TY - T1的以人群为基础的研究再入院Nonelective产后的女性中风,偏头痛,多发性硬化症,重症肌无力JF -神经学乔-神经病学SP - e1545 LP - e1554做- 10.1212 / WNL。首页0000000000200007六世- 98 - 15盟——芭芭拉·m·德克尔AU -迪伦蒂博盟-凯瑟琳·a·戴维斯AU -埃里森·w·威利斯Y1 - 2022/04/12 UR - //www.ez-admanager.com/content/98/15/e1545.abstract N2 -客观比首页较孕产妇产科并发症和再入院nonelective在女性常见的神经系统并发症(WWN)对女性没有神经系统紊乱。方法回顾性队列研究的指数特征和急性产后,nonelective再进医院从2015 - 2017年国家再入院数据库使用icd - 10编码。瓦尔德χ2测试基线人口相比,医院,临床特点及产后并发症WWN之间(包括前中风、偏头痛、多发性硬化症(MS)、和重症肌无力(MG))和控制。多变量逻辑回归模型研究了产后并发症的几率和30和90天内再入院nonelective神经疾病与控制(α= 0.05)。结果共有7612名妇女与先前的中风,83430名女性偏头痛,6760名女性女士,843毫克的女性和8136335控制符合指数的标准入学后可行的婴儿。WWN更有可能比控制住院诊断水肿、蛋白尿、高血压疾病和收到产妇照顾可怜的胎儿生长。调整可能性的疾病控制中心和预防严重的产妇发病率指示器是更大的妇女与先前的中风(调整优势比(AOR)为8.53,95%可信区间7.24 - -10.06),偏头痛(优势比为2.04,95%可信区间1.85 - -2.26),和MG(优势比为4.45,95%可信区间2.45 - -8.08)(所有p & lt;0.0001)。重新接纳率在30和90天的WWN高于控制(偏头痛中风之前30天:2.9%,1.7%,1.8%,女士MG 4.3%,控制1.1%;偏头痛90天:中风之前的3.7%,2.5%,5.1%,女士MG 6.0%,控制1.6%)。 Women with MG had the highest adjusted odds of readmission (30 days: AOR 3.96, 95% CI 2.37–6.65, p < 0.0001; 90 days: AOR 3.30, 95% CI 1.88–5.78, p < 0.0001).Discussion WWN may be at higher risk of severe maternal morbidity at the time of index delivery and postpartum readmission. More real-world evidence is needed to develop research infrastructure and create efficacious interventions to optimize maternal–fetal outcomes in WWN, especially for women with previous stroke or MG.AOR=adjusted odds ratio; CDC=Centers for Disease Control and Prevention; HCUP=Healthcare Cost and Utilization Project; ICD-10=International Classification of Diseases, Tenth Revision; ICD-10 CM/PCS=International Classification of Diseases, Tenth Revision, Clinical Modification/Procedure Coding System; MG=myasthenia gravis; MS=multiple sclerosis; NRD=National Readmissions Database; SMM=severe maternal morbidity; WWN=women with neurologic comorbidities ER -