Abstract 16364: Effect of Social Determinants on Outcomes in a High-risk Cardio-obstetrics Population

IntroductionCardiovascular disease is the leading cause of maternal mortality. The hemodynamic changes that occur during pregnancy make this a particularly vulnerable time for women with heart disease. Additionally, it is known that social determinants have an effect on certain outcomes in pregnancy...

Full description

Saved in:
Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2020-11, Vol.142 (Suppl_3 Suppl 3), p.A16364-A16364
Main Authors: Carland, Corinne, Panelli, Danielle, Lee, Christine, Sherwin, Elizabeth, Levin, Eleanor, Zarafshar, Shirin, Tremmel, Jennifer A, Tsai, Sandra, Bianco, Katherine, Khandelwal, Abha
Format: Article
Language:English
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:IntroductionCardiovascular disease is the leading cause of maternal mortality. The hemodynamic changes that occur during pregnancy make this a particularly vulnerable time for women with heart disease. Additionally, it is known that social determinants have an effect on certain outcomes in pregnancy, although research to quantify this effect is limited. We compared demographics and outcomes for women in upper- and lower-income brackets based on zip codes. MethodsWe performed a retrospective cohort study of high-risk pregnant patients with cardiac diagnoses between November 2010 and June 2019. Patients were stratified into upper- and lower-income based on median household income in their zip code (2018 U.S. census). ResultsWe studied 191 pregnancies. Patients were stratified by zip code into lower (
ISSN:0009-7322
1524-4539
DOI:10.1161/circ.142.suppl_3.16364