Dataset Information

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

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.

SUBMITTER: Lankford A

PROVIDER: S-EPMC9204962 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Publications

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

Lankford Allison A Roland Laura L Jackson Christopher C Chow Jonathan J Keneally Ryan R Jackson Amanda A Douglas Rundell R Berger Jeffrey J Mazzeffi Michael M

BMC pregnancy and childbirth 20220616 1

<h4>Background</h4>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.<h4>Methods</h4>We performed a retrospective observational cohort study us ...[more]

PMID: 35710376

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Dataset Information

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

Background

Methods

Results

Conclusions

Publications

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

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