atonic PPH resulting in transfusion or hysterectomy. CONCLUSION:: Hispanic ethnicity and Asian/Pacific Islander race are significant risk factors for atonic PPH independent of measured potential mediators; biological differences may play a role.
general
010.1213/ANE.0b013e3182691e62
1© 2012 International Anesthesia Research Society
2Lippincott Williams & Wilkins - Journals
sourceidovid
recordidovid00000539-201211000-00019
issn
00003-2999
100032999
rsrctypearticle
creationdate2012
addtitleAnesthesia & Analgesia
searchscopeovid
scopeovid
lsr30VSR-Enriched:[pqid, subject, eissn]
sort
titleThe Association of Maternal Race and Ethnicity and the Risk of Postpartum Hemorrhage
authorBryant, M., Allison ; Mhyre, R., Jill ; Leffert, A., Lisa ; Hoban, Y., Rebecca ; Yakoob, T., Mohammad ; Bateman, T., Brian
creationdate20121100
facets
frbrgroupid4932465218230432155
frbrtype5
newrecords20170719
creationdate2012
collectionLippincott Williams & Wilkins Journals (Wolters Kluwer Health)
prefilterarticles
rsrctypearticles
creatorcontrib
0Bryant, M., Allison
1Mhyre, R., Jill
2Leffert, A., Lisa
3Hoban, Y., Rebecca
4Yakoob, T., Mohammad
5Bateman, T., Brian
jtitleAnesthesia & Analgesia
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Bryant
1Mhyre
2Leffert
3Hoban
4Yakoob
5Bateman
aufirst
0Allison
1Jill
2Lisa
3Rebecca
4Mohammad
5Brian
auinitm
0M.
1R.
2A.
3Y.
4T.
au
0Bryant, M., Allison
1Mhyre, R., Jill
2Leffert, A., Lisa
3Hoban, Y., Rebecca
4Yakoob, T., Mohammad
5Bateman, T., Brian
atitleThe Association of Maternal Race and Ethnicity and the Risk of Postpartum Hemorrhage
jtitleAnesthesia & Analgesia
risdate201211
volume115
issue5
spage1127
epage1136
pages1127-1136
issn0003-2999
formatjournal
genrearticle
ristypeJOUR
abstractBACKGROUND:: There are profound racial and ethnic disparities in obstetric outcomes in the United States, but little is known about disparities in risk of postpartum hemorrhage (PPH). We explored the association of race and ethnicity on the risk of PPH due to uterine atony with sequential adjustment for possible mediating factors. METHODS:: This analysis was based on the Nationwide Inpatient Sample, from between 2005 and 2008. The frequencies of atonic PPH and atonic PPH resulting in transfusion or hysterectomy were estimated. We developed multivariable logistic regression models to estimate the odds of these outcomes in maternal racial/ethnic groups by sequentially adding potential mediators. RESULTS:: Hispanic ethnicity and Asian/Pacific Islander race were associated with a statistically significant increased odds of atonic PPH in comparison with Caucasians, despite adjustment for potential mediators (adjusted odds ratio [OR] for Hispanics: 1.21, 99% confidence interval [1.18, 1.25]; for Asians/Pacific Islanders: 1.31 [1.25, 1.38], with Caucasians as reference). Similar results were observed for these racial/ethnic groups for atonic PPH resulting in transfusion or hysterectomy. CONCLUSION:: Hispanic ethnicity and Asian/Pacific Islander race are significant risk factors for atonic PPH independent of measured potential mediators; biological differences may play a role.
pub© 2012 International Anesthesia Research Society
doi10.1213/ANE.0b013e3182691e62
eissn15267598
date2012-11