Trauma during pregnancy: A population-based analysis of maternal outcome

Han-Tsung Cheng, Yu-Chun Wang, Hung-Chieh Lo, Li-Ting Su, Chiu-Hsiu Lin, Fung-Chang Sung, Chi-Hsun Hsieh

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Background Serious injury during pregnancy is known to cause adverse maternal outcomes. However, the significance of minor injuries in adverse maternal outcomes requires clarification because most injuries sustained during pregnancy are minor ones. Methods Two population-based databases (inpatient and ambulatory care) were used to identify pregnant women who had severe (required hospitalization) or minor injuries (required ambulatory care only) prenatally. ICD-9-CM coding was used to categorize the types of prenatal injury and complications during delivery. The patient demographics, types and timing of the injuries, and their association with adverse maternal outcomes were compared among the uninjured, those with minor injury, and those with severe injury. Odds ratios were calculated to estimate the risks of having adverse outcomes in injured pregnant women compared with those who are uninjured. Results The severely injured women tended to be younger (
Original languageEnglish
Pages (from-to)2767-2775
Number of pages9
JournalWorld Journal of Surgery
Volume36
Issue number12
DOIs
Publication statusPublished - 2012
Externally publishedYes

Fingerprint

Mothers
Pregnancy
Wounds and Injuries
Population
Ambulatory Care
Prenatal Injuries
Pregnant Women
International Classification of Diseases
Inpatients
Hospitalization
Odds Ratio
Demography
Databases

Keywords

  • adolescent
  • adult
  • article
  • factual database
  • female
  • human
  • injury
  • injury scale
  • labor complication
  • middle aged
  • mortality
  • pregnancy
  • retrospective study
  • risk
  • risk factor
  • statistical model
  • Taiwan
  • Adolescent
  • Adult
  • Databases, Factual
  • Female
  • Humans
  • Logistic Models
  • Middle Aged
  • Obstetric Labor Complications
  • Odds Ratio
  • Pregnancy
  • Retrospective Studies
  • Risk Factors
  • Trauma Severity Indices
  • Wounds and Injuries
  • Young Adult

Cite this

Cheng, H-T., Wang, Y-C., Lo, H-C., Su, L-T., Lin, C-H., Sung, F-C., & Hsieh, C-H. (2012). Trauma during pregnancy: A population-based analysis of maternal outcome. World Journal of Surgery, 36(12), 2767-2775. https://doi.org/10.1007/s00268-012-1750-6

Trauma during pregnancy: A population-based analysis of maternal outcome. / Cheng, Han-Tsung; Wang, Yu-Chun; Lo, Hung-Chieh; Su, Li-Ting; Lin, Chiu-Hsiu; Sung, Fung-Chang; Hsieh, Chi-Hsun.

In: World Journal of Surgery, Vol. 36, No. 12, 2012, p. 2767-2775.

Research output: Contribution to journalArticle

Cheng, H-T, Wang, Y-C, Lo, H-C, Su, L-T, Lin, C-H, Sung, F-C & Hsieh, C-H 2012, 'Trauma during pregnancy: A population-based analysis of maternal outcome', World Journal of Surgery, vol. 36, no. 12, pp. 2767-2775. https://doi.org/10.1007/s00268-012-1750-6
Cheng, Han-Tsung ; Wang, Yu-Chun ; Lo, Hung-Chieh ; Su, Li-Ting ; Lin, Chiu-Hsiu ; Sung, Fung-Chang ; Hsieh, Chi-Hsun. / Trauma during pregnancy: A population-based analysis of maternal outcome. In: World Journal of Surgery. 2012 ; Vol. 36, No. 12. pp. 2767-2775.
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abstract = "Background Serious injury during pregnancy is known to cause adverse maternal outcomes. However, the significance of minor injuries in adverse maternal outcomes requires clarification because most injuries sustained during pregnancy are minor ones. Methods Two population-based databases (inpatient and ambulatory care) were used to identify pregnant women who had severe (required hospitalization) or minor injuries (required ambulatory care only) prenatally. ICD-9-CM coding was used to categorize the types of prenatal injury and complications during delivery. The patient demographics, types and timing of the injuries, and their association with adverse maternal outcomes were compared among the uninjured, those with minor injury, and those with severe injury. Odds ratios were calculated to estimate the risks of having adverse outcomes in injured pregnant women compared with those who are uninjured. Results The severely injured women tended to be younger (",
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author = "Han-Tsung Cheng and Yu-Chun Wang and Hung-Chieh Lo and Li-Ting Su and Chiu-Hsiu Lin and Fung-Chang Sung and Chi-Hsun Hsieh",
note = "被引用次數:11 Export Date: 24 March 2016 CODEN: WJSUD 通訊地址: Hsieh, C.-H.; Department of Acute Care Surgery, China Medical University Hospital, 2 Yuh-Der Road, Taichung 404, Taiwan; 電子郵件: hsiehchihsun@yahoo.com.tw 參考文獻: Chames, M.C., Pearlman, M.D., Trauma during pregnancy: Outcomes and clinical management (2008) Clin Obstet Gynecol, 51, pp. 398-408; Mattox, K.L., Goetzl, L., Trauma in pregnancy (2005) Crit Care Med, 33, pp. S385-S389; Christine, J., D'Amico, Trauma in pregnancy (2002) Top Emerg Med, 24, pp. 26-39; Oxford, C.M., Ludmir, J., Trauma in pregnancy (2009) Clin Obstet Gynecol, 52, pp. 611-629; Brown, H.L., Trauma in pregnancy (2009) Obstet Gynecol, 114, pp. 147-160; El-Kady, D., Gilbert, W.M., Anderson, J., Trauma during pregnancy: An analysis of maternal and fetal outcomes in a large population (2004) Am J Obstet Gynecol, 190, pp. 1661-1668; Curet, M.J., Schermer, C.R., Demarest, G.B., Predictors of outcome in trauma during pregnancy: Identification of patients who can be monitored for less than 6 hours (2000) J Trauma, 49, pp. 18-24. , discussion 24-15; Shah, K.H., Simons, R.K., Holbrook, T., Trauma in pregnancy: Maternal and fetal outcomes (1998) J Trauma, 45, pp. 83-86; Yeh, C.C., Liao, C.C., Muo, C.H., Mental disorder as a risk factor for dog bites and post-bite cellulitis (2011) Injury, , (Epub ahead of print); Lai, S.W., Muo, C.H., Liao, K.F., Risk of acute pancreatitis in type 2 diabetes and risk reduction on anti-diabetic drugs: A population-based cohort study in Taiwan (2011) Am J Gastroenterol, 106, pp. 1697-1704; Lin, H.C., Kao, S., Tang, C.H., Using a population-based database to explore the inter-specialty differences in physician practice incomes in Taiwan (2005) Health Policy, 73, pp. 253-262; Sasser, S.M., Hunt, R.C., Sullivent, E.E., Guidelines for field triage of injured patients. Recommendations of the national expert panel on field triage (2009) MMWR Recomm Rep, 58, pp. 1-35; Brown, J.B., Stassen, N.A., Bankey, P.E., Mechanism of injury and special consideration criteria still matter: An evaluation of the national trauma triage protocol (2011) J Trauma, 70, pp. 38-44. , discussion 44-35; Hyde, L.K., Cook, L.J., Olson, L.M., Effect of motor vehicle crashes on adverse fetal outcomes (2003) Obstet Gynecol, 102, pp. 279-286; Fischer, P.E., Zarzaur, B.L., Fabian, T.C., Minor trauma is an unrecognized contributor to poor fetal outcomes: A populationbased study of 78,552 pregnancies (2011) J Trauma, 71, pp. 90-93; Wolf, M.E., Alexander, B.H., Rivara, F.P., A retrospective cohort study of seatbelt use and pregnancy outcome after a motor vehicle crash (1993) J Trauma, 34, pp. 116-119; Dahmus, M.A., Sibai, B.M., Blunt abdominal trauma: Are there any predictive factors for abruptio placentae or maternal-fetal distress? (1993) Am J Obstet Gynecol, 169, pp. 1054-1059; Crosby, W.M., Costiloe, J.P., Safety of lap-belt restraint for pregnant victims of automobile collisions (1971) N Engl J Med, 284, pp. 632-636; Williams, J.K., McClain, L., Rosemurgy, A.S., Evaluation of blunt abdominal trauma in the third trimester of pregnancy: Maternal and fetal considerations (1990) Obstet Gynecol, 75, pp. 33-37; Schiff, M.A., Holt, V.L., The injury severity score in pregnant trauma patients: Predicting placental abruption and fetal death (2002) J Trauma, 53, pp. 946-949; Corsi, P.R., Rasslan, S., De Oliveira, L.B., Trauma in pregnant women: Analysis of maternal and fetal mortality (1999) Injury, 30, pp. 239-243; Ali, J., Yeo, A., Gana, T.J., Predictors of fetal mortality in pregnant trauma patients (1997) J Trauma, 42, pp. 782-785",
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TY - JOUR

