Title

Identifying Risk Factors of Hospital Admission during the Postpartum Period: A Cross Sectional Study of the 2010 Nationwide Inpatient Sample

Document Type

Presentation

Publication Date

6-26-2014

Comments

Advisor: A Crawford, Jefferson School of Population Health, Thomas Jefferson University, Philadelphia, PA

Abstract

Postpartum admissions occur when clinical illness, prior to the traditional six-week follow-up visit, results in being admitted to the hospital for acute care. Currently there is limited data that examine morbidity in this population in detail. The purpose of this Capstone project was to address the gap in knowledge regarding risk factors associated with postpartum hospital admission. A secondary data analysis was conducted using the Healthcare Cost and Utilization Project (HCUP)’s 2010 Nationwide Inpatient Sample. Relevant variables tested included age, race, primary insurance payer, number of chronic conditions, elective vs. non-elective admission, and primary diagnosis. Descriptive statistics, including frequencies, ranges, means, and standard deviations were calculated in order to develop an epidemiologic profile of the sample population. Associations of categorical variables were assessed using Pearson’s Chi-square test. There were statistically significant differences in non-postpartum obstetrical admission and postpartum admission across all variables studied. The most common primary diagnoses in women with a postpartum admission were hypertension, infection, and wound complications. Medicaid was the most common primary insurance payer for postpartum admission, followed by private insurance, and self-pay. Women ages 35-44 and African-American women had a proportionally higher rate of postpartum admission than non-postpartum obstetrical admission. Future public health research priorities and interventions will be discussed that aim to lower the number of postpartum admissions and improve quality of care through patient education.

Presentation: 17 minutes