泰的T1 -在怀孕脑出血摩根富林明神经学乔-神经病学SP - 424 LP - 429做wnl.0000228277首页.84760 10.1212/01.。a2六世盟- 67 - 3 - b·t·贝特曼AU - h·c·舒马赫AU - c·d·布什内尔AU - j . Pile-Spellman AU - l·l·辛普森AU - r . l . AU的焦点在于m·f·伯曼Y1 - 2006/08/08 UR - //www.ez-admanager.com/content/67/3/424.abstract N2 -目的首页:描述频率,颅内出血的危险因素,和结果(我)在妊娠和产后使用美国住院住院的大型数据库。方法:作者从行政数据集获得的数据,全国住院病人样本,其中包括大约20%的所有排放非医院,1993年到2002年。15到44岁妇女与我从数据库中选择的诊断分析,并在这一组编码为怀孕或产后的病人。使用美国人口普查数据,估计是我怀孕或产后的利率和怀孕妇女。利率的各种并发症患者的妊娠相关我比较提供的利率一般人群中发现患者使用多元逻辑回归来识别妊娠相关我的独立危险因素。结果:作者发现423例妊娠相关的我,这与6.1每100000名产妇妊娠相关我和7.1每100000高危妊娠相关我组(5.0相比,每100000人每年怀孕妇女的年龄考虑)。我与怀孕有关的风险增加在很大程度上归因于我发生在产后。妊娠相关我的住院死亡率为20.3%。我占所有的7.1%与怀孕有关的死亡率记录在这个数据库。 Significant independent risk factors for pregnancy-related ICH included advanced maternal age (OR 2.11, 95% CI 1.69 to 2.64), African American race (OR 1.83, 95% CI 1.39 to 2.41), preexisting hypertension (OR 2.61, 95% CI 1.34 to 5.07), gestational hypertension (OR 2.41, 95% CI 1.62 to 3.59), preeclampsia/eclampsia (OR 10.39, 95% CI 8.32 to 12.98), preexisting hypertension with superimposed preeclampsia/eclampsia (OR 9.23, 95% CI 5.26 to 16.19), coagulopathy (OR 20.66, 95% CI 13.67 to 31.23), and tobacco abuse (OR 1.95, 95% CI 1.11 to 3.42). Conclusion: Intracerebral hemorrhage (ICH) accounts for a substantial portion of pregnancy-related mortality. The risk of ICH associated with pregnancy is greatest in the postpartum period. Advanced maternal age, African American race, hypertensive diseases, coagulopathy, and tobacco abuse were all independent risk factors for pregnancy-related ICH. ER -
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