Racial and Rural-Urban Disparities in Maternal Cardiac Disease Care in North Carolina: A Call to Action.

ABSTRACT:

Background

Cardiac disease is a leading cause of severe maternal morbidity (SMM). We sought to estimate the effects of race and rural-urban status on cardiac-specific severe maternal morbidity ("cardiac SMM") in North Carolina.

Methods

This retrospective study used the 2019 North Carolina State Inpatient Database (SID). Diagnosis codes were used to identify births, comorbidities, modified World Health Organization (mWHO) cardiac category, and outcomes. Hospital-level data were obtained from publicly available sources and the SID datasets. The primary outcome was a composite of cardiac SMM.

Results

Of 106,778 births, 369 had mWHO category I-II disease, and 366 had mWHO category II/III-IV disease. Individuals with cardiac disease had higher rates of cardiac SMM (10.4% v

SUBMITTER: Moyett JM 

PROVIDER: S-EPMC11439130 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature