Abstract / Description: 

Aims: Cardiovascular (CV) complications are the leading cause of maternal morbidity and mortality. The objective was to estimate trends in incidence of peripartum CV complications in the United States between 2010-2016. Methods and Results: This was a retrospective analyses using data from the Healthcare Cost and Utilization Project. We included women with delivery codes consistent with delivery, weighted to a national estimate. The primary outcome was the age-adjusted incidence of CV complications among all deliveries, including complications that occurred during re-hospitalizations. Complications were identified using International Classification of Diseases (ICD) codes. Joinpoint regression was used to evaluate time trends and complications were stratified by type. The secondary outcome was in-hospital maternal death among women with a CV complication. Conclusion: Our analyses suggest the rate of peripartum CV complications are increasing in the United States, which highlights the need for active efforts in research and prevention.

eCardio Hub Collection
Noopur Goyal, MD; Jennifer S. Herrick, MS; Shannon Son, MD; Torri D. Metz, MD, MS; Rashmee U. Shah, MD, MS