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PHC4 Releases New Data on Maternal Hospitalizations and Sepsis in Conjunction with National Women’s Health Week

Harrisburg, PA – May 13, 2021 – In conjunction with National Women’s Health Week, PHC4 has released hospitalization data on an important maternal health issue—sepsis in patients hospitalized for a delivery or other pregnancy-related condition. Sepsis is a life-threatening condition characterized by a system-wide inflammatory response to infection that can worsen to acute organ dysfunction.

The data covers maternal hospitalizations (Pennsylvania female residents and non-residents ages 12-55) during the five-year period from October 2015 through September 2020. During that time, there were 698,576 maternal hospitalizations in total; sepsis was present in 4,794 of these stays or 6.9 out of every 1,000. Approximately 96% of the maternal hospitalizations with sepsis (4,620) were among Pennsylvania residents for a slightly lower rate of 6.8 per 1,000.

In commenting about the new research brief, Joe Martin, PHC4’s Executive Director acknowledged the PA Department of Health’s work in the area of maternal health, indicating that it “served as an impetus for PHC4 to look into this important issue of sepsis among maternal patients.” Martin added, “The sociodemographic findings included in this data suggest that continued focus on maternal health is important to Pennsylvania residents.”

According to the research brief, sociodemographic differences showed that Hispanic patients and Black, non-Hispanic patients were more likely to be affected as were patients living in high poverty areas.

  • Black, non-Hispanic patients comprised 16.2% of maternal stays without sepsis, but they comprised 25.9% of maternal stays with sepsis.
  • Hispanic patients comprised 8.5% of maternal stays without sepsis, but they comprised 13.3% of maternal stays with sepsis.
  • Patients living in the highest poverty areas (where 25 percent or more of the population lives in poverty) comprised 13.7% of maternal stays without sepsis, but they comprised 23.6% of maternal stays with sepsis.

Sepsis was also more likely in younger patients.

  • Sepsis was more likely among patients ages 12-17 and 18-24.
  • Patients 12-17 years comprised 1.2% of maternal stays without sepsis, but they comprised 2.6% of maternal stays with sepsis.
  • Patients 18-24 years comprised 21.5% of maternal stays without sepsis, but they comprised 30.9% of maternal stays with sepsis.

Statewide, the average length of a maternal hospital stay was longer for cases with sepsis (5.1 days) compared to those without sepsis (2.7 days), a statistically significant difference. The in-hospital mortality rate was higher for maternal stays with sepsis (0.30%) compared to those without sepsis (0.01%). This difference was also statistically significant.

County rates are also reported.

Findings from today’s release are available on PHC4’s website at www.phc4.org.

You can also link to this information through social media on Facebook and Twitter.

PHC4 is an independent state agency charged with collecting, analyzing and reporting information that can be used to improve the quality and restrain the cost of health care in Pennsylvania.

225 Market Street, Suite 400
Harrisburg, PA 17101

Phone: (717) 232-6787
Fax: (717) 232-3821

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