Hysterectomy used more for postpartum bleeding compared to less invasive option
Non-invasive option has quicker recovery and shorter hospital stays in 12-year sample
2021-03-16
(Press-News.org) FAIRFAX, Va. (March 16, 2021)--Many women suffering significant postpartum bleeding continue to receive hysterectomies, rather than uterine artery embolization (UAE), despite evidence that UAE results in reduced hospital stays and costs, and offers an opportunity to preserve fertility, according to new research to be presented at the Society of Interventional Radiology Annual Scientific Meeting.
"Giving birth has become increasingly dangerous for women in the U.S., and postpartum hemorrhage is a leading cause of the loss of life related to childbirth," said Janice M. Newsome, MD, FSIR, associate professor, Department of Radiology and Imaging Sciences at Emory University School of Medicine and a lead author of the study. "All patients should have consistent access to a treatment that is safer, has an easier recovery and could preserve their ability to continue to have children."
In a review of nearly 10 million hospital births between 2005 and 2017, researchers found the most common intervention was transfusion, but removal of the uterus through hysterectomy was used 60% more often to manage bleeding than UAE, a minimally invasive procedure that uses real-time imaging to release tiny particles into uterine arteries to control the bleeding. Hysterectomy was twice as common as embolization in Hispanic patients, and also more common in rural and nonteaching urban hospitals, in the South and among Medicaid and self-paying patients.
Prolonged hospital stays of more than 14 days were twice as likely in patients who had hysterectomies and the procedure resulted in $18,000 higher hospital charges.
"Postpartum hemorrhage can occur quickly, and effective treatment options should be readily available to every woman having a child in the United States," said Newsome. "For hospitals that have IR services available, this can be accomplished by creating a concrete care plan for new mothers who are at higher risk of dangerous bleeding during childbirth."
Newsome envisions creating postpartum hemorrhage response teams, similar to other trauma teams, that would train together and develop response protocols, so that they are better able to identify risk factors of postpartum hemorrhage and ensure the right staff are on hand for delivery to respond quickly and save mothers' lives before it gets to the point of needing radical surgery.
INFORMATION:
Researchers used the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database, which tracks every hospital admission in the United States, and examined the results of significant postpartum bleeding, which occurred in 3.1 percent of live births.
Abstract 41: Utilization and Comparative Effectiveness of Hysterectomy vs. Uterine Artery Embolization for Clinically Significant Postpartum Hemorrhage: A National Inpatient Sample Study. L. Arndt, J. Newsome, M. Guo, S. Lee, K. Garcia-Reyes, R. Duszak Jr., J. Gichoya, N. Kokabi. Annual Scientific Meeting, March 20-26, 2021. This abstract can be found at sirmeeting.org after the embargo time.
About the Society of Interventional Radiology
The Society of Interventional Radiology is a nonprofit, professional medical society representing more than 8,000 practicing interventional radiology physicians, trainees, students, scientists and clinical associates, dedicated to improving patient care through the limitless potential of image-guided therapies. SIR's members work in a variety of settings and at different professional levels--from medical students and residents to university faculty and private practice physicians. Visit sirweb.org.
The Society of Interventional Radiology is holding its Annual Scientific Meeting online March 20-26, 2021. Visit sirmeeting.org.
ELSE PRESS RELEASES FROM THIS DATE:
2021-03-16
FAIRFAX, Va. (March 16, 2021)-- A minimally invasive treatment for patients whose cancer has spread to their bones provides quick and sustained pain relief and improves quality of life, according to a new study to be presented at the Society of Interventional Radiology Annual Scientific Meeting. The palliative treatment known as radiofrequency ablation (RFA) is effective in providing relief in as little as three days, and the benefits last more than 12 months--a significant improvement over radiation treatment.
"Commonly used radiation treatments can take weeks to provide pain relief," said Jason R. Levy, MD, a vascular and interventional radiologist at Northside Hospital in Atlanta and ...
2021-03-16
FAIRFAX, Va. (March 16, 2021)-- A non-surgical treatment for arthritis in the knee is safe and effective in providing immediate and long-term pain relief, according to a new study to be presented at the Society of Interventional Radiology Annual Scientific Meeting. Genicular artery embolization (GAE) reduces inflammation in the knee to improve function and quality of life for people with moderate to severe knee pain. Osteoarthritis is one of most common causes of disability, limiting daily activities of 40% of all U.S. adults.
"Prior to treatment, patients' knee pain had taken over their whole life," said Siddharth A. Padia, MD, FSIR, professor of radiology, UCLA Health, and lead researcher of the study. ...
