Provider Adherence to Syphilis Testing Guidelines Among Stillbirth Cases
| Autor: | Guoyo Tao, Brian E. Dixon, Andrea A. Broyles, Katie Allen, Yenling A. Ho, Janet N. Arno, Chirag G. Patel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Microbiology (medical) medicine.medical_specialty Adolescent Population Dermatology Health records Article Miscarriage Young Adult 03 medical and health sciences 0302 clinical medicine Pregnancy Syphilis testing medicine Humans Mass Screening Syphilis 030212 general & internal medicine Pregnancy Complications Infectious education reproductive and urinary physiology education.field_of_study 030505 public health business.industry Obstetrics Medical record Public Health Environmental and Occupational Health Stillbirth medicine.disease Disease control United States female genital diseases and pregnancy complications Syphilis Serodiagnosis Infectious Diseases population characteristics Female Centers for Disease Control and Prevention U.S 0305 other medical science business |
| Zdroj: | Sex Transm Dis |
| ISSN: | 1537-4521 0148-5717 |
| DOI: | 10.1097/olq.0000000000001230 |
| Popis: | BACKGROUND The Centers for Disease Control and Prevention (CDC) recommends that all women with a stillbirth have a syphilis test after delivery. Our study seeks to evaluate adherence to CDC guidelines for syphilis screening among women with a stillbirth delivery. METHODS We used data recorded in electronic health records for women who gave birth between January 1, 2014, and December 31, 2016. Patients were included if they were 18 to 44 years old and possessed an International Classification of Diseases, Ninth Revision or Tenth Revision, Clinical Modification diagnosis of stillbirth. Stillbirth diagnoses were confirmed through a random sample of medical chart reviews. To evaluate syphilis screening, we estimated the proportion of women who received syphilis testing within 300 days before stillbirth, women who received syphilis testing within 30 days after a stillbirth delivery, and women who received syphilis testing both before and after stillbirth delivery. RESULTS We identified 1111 stillbirths among a population of 865,429 unique women with encounter data available from electronic health records. Among a sample of 127 chart-reviewed cases, only 35 (27.6%) were confirmed stillbirth cases, 45 (35.4%) possible stillbirth cases, 39 (30.7%) cases of miscarriage, and 8 (6.3%) cases of live births. Among confirmed stillbirth cases, 51.4% had any syphilis testing conducted, 31.4% had testing before their stillbirth delivery, 42.9% had testing after the delivery, and only 22.9% had testing before and after delivery. CONCLUSIONS A majority of women with a stillbirth delivery do not receive syphilis screening adherent to CDC guidelines. Stillbirth International Classification of Diseases codes do not accurately identify cases of stillbirth. |
| Databáze: | OpenAIRE |
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