Journal article
Cardiovascular Disease-Related Emergency Department Visits and Hospitalization among Women with Hypertensive Disorders of Pregnancy
American journal of preventive medicine, Vol.64(5), pp.686-694
05/01/2023
DOI: 10.1016/j.amepre.2023.01.004
PMCID: PMC11421440
PMID: 36863895
Abstract
Introduction: The risk of developing cardiovascular disease is higher for women who had hyper-tensive disorders of pregnancy than for women without a history of hypertensive disorders of preg-nancy. However, it is unknown whether the emergency department visits and hospitalization differ between women with a history of hypertensive disorders of pregnancy and women without hyper-tensive disorders of pregnancy. The objective of this study was to characterize and compare cardio-vascular disease -related emergency department visits, hospitalization rates, and diagnoses in women with a history of hypertensive disorders of pregnancy with those in women without.Methods: This study included participants from the California Teachers Study (N=58,718) with a history of pregnancy and data from 1995 through 2020. Incidence of cardiovascular disease -related emergency department visits and hospitalizations based on linkages with hospital records were modeled using multivariable negative binomial regression. Data were analyzed in 2022.Results: A total of 5% of the women had a history of hypertensive disorders of pregnancy (5.4%, 95% CI=5.2%, 5.6). A total of 31% of women had 1 or more cardiovascular disease -related emergency department visits (30.9%), and 30.1% had 1 or more hospitalizations. The incidence of cardiovascular dis-ease -related emergency department visits (adjusted incident rate ratio=8.96, p<0.001) and hospitaliza-tions (adjusted incident rate ratio=8.88, p<0.001) were significantly higher for women with hypertensive disorders of pregnancy than for those without, adjusting for other related characteristics of the women.Conclusions: History of hypertensive disorders of pregnancy is associated with higher cardiovas-cular disease -related emergency department visits and hospitalizations. These findings underscore the potential burden on women and the healthcare system of managing complications associated with hypertensive disorders of pregnancy. Evaluating and managing cardiovascular disease risk fac-tors in women with a history of hypertensive disorders of pregnancy is necessary to avoid cardio-vascular disease -related emergency department visits and hospitalizations in this group. Am J Prev Med 2023;64(5):686-694. (c) 2023 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
Details
- Title: Subtitle
- Cardiovascular Disease-Related Emergency Department Visits and Hospitalization among Women with Hypertensive Disorders of Pregnancy
- Creators
- Forgive Avorgbedor - Univ N Carolina, Sch Nursing, Greensboro, NC USAThomas P. McCoy - Univ N Carolina, Sch Nursing, Greensboro, NC USAKaboni W. Gondwe - Univ Wisconsin, Sch Nursing, Milwaukee, WI USAHanzhang Xu - Duke UniversityEmma Spielfogel - City Of Hope National Medical CenterYamnia I. Cortes - Univ N Carolina, Sch Nursing, Chapel Hill, NC USAHelene Vilme Jr - Duke UniversityV. James Lacey - City Of Hope National Medical Center
- Resource Type
- Journal article
- Publication Details
- American journal of preventive medicine, Vol.64(5), pp.686-694
- DOI
- 10.1016/j.amepre.2023.01.004
- PMID
- 36863895
- PMCID
- PMC11421440
- NLM abbreviation
- Am J Prev Med
- ISSN
- 0749-3797
- eISSN
- 1873-2607
- Publisher
- Elsevier
- Number of pages
- 9
- Grant note
- U01-CA199277; P30-CA033572; P30-CA023100; UM1-CA164917; R01-CA077398 / National Cancer Institute of the NIH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Cancer Institute (NCI)
- Language
- English
- Date published
- 05/01/2023
- Academic Unit
- Nursing
- Record Identifier
- 9984446266602771
Metrics
13 Record Views