Incidence and Risk Factors for Stroke in Pregnancy and the Puerperium

医学 怀孕 冲程(发动机) 入射(几何) 优势比 产科 产后 儿科 内科学 机械工程 遗传学 物理 光学 生物 工程类
作者
Andra H. James,Cheryl Bushnell,Margaret G. Jamison,Evan R. Myers
出处
期刊:Obstetrical & Gynecological Survey [Lippincott Williams & Wilkins]
卷期号:61 (1): 4-5 被引量:266
标识
DOI:10.1097/01.ogx.0000193837.87337.d7
摘要

Pregnancy-related stroke is rare, but it can be a devastating event. Apart from mortality estimates of 8% to 15%, survivors may have marked and permanent disability. The authors reviewed data from the Healthcare Cost and Utilization Project of the Agency for Healthcare Research and Quality for the years 2000–2001, seeking cases of stroke among pregnancy-related discharges. The goal was to determine the incidence of, risk factors for, and disability and mortality resulting from pregnancy-related stroke in the United States during the period under review. Pregnancy-related discharges with a diagnosis of stroke totalled 2850, equivalent to 34 per 100,000 deliveries in this group of more than 9 million discharges. The 117 stroke-related deaths represented a mortality risk of 1.4 per 100,000. Nearly half the strokes (48%) occurred in the postpartum period, 11% were antepartum, and 41% took place at the time of delivery. Ischemic stroke accounted for 27% of cases, hemorrhagic stroke for 25%, pregnancy-related cerebrovascular events for 46%, and cerebral venous thrombosis for 2%. In general, the risk of stroke increased with age, but it was higher in women less than 20 years of age than in those aged 20–34 years. For women aged 35–39 years, the risk increased markedly. Black women had a higher risk of stroke than did Hispanic or white women. The stroke risk was highest for black women who were 35 or more years of age. The odds ratio (OR) for women 35 and older, compared with younger women, was 2.2, and that for black women aged 35 and older was 4.5. The strongest medical associations with stroke were migraine headaches (OR, 16.9), thrombophilia (OR, 16.0), lupus (OR, 15.2), heart disease (OR, 13.2), and sickle cell disease (OR, 9.1). Less marked but still significant associations were with hypertension, thrombocytopenia, diabetes, substance abuse, smoking, and anemia. Complications that correlated significantly with pregnancy-related stroke were pregnancy-related infection (OR, 25.0), transfusion (OR, 10.3), fluid and electrolyte imbalance (OR, 7.2), preeclampsia and gestational hypertension (OR, 4.4), and postpartum hemorrhage (OR, 1.8).
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
nicky完成签到 ,获得积分10
1秒前
麦子完成签到 ,获得积分10
2秒前
2秒前
Wilson完成签到 ,获得积分10
3秒前
luckweb发布了新的文献求助10
3秒前
3秒前
7秒前
10秒前
传奇3应助wujiwuhui采纳,获得10
12秒前
开心寄松完成签到,获得积分10
14秒前
北宫完成签到 ,获得积分10
14秒前
wansida完成签到,获得积分10
18秒前
QXS完成签到 ,获得积分10
18秒前
19秒前
菠萝完成签到 ,获得积分10
19秒前
领导范儿应助Villanellel采纳,获得10
23秒前
wintersss完成签到,获得积分10
23秒前
尹尹发布了新的文献求助10
24秒前
量子星尘发布了新的文献求助10
26秒前
zzzzzz完成签到 ,获得积分10
30秒前
坦率的枕头完成签到,获得积分10
30秒前
XS_QI完成签到 ,获得积分10
30秒前
与共发布了新的文献求助10
33秒前
苑阿宇完成签到 ,获得积分10
33秒前
yck1027完成签到,获得积分10
34秒前
fatcat完成签到,获得积分10
34秒前
斯文败类应助Camus采纳,获得10
35秒前
37秒前
Tammy完成签到 ,获得积分10
37秒前
Herisland完成签到 ,获得积分10
39秒前
lulalula完成签到,获得积分10
40秒前
NEO完成签到 ,获得积分10
42秒前
zcydbttj2011完成签到 ,获得积分10
44秒前
温暖的小鸭子完成签到,获得积分10
46秒前
50秒前
王泽厚发布了新的文献求助20
51秒前
雪花发布了新的文献求助10
53秒前
周全完成签到 ,获得积分10
57秒前
water应助科研通管家采纳,获得10
58秒前
Owen应助科研通管家采纳,获得10
58秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Handbook of Industrial Diamonds.Vol2 1100
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038066
求助须知:如何正确求助?哪些是违规求助? 3575779
关于积分的说明 11373801
捐赠科研通 3305584
什么是DOI,文献DOI怎么找? 1819239
邀请新用户注册赠送积分活动 892655
科研通“疑难数据库(出版商)”最低求助积分说明 815022