NDLI: Racial-ethnic disparities in potentially preventable complications after cesarean delivery in Maryland: an observational cohort study

Content Provider	Springer Nature : BioMed Central
Author	Lankford, Allison Roland, Laura Jackson, Christopher Chow, Jonathan Keneally, Ryan Jackson, Amanda Douglas, Rundell Berger, Jeffrey Mazzeffi, Michael
Abstract	Background Potentially preventable complications are monitored as part of the Maryland Hospital Acquired Conditions Program and are used to adjust hospital reimbursement. Few studies have evaluated racial-ethnic disparities in potentially preventable complications. Our study objective was to explore whether racial-ethnic disparities in potentially preventable complications after Cesarean delivery exist in Maryland. Methods We performed a retrospective observational cohort study using data from the Maryland Health Services Cost Review Commission database. All patients having Cesarean delivery, who had race-ethnicity data between fiscal years 2016 and 2020 were included. Multivariable logistic regression modeling was performed to estimate risk-adjusted odds of having a potentially preventable complication in patients of different race-ethnicity. Results There were 101,608 patients who had Cesarean delivery in 33 hospitals during the study period and met study inclusion criteria. Among them, 1,772 patients (1.7%), experienced at least one potentially preventable complication. Patients who had a potentially preventable complication were older, had higher admission severity of illness, and had more government insurance. They also had more chronic hypertension and pre-eclampsia (both P<0.001). Median length of hospital stay was longer in patients who had a potentially preventable complications (4 days vs. 3 days, P<0.001) and median hospital charges were approximately $4,600 dollars higher, (P<0.001). The odds of having a potential preventable complication differed significantly by race-ethnicity group (P=0.05). Hispanic patients and Non-Hispanic Black patients had higher risk-adjusted odds of having a potentially preventable complication compared to Non-Hispanic White patients, OR=1.26 (95% CI=1.05 to 1.52) and OR=1.17 (95% CI=1.03 to 1.33) respectively. Conclusions In Maryland a small percentage of patients undergoing Cesarean delivery experienced a potentially preventable complication with Hispanic and Non-Hispanic Black patients disproportionately impacted. Continued efforts are needed to reduce potentially preventable complications and obstetric disparities in Maryland.
Related Links	https://bmcpregnancychildbirth.biomedcentral.com/counter/pdf/10.1186/s12884-022-04818-5.pdf
Ending Page	10
Page Count	10
Starting Page	1
File Format	HTM / HTML
ISSN	14712393
DOI	10.1186/s12884-022-04818-5
Journal	BMC Pregnancy and Childbirth
Issue Number	1
Volume Number	22
Language	English
Publisher	BioMed Central
Publisher Date	2022-06-16
Access Restriction	Open
Subject Keyword	Reproductive Medicine Maternal and Child Health Gynecology Cesarean delivery Obstetrics Healthcare quality Disparities
Content Type	Text
Resource Type	Article
Subject	Obstetrics and Gynecology
Journal Impact Factor	2.8/2023
5-Year Journal Impact Factor	3.4/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Racial and ethnic differences in primary, unscheduled cesarean deliveries among low-risk primiparous women at an academic medical center: a retrospective cohort study

Differential rates of cesarean delivery by maternal geographical origin: a cohort study in France

Correction: Do maternal albumin levels affect post-operative complications after cesarean delivery?

Does Universal Coverage Mitigate Racial Disparities in Potentially Avoidable Maternal Complications?

Maternal obesity and its effect on labour duration in nulliparous women: a retrospective observational cohort study

Risk factors for relaparotomy after a cesarean delivery: a case-control study

Adverse obstetric symptoms and rural–urban difference in cesarean delivery in Rupandehi district, Western Nepal: a cohort study

Racial and ethnic disparities in the incidence, healthcare utilization, and outcomes of retained placenta among delivery hospitalizations in the United States, 2016–2019

Prediction of vaginal birth after cesarean delivery in Southeast China: a retrospective cohort study

Racial-ethnic disparities in potentially preventable complications after cesarean delivery in Maryland: an observational cohort study

Similar Documents

Racial and ethnic differences in primary, unscheduled cesarean deliveries among low-risk primiparous women at an academic medical center: a retrospective cohort study

Differential rates of cesarean delivery by maternal geographical origin: a cohort study in France

Correction: Do maternal albumin levels affect post-operative complications after cesarean delivery?

Does Universal Coverage Mitigate Racial Disparities in Potentially Avoidable Maternal Complications?

Maternal obesity and its effect on labour duration in nulliparous women: a retrospective observational cohort study

Risk factors for relaparotomy after a cesarean delivery: a case-control study

Adverse obstetric symptoms and rural–urban difference in cesarean delivery in Rupandehi district, Western Nepal: a cohort study

Racial and ethnic disparities in the incidence, healthcare utilization, and outcomes of retained placenta among delivery hospitalizations in the United States, 2016–2019

Prediction of vaginal birth after cesarean delivery in Southeast China: a retrospective cohort study

Racial-ethnic disparities in potentially preventable complications after cesarean delivery in Maryland: an observational cohort study