A Retrospective Review of Social Deprivation Index and Maternal Outcomes with Placenta Accreta Spectrum from a Single Referral Center Article Swipe
Alison N. Goulding
,
Karin A. Fox
,
Christina C. Reed
,
Bahram Salmanian
,
Alireza A. Shamshirsaz
,
Kjersti M. Aagaard
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1055/s-0043-1770162
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1055/s-0043-1770162
Objective Little is known about how community characteristics influence placenta accreta spectrum (PAS) outcomes. Our objective was to evaluate whether adverse maternal outcomes among pregnant people (gravidae) with PAS delivering at a single referral center differ by community-level measures of social deprivation. Study Design We conducted a retrospective cohort study of singleton gravidae with histopathology confirmed PAS delivering from January 2011 to June 2021 at a referral center. Data abstraction collected relevant patient information, including resident zip code, which was linked to Social Deprivation Index (SDI) score (a measure of area-level social deprivation). SDI scores were divided into quartiles for analysis. Primary outcome was a composite of maternal adverse outcomes. Bivariate analyses and multivariable logistic regression were performed. Results Among our cohort (n = 264), those in the lowest (least deprived) SDI quartile were older, had lower body mass index, and were more likely to identify as non-Hispanic white. Composite maternal adverse outcome occurred in 81 (30.7%), and did not differ significantly by SDI quartile. Intraoperative transfusion of ≥4 red blood cell units occurred more often among those living in deprived areas (31.2% in the highest [most deprived] vs. 22.7% in the lowest [least deprived] SDI quartile, p = 0.04). No other outcomes differed by SDI quartile. In multivariable logistic regression, a quartile increase in SDI was associated with 32% increased odds of transfusion of ≥4 red blood cell units (adjusted odds ratio: 1.32, 95% confidence interval: 1.01–1.75). Conclusion Within a cohort of gravidae with PAS delivered at a single referral center, we found that those living in more socially deprived communities were more likely to receive transfusion of ≥4 red blood cell units, but other maternal adverse outcomes did not differ. Our findings highlight the importance of considering how characteristics of the surrounding community can impact PAS outcomes and may assist with risk stratification and resource deployment. Key Points
Related Topics
Concepts
Medicine
Placenta accreta
Retrospective cohort study
Obstetrics
Referral
Single Center
Placenta
Pregnancy
Fetus
Family medicine
Surgery
Genetics
Biology
Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1055/s-0043-1770162
- OA Status
- green
- Cited By
- 3
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4382049915
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4382049915Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1055/s-0043-1770162Digital Object Identifier
- Title
-
A Retrospective Review of Social Deprivation Index and Maternal Outcomes with Placenta Accreta Spectrum from a Single Referral CenterWork title
- Type
-
reviewOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-06-26Full publication date if available
- Authors
-
Alison N. Goulding, Karin A. Fox, Christina C. Reed, Bahram Salmanian, Alireza A. Shamshirsaz, Kjersti M. AagaardList of authors in order
- Landing page
-
https://doi.org/10.1055/s-0043-1770162Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
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https://www.ncbi.nlm.nih.gov/pmc/articles/11107423Direct OA link when available
- Concepts
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Medicine, Placenta accreta, Retrospective cohort study, Obstetrics, Referral, Single Center, Placenta, Pregnancy, Fetus, Family medicine, Surgery, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
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2024: 3Per-year citation counts (last 5 years)
- References (count)
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36Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.community-level | 37 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 96 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/1 |
| sustainable_development_goals[0].score | 0.4099999964237213 |
| sustainable_development_goals[0].display_name | No poverty |
| citation_normalized_percentile.value | 0.86796129 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |