{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T08:36:41Z","timestamp":1780389401812,"version":"3.54.1"},"reference-count":26,"publisher":"Walter de Gruyter GmbH","issue":"7","license":[{"start":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T00:00:00Z","timestamp":1748304000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_jpm-2025-0095_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examines the association between census tract-linked social vulnerability index (SVI) and maternal-fetal triage index (MFTI), a standardized score used to classify obstetric triage visit acuity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0095_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study included patients at 20\u00a0weeks of gestational age or greater presenting to a New York City obstetric triage unit from March 2019 to April 2021, analyzing only the first pregnancy per patient. Exclusions included missing SVI or MFTI data and MFTI-5 (scheduled services). The primary exposure was SVI, and the primary outcome was MFTI score at the first triage visit. Multinomial logistic regression modeled the odds of MFTI-1 (stat) and MFTI-2 (urgent) visits relative to prompt\/non-urgent visits, adjusting for potential confounders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0095_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 11,388 pregnant patients, most triage visits were classified as prompt or non-urgent (61.5\u202f%), while 35.1\u202f% were urgent, and 3.4\u202f% were stat. Patients from neighborhoods with very high SVI had increased odds of an urgent visit (aOR 1.22, 95\u202f% CI 1.06\u20131.41), as did those with chronic hypertension (aOR 1.46, 95\u202f% CI 1.18\u20131.81), though SVI was not associated with stat visits. Stat visits were more likely during the COVID-19 pandemic (aOR 5.42, 95\u202f% CI 4.04\u20137.28) and among patients with chronic hypertension (aOR 1.84, 95\u202f% CI 1.15\u20132.94), while nulliparity and term presentation were associated with lower odds of a stat\u00a0visit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_jpm-2025-0095_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients living in areas with a very high SVI score had increased odds of urgent triage visits but not stat visits. No racial or ethnic disparities were observed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/jpm-2025-0095","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T10:45:49Z","timestamp":1748256349000},"page":"877-884","source":"Crossref","is-referenced-by-count":2,"title":["Social vulnerability and triage acuity among pregnant people seeking unscheduled hospital care"],"prefix":"10.1515","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5287-9043","authenticated-orcid":false,"given":"Lakha","family":"Prasannan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, NYU Long Island School of Medicine , NYU Winthrop Hospital, NYU Langone Health , Mineola , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Alvarez","sequence":"additional","affiliation":[{"name":"Northwell , New Hyde Park , NY , USA"},{"name":"Department of Biostatistics , Office of Academic Affairs, Northwell Health , New Hyde Park , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Disha","family":"Shahani","sequence":"additional","affiliation":[{"name":"Northwell , New Hyde Park , NY , USA"},{"name":"Department of Biostatistics , Office of Academic Affairs, Northwell Health , New Hyde Park , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5534-6928","authenticated-orcid":false,"given":"Matthew J.","family":"Blitz","sequence":"additional","affiliation":[{"name":"Northwell , New Hyde Park , NY , USA"},{"name":"Department of Obstetrics and Gynecology, Zucker School of Medicine , South Shore University Hospital , Hempstead , NY , USA"},{"name":"Institute of Health Systems Science, Feinstein Institutes for Medical Research, Northwell Health , Manhasset , NY , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"2026051215142319704_j_jpm-2025-0095_ref_001","doi-asserted-by":"crossref","unstructured":"Kodama, S, Mokhtari, NB, Iqbal, SN, Kawakita, T. 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