2021-03-16
In an analysis that explores the structural underpinnings of a SARS-CoV-2 strain, G614, that quickly became dominant early in the pandemic, researchers discovered interactions that prevent this strain's spike from shedding its host binding domain too early. This may explain the enhanced infectivity of the G614 virus, they say. Throughout the COVID-19 pandemic, epidemiologists have monitored evolution of the SARS-CoV-2 virus with particular focus on the spike (S) protein. Spike trimers decorate the viral surface and facilitate host cell entry. An early variant with a single-residue substitution ...
2021-03-16
March 16, 2021, PORT ST. LUCIE, FL: Researchers from Cleveland Clinic's Florida Research and Innovation Center (FRIC) have identified a potential new target for anti-COVID-19 therapies. Their findings were published in Nature Microbiology.
Led by FRIC scientific director Michaela Gack, Ph.D., the team discovered that a coronavirus enzyme called PLpro (papain-like protease) blocks the body's immune response to the infection. More research is necessary, but the findings suggest that therapeutics that inhibit the enzyme may help treat COVID-19.
"SARS-CoV-2 - the virus that causes COVID-19 - has evolved quickly against many of the body's well-known ...
2021-03-16
The storms, which consist of brightenings and broadenings of the dawn flank of an oval of auroral activity that encircles Jupiter's poles, evolve in a pattern surprisingly reminiscent of familiar surges in the aurora that undulate across Earth's polar skies, called auroral substorms, according to the authors.
The new study is the first to track the storms from their birth on the nightside of the giant planet through their full evolution. It was published today in AGU Advances, AGU's journal for high-impact, short-format reports with immediate implications spanning all Earth and space sciences.
During a dawn storm, Jupiter's quiet and regular auroral arc transforms into a complex and intensely bright auroral ...
2021-03-16
The market for air purifiers is booming, but a new study has found that some air cleaning technologies marketed for COVID-19 may be ineffective and have unintended health consequences.
The study, authored by researchers at Illinois Tech, Portland State University, and Colorado State University, found that cleaning up one harmful air pollutant can create a suite of others.
Both chamber and field tests found that an ionizing device led to a decrease in some volatile organic compounds (VOCs) including xylenes, but an increase in others, most prominently oxygenated VOCs (e.g., acetone, ethanol) and toluene, substances commonly found in paints, ...
2021-03-16
Those who have persistent trouble sleeping may have an especially difficult grieving process after the death of a loved one, a new study co-authored by a University of Arizona researcher finds.
Most people who lose a close friend or family member will experience sleep troubles as part of the grieving process, as the body and mind react to the stress of the event, said study co-author Mary-Frances O'Connor, a professor in the UArizona Department of Psychology.
But O'Connor and her collaborators found that those who had persistent sleep challenges before losing someone were at higher risk for developing complicated grief after a loss. Complicated grief is characterized by a yearning for a lost loved one ...
2021-03-16
It would surprise no one that pursuing a graduate degree can be a stressful endeavor, and for students who are transgender and nonbinary (TNB), the atmosphere can become toxic, according to University of Houston researcher Nathan Grant Smith. In a new paper published in Higher Education, Smith provides an analysis of current literature pertaining to TNB graduate student experiences and suggests interventions in graduate education to create more supportive environments for TNB students.
"Nearly 50% of graduate students report experiencing emotional or psychological distress during their enrollment in graduate school. Levels of distress are particularly high for transgender ...
2021-03-16
It has long been understood that a parent's DNA is the principal determinant of health and disease in offspring. Yet inheritance via DNA is only part of the story; a father's lifestyle such as diet, being overweight and stress levels have been linked to health consequences for his offspring. This occurs through the epigenome - heritable biochemical marks associated with the DNA and proteins that bind it. But how the information is transmitted at fertilization along with the exact mechanisms and molecules in sperm that are involved in this process has been unclear until now.
A new study from McGill, published recently in Developmental Cell, has made a significant advance in the field by identifying how environmental information is transmitted by ...
2021-03-16
Lightning strikes -- perhaps a quintillion of them, occurring over a billion years -- may have provided sparks of life for the early Earth.
A new study by researchers at Yale and the University of Leeds contends that over time, these bolts from the blue unlocked the phosphorus necessary for the creation of biomolecules that would be the basis of life on the planet.
"This work helps us understand how life may have formed on Earth and how it could still be forming on other, Earth-like planets," said lead author Benjamin Hess, a graduate student in Yale's Department of Earth & Planetary ...
LAST 30 PRESS RELEASES:
[Press-News.org] Hysterectomy used more for postpartum bleeding compared to less invasive option
Non-invasive option has quicker recovery and shorter hospital stays in 12-year sample