T1 - Trauma during pregnancy: A population-based analysis of maternal outcome

AU - Cheng, Han-Tsung

AU - Wang, Yu-Chun

AU - Lo, Hung-Chieh

AU - Su, Li-Ting

AU - Lin, Chiu-Hsiu

AU - Sung, Fung-Chang

AU - Hsieh, Chi-Hsun

N1 - 被引用次數:11 Export Date: 24 March 2016 CODEN: WJSUD 通訊地址: Hsieh, C.-H.; Department of Acute Care Surgery, China Medical University Hospital, 2 Yuh-Der Road, Taichung 404, Taiwan; 電子郵件: hsiehchihsun@yahoo.com.tw 參考文獻: Chames, M.C., Pearlman, M.D., Trauma during pregnancy: Outcomes and clinical management (2008) Clin Obstet Gynecol, 51, pp. 398-408; Mattox, K.L., Goetzl, L., Trauma in pregnancy (2005) Crit Care Med, 33, pp. S385-S389; Christine, J., D'Amico, Trauma in pregnancy (2002) Top Emerg Med, 24, pp. 26-39; Oxford, C.M., Ludmir, J., Trauma in pregnancy (2009) Clin Obstet Gynecol, 52, pp. 611-629; Brown, H.L., Trauma in pregnancy (2009) Obstet Gynecol, 114, pp. 147-160; El-Kady, D., Gilbert, W.M., Anderson, J., Trauma during pregnancy: An analysis of maternal and fetal outcomes in a large population (2004) Am J Obstet Gynecol, 190, pp. 1661-1668; Curet, M.J., Schermer, C.R., Demarest, G.B., Predictors of outcome in trauma during pregnancy: Identification of patients who can be monitored for less than 6 hours (2000) J Trauma, 49, pp. 18-24. , discussion 24-15; Shah, K.H., Simons, R.K., Holbrook, T., Trauma in pregnancy: Maternal and fetal outcomes (1998) J Trauma, 45, pp. 83-86; Yeh, C.C., Liao, C.C., Muo, C.H., Mental disorder as a risk factor for dog bites and post-bite cellulitis (2011) Injury, , (Epub ahead of print); Lai, S.W., Muo, C.H., Liao, K.F., Risk of acute pancreatitis in type 2 diabetes and risk reduction on anti-diabetic drugs: A population-based cohort study in Taiwan (2011) Am J Gastroenterol, 106, pp. 1697-1704; Lin, H.C., Kao, S., Tang, C.H., Using a population-based database to explore the inter-specialty differences in physician practice incomes in Taiwan (2005) Health Policy, 73, pp. 253-262; Sasser, S.M., Hunt, R.C., Sullivent, E.E., Guidelines for field triage of injured patients. Recommendations of the national expert panel on field triage (2009) MMWR Recomm Rep, 58, pp. 1-35; Brown, J.B., Stassen, N.A., Bankey, P.E., Mechanism of injury and special consideration criteria still matter: An evaluation of the national trauma triage protocol (2011) J Trauma, 70, pp. 38-44. , discussion 44-35; Hyde, L.K., Cook, L.J., Olson, L.M., Effect of motor vehicle crashes on adverse fetal outcomes (2003) Obstet Gynecol, 102, pp. 279-286; Fischer, P.E., Zarzaur, B.L., Fabian, T.C., Minor trauma is an unrecognized contributor to poor fetal outcomes: A populationbased study of 78,552 pregnancies (2011) J Trauma, 71, pp. 90-93; Wolf, M.E., Alexander, B.H., Rivara, F.P., A retrospective cohort study of seatbelt use and pregnancy outcome after a motor vehicle crash (1993) J Trauma, 34, pp. 116-119; Dahmus, M.A., Sibai, B.M., Blunt abdominal trauma: Are there any predictive factors for abruptio placentae or maternal-fetal distress? (1993) Am J Obstet Gynecol, 169, pp. 1054-1059; Crosby, W.M., Costiloe, J.P., Safety of lap-belt restraint for pregnant victims of automobile collisions (1971) N Engl J Med, 284, pp. 632-636; Williams, J.K., McClain, L., Rosemurgy, A.S., Evaluation of blunt abdominal trauma in the third trimester of pregnancy: Maternal and fetal considerations (1990) Obstet Gynecol, 75, pp. 33-37; Schiff, M.A., Holt, V.L., The injury severity score in pregnant trauma patients: Predicting placental abruption and fetal death (2002) J Trauma, 53, pp. 946-949; Corsi, P.R., Rasslan, S., De Oliveira, L.B., Trauma in pregnant women: Analysis of maternal and fetal mortality (1999) Injury, 30, pp. 239-243; Ali, J., Yeo, A., Gana, T.J., Predictors of fetal mortality in pregnant trauma patients (1997) J Trauma, 42, pp. 782-785

