سکته مغزی حاد در دوران بارداری و دوره پس از زايمان
ترجمه نشده

سکته مغزی حاد در دوران بارداری و دوره پس از زايمان

عنوان فارسی مقاله: سکته مغزی حاد در دوران بارداری و دوره پس از زايمان
عنوان انگلیسی مقاله: Acute Stroke During Pregnancy and Puerperium
مجله/کنفرانس: مجله دانشکده قلب شناسی آمریکا - Journal Of The American College Of Cardiology
رشته های تحصیلی مرتبط: پزشکی
گرایش های تحصیلی مرتبط: مغز و اعصاب، جراحی زنان و زایمان
کلمات کلیدی فارسی: سکته مغزی هموراژیک، سکته مغزی ایسکمیک، بارداری، پس از زایمان
کلمات کلیدی انگلیسی: hemorrhagic strok، eischemic stroke، pregnancy، puerperium
نوع نگارش مقاله: مقاله پژوهشی (Research Article)
نمایه: Scopus - Master Journals List - MedLine - JCR
شناسه دیجیتال (DOI): https://doi.org/10.1016/j.jacc.2019.10.056
دانشگاه: Division of Cardiology Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
صفحات مقاله انگلیسی: 11
ناشر: الزویر - Elsevier
نوع ارائه مقاله: ژورنال
نوع مقاله: ISI
سال انتشار مقاله: 2020
ایمپکت فاکتور: 17/925 در سال 2019
شاخص H_index: 394 در سال 2020
شاخص SJR: 9/280 در سال 2019
شناسه ISSN: 0735-1097
شاخص Quartile (چارک): Q1 در سال 2019
فرمت مقاله انگلیسی: PDF
وضعیت ترجمه: ترجمه نشده است
قیمت مقاله انگلیسی: رایگان
آیا این مقاله بیس است: خیر
آیا این مقاله مدل مفهومی دارد: ندارد
آیا این مقاله پرسشنامه دارد: ندارد
آیا این مقاله متغیر دارد: ندارد
کد محصول: E14273
رفرنس: دارای رفرنس در داخل متن و انتهای مقاله
فهرست مطالب (انگلیسی)

Abstract

Methods

Results

Discussion

Conclusions

References

بخشی از مقاله (انگلیسی)

Abstract

Background
Acute stroke during pregnancy or within 6 weeks of childbirth is devastating for the mother and her family, yet data regarding incidence and contemporary trends are very limited.
Objectives
This study sought to investigate the incidence and outcomes of acute stroke and transient ischemic attack during pregnancy or within 6 weeks of childbirth in a large database.
Methods
The National Inpatient Sample was queried to identify women age ≥18 years in the United States with pregnancy-related hospitalizations from January 1, 2007, to September 30, 2015. Temporal trends in acute stroke (ischemic and hemorrhagic)/transient ischemic attack incidence and in-hospital mortality were extracted.
Results
Among 37,360,772 pregnancy-related hospitalizations, 16,694 (0.045%) women had an acute stroke. The rates of acute stroke did not change (42.8 per 100,000 hospitalizations in 2007 vs. 42.2 per 100,000 hospitalizations in 2015; ptrends = 0.10). Among those with acute stroke, there were increases in prevalence of obesity, smoking, hyperlipidemia, migraine, and gestational hypertension. Importantly, in-hospital mortality rates were almost 385-fold higher among those who had a stroke (42.1 per 1,000 pregnancy-related hospitalizations vs. 0.11 per 1,000 pregnancy-related hospitalizations; p < 0.0001). The rates of in-hospital mortality among pregnant women with acute stroke decreased (5.5% in 2007 vs. 2.7% in 2015; ptrends < 0.001).
Conclusions
In this contemporary analysis of pregnancy-related hospitalizations, acute stroke occurred in 1 of every 2,222 hospitalizations, and these rates did not decrease over approximately 9 years. The prevalence of most stroke risk factors has increased. Acute stroke during pregnancy and puerperium was associated with high maternal mortality, although it appears to be trending downward. Future studies to better identify mechanisms and approaches to prevention and management of acute stroke during pregnancy and puerperium are warranted.