Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Risk Factors & Timing in Postpartum Stroke

Obstet Gynecol; ePub 2017 Dec 4; Too, Wen, et al

The majority of readmissions for postpartum stroke occur within 10 days of discharge, with patients with chronic hypertension and hypertensive diseases of pregnancy at higher risk, a recent study found. The retrospective cohort study used the Healthcare Cost and Utilization Project’s Nationwide Readmissions Database for 2013 and 2014 to evaluate risk of readmission for stroke within 60 days of discharge from a delivery hospitalization. Researchers found:

  • 6,272,136 delivery hospitalizations were included in the analysis.
  • 1,505 cases of readmission for postpartum stroke were identified.
  • 214 (14.2%) cases of stroke occurred among patients with hypertensive diseases of pregnancy, 66 (4.4%) with chronic hypertension, and 1,225 (81.4%) without hypertension.
  • The majority of stroke readmissions occurred within 10 days of hospital discharge (58.4%), including 53.2% of patients with hypertensive diseases of pregnancy during the index hospitalization, 66.7% with chronic hypertension, and 59% with no hypertension.
  • Hypertensive diseases of pregnancy and chronic hypertension were associated with increased risk of stroke readmission vs no hypertension (OR, 1.74).

Citation:

Too G, Wen T, Boehme AK, et al. Timing the risk factors of postpartum stroke. [Published online ahead of print December 4, 2017]. Obstet Gynecol. doi:10.1097/AOG.0000000000002372.

This Week's Must Reads

Making LARC Options Available for Adolescents , Obstet Gynecol; ePub 2018 May; Savage, et al

ACOG On Optimizing Postpartum Care, Obstet Gynecol; ePub 2018 May; Stuebe, et al

Fertility Awareness Based Contraceptive Methods, Contraception; ePub 2018 Apr 25; Polis, et al

Estrogen-alone Therapy & Invasive Breast Cancer, Menopause; ePub 2018 May 7; Shufelt, et al

Cesarean Delivery Rates in the US , Am J Obstet Gynecol; ePub 2018 Apr 12; Hehir, et al

Must Reads in Obstetrics

ACOG On Optimizing Postpartum Care, Obstet Gynecol; ePub 2018 May; Stuebe, et al

Cesarean Delivery Rates in the US , Am J Obstet Gynecol; ePub 2018 Apr 12; Hehir, et al

Perinatal Outcomes in Women with Chronic Hypertension, Obstet Gynecol; ePub 2018 Apr 6; Youngstrom, et al

Influenza Vaccination During Pregnancy, Obstet Gynecol; 2018 Apr; Silverman, et al

Disparity & Pregnancy-Related Mortality in the US, Obstet Gynecol; ePub 2018 Mar 8; Moaddab, et al