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Standardized outcomes in reproductive cardiovascular care: The STORCC initiative
- Source :
- American Heart Journal. 217:112-120
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Background Validated protocols for diagnostic testing and management of pregnant women with cardiovascular disease (CVD) do not exist. Our objective was to establish a prospective standardized protocol for the clinical evaluation of pregnant women with CVD. Methods The Standardized Outcomes in Reproductive Cardiovascular Care (STORCC) initiative prospectively enrolled pregnant women with CVD into a standardized diagnostic testing and assessment protocol. Detailed cardiac and obstetric data were collected during the antepartum, intrapartum, and postpartum periods. Each woman was assigned a STORCC color code of perceived risk at a monthly multidisciplinary conference. Results In 250 pregnancies of 207 women with CVD, the standardized care protocol was followed in 136 and routine care in 114. The median age of the subjects was 32 years, and the most common form of heart disease was congenital heart disease (77%). Women enrolled in standardized care protocol had high compliance with second- and third-trimester visits (93%) and postpartum visits (76%). Maternal cardiac complications occurred in 10%. The STORCC cardiac and obstetric color codes predicted adverse outcomes within each respective category (P = .02, .01). Conclusions The STORCC protocol for prospective diagnostic testing and follow-up of pregnant women with CVD was successfully established, and compliance was high. The strength of a standardized testing and care protocol as well as detailed classification of labor and delivery characteristics allows for robust analyses into specific questions regarding testing protocols, and mode and timing of delivery.
- Subjects :
- Adult
Heart Defects, Congenital
Postnatal Care
medicine.medical_specialty
Heart disease
Pregnancy Complications, Cardiovascular
MEDLINE
Standardized test
Disease
030204 cardiovascular system & hematology
Young Adult
03 medical and health sciences
0302 clinical medicine
Clinical Protocols
Pregnancy
Humans
Medicine
Prospective Studies
030212 general & internal medicine
Young adult
Prospective cohort study
business.industry
Prenatal Care
Standard of Care
medicine.disease
Emergency medicine
Patient Compliance
Female
Cardiology and Cardiovascular Medicine
business
Algorithms
Subjects
Details
- ISSN :
- 00028703
- Volume :
- 217
- Database :
- OpenAIRE
- Journal :
- American Heart Journal
- Accession number :
- edsair.doi.dedup.....44b07816304c47a718ff0fe579b4e998