FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2475188967> ?p ?o ?g. }

• W2475188967 endingPage "640.e8" @default.
• W2475188967 startingPage "640.e1" @default.
• W2475188967 abstract "Background Postpartum hysterectomy is an obstetric procedure that carries significant maternal risk that is not well characterized by hospital volume. Objective The objective of this study was to determine risk for peripartum hysterectomy for women at low and moderate risk for the procedure. Study Design This population-based study used data from the Nationwide Inpatient Sample to characterize risk for peripartum hysterectomy. Women with a diagnosis of placenta accreta or prior cesarean and placenta previa were excluded. Obstetrical risk factors along with demographic and hospital factors were evaluated. Multivariable mixed-effects log-linear regression models were developed to determine adjusted risk. Based on these models receiver operating characteristic curves were plotted, and the area under the curve was determined to assess discrimination. Results Peripartum hysterectomy occurred in 1 in 1913 deliveries. Risk factors associated with significant risk for hysterectomy included mode of delivery, stillbirth, placental abruption, fibroids, and antepartum hemorrhage. These factors retained their significance in adjusted models: the risk ratio for stillbirth was 3.44 (95% confidence interval, 2.94–4.02), abruption 2.98 (95% confidence interval, 2.52–3.20), fibroids 3.63 (95% confidence interval, 3.22–4.08), and antepartum hemorrhage 7.15 (95% confidence interval, 6.16–8.32). The area under the curve for the model was 0.833. Conclusion Peripartum hysterectomy is a relatively common event that hospitals providing routine obstetric care should be prepared to manage. That specific risk factors are highly associated with risk for hysterectomy supports routine use of hemorrhage risk-assessment tools. However, given that a significant proportion of hysterectomies will be unpredictable, the availability of rapid transfusion protocols may be necessary for hospitals to safely manage these cases. Postpartum hysterectomy is an obstetric procedure that carries significant maternal risk that is not well characterized by hospital volume. The objective of this study was to determine risk for peripartum hysterectomy for women at low and moderate risk for the procedure. This population-based study used data from the Nationwide Inpatient Sample to characterize risk for peripartum hysterectomy. Women with a diagnosis of placenta accreta or prior cesarean and placenta previa were excluded. Obstetrical risk factors along with demographic and hospital factors were evaluated. Multivariable mixed-effects log-linear regression models were developed to determine adjusted risk. Based on these models receiver operating characteristic curves were plotted, and the area under the curve was determined to assess discrimination. Peripartum hysterectomy occurred in 1 in 1913 deliveries. Risk factors associated with significant risk for hysterectomy included mode of delivery, stillbirth, placental abruption, fibroids, and antepartum hemorrhage. These factors retained their significance in adjusted models: the risk ratio for stillbirth was 3.44 (95% confidence interval, 2.94–4.02), abruption 2.98 (95% confidence interval, 2.52–3.20), fibroids 3.63 (95% confidence interval, 3.22–4.08), and antepartum hemorrhage 7.15 (95% confidence interval, 6.16–8.32). The area under the curve for the model was 0.833. Peripartum hysterectomy is a relatively common event that hospitals providing routine obstetric care should be prepared to manage. That specific risk factors are highly associated with risk for hysterectomy supports routine use of hemorrhage risk-assessment tools. However, given that a significant proportion of hysterectomies will be unpredictable, the availability of rapid transfusion protocols may be necessary for hospitals to safely manage these cases." @default.
• W2475188967 created "2016-07-22" @default.
• W2475188967 creator A5015914957 @default.
• W2475188967 creator A5034554999 @default.
• W2475188967 creator A5047672703 @default.
• W2475188967 creator A5048633172 @default.
• W2475188967 creator A5057686070 @default.
• W2475188967 creator A5091051752 @default.
• W2475188967 date "2016-11-01" @default.
• W2475188967 modified "2023-10-18" @default.
• W2475188967 title "Population-based risk for peripartum hysterectomy during low- and moderate-risk delivery hospitalizations" @default.
• W2475188967 cites W1506392813 @default.
• W2475188967 cites W1974467776 @default.
• W2475188967 cites W1974717633 @default.
• W2475188967 cites W1981501248 @default.
• W2475188967 cites W1991023029 @default.
• W2475188967 cites W1994825849 @default.
• W2475188967 cites W2001329254 @default.
• W2475188967 cites W2002148576 @default.
• W2475188967 cites W2003457406 @default.
• W2475188967 cites W2015034856 @default.
• W2475188967 cites W2019781252 @default.
