Methods: This study consists of a single arm pre-test / post-test design. In 1999, our institution went to an electronic medical record (EMR; Epic Systems, Madison, Wis.). All women who delivered from 1/01/2000 to 12/31/2013 and who underwent screening for HCV during their pregnancy were identified via their EMR. For incidence rates, women diagnosed prior to 2000 were excluded. The educational intervention was initiated in 2005 with a pre-test period (1/01/2000 to 12/31/2005) and a post-test period (1/01/2006 to 12/31/2013). The EMRs of all HCV women diagnosed in this time period were reviewed for HCV risk factors and demographics.
Results: Two hundred and 30 women were diagnosed as having HCV in this 13 year period (pre-test n=88; post-test n=142). In comparing the two time periods, the percent tested, incidence and prevalence rates all increased in the post-test period (8.3% vs. 6.4%, 4.8/1000 vs. 3.4/1000, and 5.9/1000 vs. 4.3/1000 deliveries, respectively, P < 0.05). HCV pregant women in the post-test versus the pre-test period were younger (28.5 +/- 5.2 vs. 31.6 +/- 6.6), lower parity 1.9 +/- 1.7 vs. 2.6 +/- 2.6, Caucasian (81% vs. 53%), and had less hepatitis B (3% vs. 13%) and syphilis (0% vs. 6), P < 0.05.
Conclusion: This educational program resulted in an increase in testing rates which may have led to an increase in incidence and prevalence rates. Demographics and risk factors for HCV also changed during the 2 time periods (post-test: younger, Caucasian, less Hepatitis B and syphilis). Until there is universal screening for HCV, educational programs can improve screening rates. In addition, as populations change one needs to adjust the screening program on the evolving risk factors of one’s population.
A. Edwards, None
M. Ali, None
N. Abughali, None