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About:
Trends in Appendicitis Among Pregnant Women, the Risk for Cardiac Arrest, and Maternal–Fetal Mortality
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wasabi.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Trends in Appendicitis Among Pregnant Women, the Risk for Cardiac Arrest, and Maternal–Fetal Mortality
Creator
Ajewole, Veronica
Anene, •
Argueta, Erika
Dongarwar, Deepa
Giger, Dominique
Naik, •
Ogba, •
Oladapo Omoyele, •
Olaleye, Omonike
Oluwatoba, Abiodun
Salemi, Jason
Salihu, Hamisu
Spooner, Kiara
Taylor, Jalyce
Thuy, •
source
Medline; PMC
abstract
BACKGROUND: Appendicitis is the most common extra-uterine surgical emergency requiring immediate intervention during pregnancy. However, risks for mortality and morbidity among pregnant women with appendicitis remain poorly understood. This study was conducted to determine the temporal trends of appendicitis in pregnant women, and to calculate the risk of maternal–fetal mortality and near-miss marker (i.e., cardiac arrest) among pregnant women in general, and by race/ethnicity. METHODS: We conducted this retrospective study using data from the Nationwide Inpatient Sample (NIS) from January 1, 2002, through December 31, 2015. Joinpoint regression was used to estimate and describe temporal changes in the rates of all and acute appendicitis during the 14-year study period. We also estimated the risk of cardiac arrest, maternal, and fetal mortality among mothers of various racial/ethnic groups with a diagnosis of acute appendicitis. Within each group, patients without acute appendicitis were the referent category. RESULTS AND CONCLUSIONS: Out of the 58 million pregnancy hospitalizations during the study period, 63,145 cases (10.74 per 10,000 hospitalizations) were for acute appendicitis. There was a 5% decline (95% CI: − 5.1, − 5.0) in the rate of appendicitis hospitalizations over the period of the study. After adjusting for covariates, pregnant mothers with acute appendicitis had increased likelihood when compared to those without acute appendicitis to suffer fetal loss (OR: 2.05, 95% CI: 1.85–2.28) and nearly fivefold increase for inpatient maternal death. In conclusion, appendicitis during pregnancy remains an important cause of in-hospital maternal–fetal mortality overall and regardless of race/ethnicity.
has issue date
2020-07-31
(
xsd:dateTime
)
bibo:doi
10.1007/s00268-020-05717-6
bibo:pmid
32737556
has license
no-cc
sha1sum (hex)
8166dc4fb31f5d43a5eac8d9a0a7da7964613992
schema:url
https://doi.org/10.1007/s00268-020-05717-6
resource representing a document's title
Trends in Appendicitis Among Pregnant Women, the Risk for Cardiac Arrest, and Maternal–Fetal Mortality
has PubMed Central identifier
PMC7393813
has PubMed identifier
32737556
schema:publication
World J Surg
resource representing a document's body
covid:8166dc4fb31f5d43a5eac8d9a0a7da7964613992#body_text
is
schema:about
of
named entity 'appendicitis'
named entity 'mortality'
named entity 'cases'
named entity 'risk'
named entity 'mothers'
named entity 'conducted'
named entity 'appendicitis'
named entity 'referent'
named entity 'appendicitis'
named entity 'Appendicitis'
named entity 'patients'
named entity 'appendicitis'
named entity 'However'
named entity 'ethnic groups'
named entity 'mortality'
named entity 'appendicitis'
named entity 'general'
named entity 'morbidity'
named entity 'describe'
named entity 'hospitalizations'
named entity 'fetal'
named entity 'January'
named entity 'morbidity'
named entity 'acute appendicitis'
named entity '58 million'
named entity 'pregnancy'
named entity 'acute appendicitis'
named entity 'fetal mortality'
named entity 'acute appendicitis'
named entity 'appendicitis'
named entity 'pregnant women'
named entity 'Appendicitis'
named entity 'cardiac arrest'
named entity 'acute appendicitis'
named entity 'NIS'
named entity '5.0'
named entity 'retrospective study'
named entity 'abdominal pain'
named entity 'pregnancy'
named entity 'acute appendicitis'
named entity 'appendicitis'
named entity 'synergistic effect'
named entity 'ICD-9'
named entity 'Acute appendicitis'
named entity 'post-operative'
named entity 'Covid-19 pandemic'
named entity 'maternal age'
named entity 'procedure codes'
named entity 'appendicitis'
named entity 'acute appendicitis'
named entity 'uterus'
named entity 'diabetes'
named entity 'fetal loss'
named entity 'acute appendicitis'
named entity 'leukocytosis'
named entity 'fetal mortality'
named entity 'Hispanic'
named entity 'prenatal care'
named entity 'ICD-9-CM'
named entity 'appendicitis'
named entity 'appendicitis'
named entity 'appendicitis'
named entity 'pregnancy'
named entity 'maternal mortality'
named entity 'acute appendicitis'
named entity 'tests of hypotheses'
named entity 'cardiac arrest'
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