PY - 2012

Y1 - 2012

N2 - Background Serious injury during pregnancy is known to cause adverse maternal outcomes. However, the significance of minor injuries in adverse maternal outcomes requires clarification because most injuries sustained during pregnancy are minor ones. Methods Two population-based databases (inpatient and ambulatory care) were used to identify pregnant women who had severe (required hospitalization) or minor injuries (required ambulatory care only) prenatally. ICD-9-CM coding was used to categorize the types of prenatal injury and complications during delivery. The patient demographics, types and timing of the injuries, and their association with adverse maternal outcomes were compared among the uninjured, those with minor injury, and those with severe injury. Odds ratios were calculated to estimate the risks of having adverse outcomes in injured pregnant women compared with those who are uninjured. Results The severely injured women tended to be younger (

AB - Background Serious injury during pregnancy is known to cause adverse maternal outcomes. However, the significance of minor injuries in adverse maternal outcomes requires clarification because most injuries sustained during pregnancy are minor ones. Methods Two population-based databases (inpatient and ambulatory care) were used to identify pregnant women who had severe (required hospitalization) or minor injuries (required ambulatory care only) prenatally. ICD-9-CM coding was used to categorize the types of prenatal injury and complications during delivery. The patient demographics, types and timing of the injuries, and their association with adverse maternal outcomes were compared among the uninjured, those with minor injury, and those with severe injury. Odds ratios were calculated to estimate the risks of having adverse outcomes in injured pregnant women compared with those who are uninjured. Results The severely injured women tended to be younger (

KW - adolescent

KW - adult

KW - article

KW - factual database

KW - female

KW - human

KW - injury

KW - injury scale

KW - labor complication

KW - middle aged

KW - mortality

KW - pregnancy

KW - retrospective study

KW - risk

KW - risk factor

KW - statistical model

KW - Taiwan

KW - Adolescent

KW - Adult

KW - Databases, Factual

KW - Female

KW - Humans

KW - Logistic Models

KW - Middle Aged

KW - Obstetric Labor Complications

KW - Odds Ratio

KW - Pregnancy

KW - Retrospective Studies

KW - Risk Factors

KW - Trauma Severity Indices

KW - Wounds and Injuries

KW - Young Adult

U2 - 10.1007/s00268-012-1750-6

DO - 10.1007/s00268-012-1750-6

M3 - Article

VL - 36

SP - 2767

EP - 2775

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

IS - 12

ER -