Category: Fellows Posters
Purpose: The primary aim of this study is to evaluate the appropriate test utilization in the continuum of care for iron-deficiency anemia in pregnancy using longitudinal laboratory data. The secondary aim of this study is to identify the prevalence of anemia among pregnant patients in the state of New Mexico.
De-identified laboratory data for pregnant patients aged 13 and older will be pulled from TriCore Reference Laboratories’ data repository. These patients will be classified into one of two cohorts: (A) has anemia or (B) does not have anemia based on laboratory values. The laboratory values for general anemia will be made using the patient’s hemoglobin, hematocrit and mean corpuscular volume. Once a general anemia status is assigned to a patient, iron-deficiency anemia probability will be established using ferritin. In order to assess clinicians’ appropriateness of test utilization in diagnosing and treating iron-deficiency anemia, longitudinal laboratory values will be tracked to evaluate changes in which the patient’s laboratory data shows improvement or worsening of anemia. In addition to assessing appropriate test utilization, the frequency of complete blood count (CBC) labs completed per patient will also be measured. This measurement will identify potential gaps in care based on the recommended frequency of CBC testing as defined by the American College of Obstetricians and Gynecologists who recommend a CBC done early in pregnancy within the first trimester and later in pregnancy, at the beginning of the third trimester. To meet the secondary aim of this study, those who are categorized as having anemia and having iron-deficiency will be used to calculate the prevalence of iron-deficiency anemia in pregnancy.