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Racial and Socioeconomic Disparities in Cardiovascular Outcomes of Preeclampsia Hospitalizations in the United States 2004-2019.
Zahid, Salman; Tanveer Ud Din, Mian; Minhas, Anum S; Rai, Devesh; Kaur, Gurleen; Carfagnini, Christina; Khan, Muhammad Zia; Ullah, Waqas; Van Spall, Harriette Gillian Christine; Hays, Allison G; Michos, Erin D.
Afiliación
  • Zahid S; Sands-Constellation Heart Institute, Rochester General Hospital, Rochester, New York, USA.
  • Tanveer Ud Din M; Department of Medicine, Allegheny Health Network, Pittsburgh, Pennsylvania, USA.
  • Minhas AS; Division of Cardiology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
  • Rai D; Sands-Constellation Heart Institute, Rochester General Hospital, Rochester, New York, USA.
  • Kaur G; Division of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
  • Carfagnini C; Saba University School of Medicine, Saba, Dutch Carribean.
  • Khan MZ; Division of Cardiovascular Medicine, West Virginia University Heart & Vascular Institute, Morgantown, West Virginia, USA.
  • Ullah W; Department of Cardiovascular Medicine, Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.
  • Van Spall HGC; Department of Medicine (Cardiology) and Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada.
  • Hays AG; Population Health Research Institute, Hamilton, Ontario, Canada.
  • Michos ED; Research Institute of St. Joseph's, Hamilton, Ontario, Canada.
JACC Adv ; 1(3): 100062, 2022 Aug.
Article en En | MEDLINE | ID: mdl-38938395
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JACC Adv Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: JACC Adv Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos