Infections, Maternal Sepsis
Conditions
Keywords
Electronic Health Record, Post Partum Period, Pregnancy, Maternal Health
Brief summary
Sepsis is the second leading cause of maternal death in the U.S. For racial and ethnic minoritized birthing people, especially those who are Black, living in poverty, and from underserved communities, labor and postpartum are particularly vulnerable risk periods. The goal of this multi-center, multidisciplinary observational study is to optimize risk prediction accounting for the social determinants of health, and establish a novel maternal care continuity model to reduce sepsis- related death and disability and increase maternal health equity.
Detailed description
Maternal sepsis is the second leading cause of maternal death, major cause of morbidity, and preventable in most cases. EnCoRe MoMS: Engaging Communities to Reduce Morbidity from Maternal Sepsis will (Aim 2) Develop algorithms to optimize prediction of sepsis around delivery and postpartum. In the UG3 phase, robust community engagement and research infrastructures were established to: Aim 2a. Create a rich electronic health records (EHR) database from the Perinatal Research Consortium (PRC). Aim 2b. Collate neighborhood-level datasets characterizing social determinants of health (SDOH) In the UH3 phase, the investigators will Aim 2c. Harmonize patient-level EHR and neighborhood-level SDOH datasets and use machine learning models to analyze the individual and joint contributions of patient and neighborhood factors to optimize sepsis risk prediction within the PRC sample.
Interventions
None listed
Sponsors
Columbia University
Northern Manhattan Perinatal Partnership
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Study design
Observational model
ECOLOGIC_OR_COMMUNITY
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Be 18 years or older * Delivery admission (and) postpartum readmission at one of the Perinatal Research Consortium sites 2014-2021
Exclusion criteria
* Under 18 years old * Delivery admission (and) postpartum readmission at hospital that is not in the Perinatal Research Consortium * Delivery admission before 2014 or after 2021
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maternal sepsis risk | Delivery hospitalization through 8 weeks postpartum | Sepsis as evaluated by the following scoring systems: Sepsis-2 (proven or suspected infection in combination with at least two systemic inflammatory response syndrome criteria); Sepsis-3 (organ dysfunction as defined by an acute change in total organ dysfunction score within 24 hours of suspected infection); and Center for Disease Control (CDC) Sepsis (presumed infection and organ dysfunction based on CDC criteria). |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORDena Goffman, MD
Columbia University
Outcome results
None listed