Comorbidity software predicts extreme maternal morbidity equally throughout races, ethnicities

February 14, 2022

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Kern-Goldberger AR. Evaluating the OB-CMI as a predictive software for extreme maternal morbidity by race and ethnicity. Offered at: The Being pregnant Assembly; Jan. 31-Feb. 5, 2022 (digital assembly).

Kern-Goldberger experiences no related monetary disclosures.

The Obstetric Comorbidity Index predicted extreme maternal morbidity equally in racial and ethnic subgroups, in keeping with knowledge offered at The Being pregnant Assembly.

“The aim of this examine is to guage the efficiency of the Obstetric Comorbidity Index (OB-CMI) — which is a validated software that predicts severe maternal morbidity (SMM) in medical settings — by race and ethnicity,” Adina R. Kern-Goldberger, MD, MPH, a maternal-fetal drugs fellow at College of Pennsylvania Perelman College of Medication, stated in the course of the poster presentation.

The Obstetric Comorbidity Index predicts severe maternal morbidity similarly across racial and ethnic groups, according to a presenter at The Pregnancy Meeting. Source: Adobe Stock.
The Obstetric Comorbidity Index predicts extreme maternal morbidity equally throughout racial and ethnic teams, in keeping with a presenter at The Being pregnant Assembly. Supply: Adobe Inventory.

Kern-Goldberger and colleagues retrospectively examined a cohort of 4,169 sufferers who delivered at a big, tertiary, educational medical heart in 2019. They calculated an OB-CMI rating for every affected person and assessed its affiliation with SMM as outlined by the CDC.

The cohort was 64.3% non-Hispanic Black, 20.1% non-Hispanic white, 4.7% Hispanic and seven.6% Asian, with 270 sufferers (6.5%) experiencing SMM.

“There have been important variations within the prevalence of extreme maternal morbidity by insurance status, gestational age at supply, mode of supply and OB-CMI rating, however variations by race and ethnicity weren’t important,” Kern-Goldberger stated.

Nonetheless, there have been no important variations between OB-CMI rating and SMM when evaluating by race and ethnicity, she added.

“Given the numerous and longstanding racial and ethnic disparities in maternal outcomes, you will need to confirm whether or not predictive fashions or different methods to scale back SMM function equitably throughout affected person sub-groups,” the researchers wrote within the summary. “These knowledge reveal that the OB-CMI prognosticates SMM equally throughout racial and ethnic teams on this primarily [non-Hispanic Black] affected person inhabitants.”


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