Trends, Predictors, and Outcomes of Cardiovascular Complications at Delivery Associated With Gestational Diabetes: A National Inpatient Sample Analysis (2004-2019)

Background Gestational diabetes (GD) is associated with increased risk of long-term cardiovascular complications. However, data on acute peripartum cardiovascular complications are not well established. Hence, we aimed to investigate the association of GD with acute cardiovascular outcomes at the ti...

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Published in:Journal of the American Heart Association 2022-11, Vol.11 (21), p.e026786
Main Authors: Zahid, Salman, Hashem, Anas, Minhas, Anum S, Bennett, Wendy L, Honigberg, Michael C, Lewey, Jennifer, Davis, Melinda B, Michos, Erin D
Format: Article
Language:English
Subjects:
Acute Kidney Injury
Arrhythmias, Cardiac
Cardiomyopathies - epidemiology
cardiovascular disease prevention
Diabetes, Gestational - epidemiology
Female
gestational diabetes
Hospitalization
Humans
Inpatients
Obesity - epidemiology
Original Research
peripartum cardiomyopathy
Pre-Eclampsia
preeclampsia
Pregnancy
Puerperal Disorders
Risk Factors
Stroke - epidemiology
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Summary:Background Gestational diabetes (GD) is associated with increased risk of long-term cardiovascular complications. However, data on acute peripartum cardiovascular complications are not well established. Hence, we aimed to investigate the association of GD with acute cardiovascular outcomes at the time of delivery admission. Methods and Results We used data from the National Inpatient Sample (2004-2019). ( ) or ( ) codes were used to identify delivery hospitalizations and GD diagnosis. A total of 63 115 002 weighted hospitalizations for deliveries were identified, of which 3.9% were among individuals with GD (n=2 435 301). The prevalence of both GD and obesity increased during the study period ( trends
ISSN:2047-9980
2047-9980
DOI:10.1161/JAHA.122.026786