• W2475188967 cites W202945586 @default.
• W2475188967 cites W2031383171 @default.
• W2475188967 cites W2043075753 @default.
• W2475188967 cites W2044391056 @default.
• W2475188967 cites W2052018042 @default.
• W2475188967 cites W2057529206 @default.
• W2475188967 cites W2083857553 @default.
• W2475188967 cites W2152401910 @default.
• W2475188967 cites W2153938034 @default.
• W2475188967 cites W2161275592 @default.
• W2475188967 cites W2327713837 @default.
• W2475188967 doi "https://doi.org/10.1016/j.ajog.2016.06.032" @default.
• W2475188967 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/5086282" @default.
• W2475188967 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/27349293" @default.
• W2475188967 hasPublicationYear "2016" @default.
• W2475188967 type Work @default.
• W2475188967 sameAs 2475188967 @default.
• W2475188967 citedByCount "18" @default.
• W2475188967 countsByYear W24751889672017 @default.
• W2475188967 countsByYear W24751889672018 @default.
• W2475188967 countsByYear W24751889672019 @default.
• W2475188967 countsByYear W24751889672020 @default.
• W2475188967 countsByYear W24751889672021 @default.
• W2475188967 countsByYear W24751889672022 @default.
• W2475188967 countsByYear W24751889672023 @default.
• W2475188967 crossrefType "journal-article" @default.
• W2475188967 hasAuthorship W2475188967A5015914957 @default.
• W2475188967 hasAuthorship W2475188967A5034554999 @default.
• W2475188967 hasAuthorship W2475188967A5047672703 @default.
• W2475188967 hasAuthorship W2475188967A5048633172 @default.
• W2475188967 hasAuthorship W2475188967A5057686070 @default.
• W2475188967 hasAuthorship W2475188967A5091051752 @default.
• W2475188967 hasBestOaLocation W24751889672 @default.
• W2475188967 hasConcept C126322002 @default.
• W2475188967 hasConcept C131872663 @default.
• W2475188967 hasConcept C141071460 @default.
• W2475188967 hasConcept C156957248 @default.
• W2475188967 hasConcept C172680121 @default.
• W2475188967 hasConcept C2776953305 @default.
• W2475188967 hasConcept C2779225303 @default.
• W2475188967 hasConcept C2779234561 @default.
• W2475188967 hasConcept C2779494336 @default.
• W2475188967 hasConcept C2780081364 @default.
• W2475188967 hasConcept C2908647359 @default.
• W2475188967 hasConcept C29456083 @default.
• W2475188967 hasConcept C44249647 @default.
• W2475188967 hasConcept C46973012 @default.
• W2475188967 hasConcept C54355233 @default.
• W2475188967 hasConcept C71924100 @default.
• W2475188967 hasConcept C86803240 @default.
• W2475188967 hasConcept C99454951 @default.
• W2475188967 hasConceptScore W2475188967C126322002 @default.
• W2475188967 hasConceptScore W2475188967C131872663 @default.
• W2475188967 hasConceptScore W2475188967C141071460 @default.
• W2475188967 hasConceptScore W2475188967C156957248 @default.
• W2475188967 hasConceptScore W2475188967C172680121 @default.
• W2475188967 hasConceptScore W2475188967C2776953305 @default.
• W2475188967 hasConceptScore W2475188967C2779225303 @default.
• W2475188967 hasConceptScore W2475188967C2779234561 @default.
• W2475188967 hasConceptScore W2475188967C2779494336 @default.
• W2475188967 hasConceptScore W2475188967C2780081364 @default.
• W2475188967 hasConceptScore W2475188967C2908647359 @default.
• W2475188967 hasConceptScore W2475188967C29456083 @default.
• W2475188967 hasConceptScore W2475188967C44249647 @default.
• W2475188967 hasConceptScore W2475188967C46973012 @default.
• W2475188967 hasConceptScore W2475188967C54355233 @default.
• W2475188967 hasConceptScore W2475188967C71924100 @default.
• W2475188967 hasConceptScore W2475188967C86803240 @default.
• W2475188967 hasConceptScore W2475188967C99454951 @default.
• W2475188967 hasIssue "5" @default.
• W2475188967 hasLocation W24751889671 @default.
• W2475188967 hasLocation W24751889672 @default.
• W2475188967 hasLocation W24751889673 @default.
• W2475188967 hasLocation W24751889674 @default.
• W2475188967 hasOpenAccess W2475188967 @default.
• W2475188967 hasPrimaryLocation W24751889671 @default.

• next