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Risk Assessment of Qafati et al for Nonadherence with the 6-Week Postpartum Visit

Description

Qafati et al identified factors associated with nonadherence with the 6-week postpartum visit. This can help to identify a patient who may require greater efforts for follow-up. The authors are from Oakland University and Beaumont Hospital in Michigan.


Patient selection: woman postpartum

 

Factors associated with nonadherence:

(1) Medicaid health insurance

(2) prenatal care initiated >= 14 weeks gestation

(3) maternal age < 24 years

 

Factors associated with adherence:

(1) marital status married

(2) primiparity

 

Parameter

Finding

Points

age at delivery

< 24 years

2

 

>= 24 years

0

parity

primiparous

0

 

multiparous

2

insurance

Medicaid

1

 

private

0

gestational age first visit

< 14 weeks

0

 

>= 14 weeks

1

 

total score =

= SUM(points for all of the parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 6

• The higher the score the greater the risk of nonadherence.

 

Performance:

• The area under the ROC curve is 0.69.


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