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2020 年塞阿拉州 COVID-19 产妇死亡率概况。

Profile of Maternal Mortality of COVID-19 in Ceará, in the Period of 2020.

机构信息

Programa de Pós-Graduação em Ciências da Saúde, Centro Universitário FMABC (FMABC), Santo André 09060-870, Brazil.

Curso de Enfermagem e Laboratório de Escrita Científica, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória (EMESCAM), Vitória 29027-502, Brazil.

出版信息

Int J Environ Res Public Health. 2023 Mar 6;20(5):4645. doi: 10.3390/ijerph20054645.

DOI:10.3390/ijerph20054645
PMID:36901655
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10001747/
Abstract

The aim of this paper is to describe the profile of maternal mortality of COVID-19 in the state of Ceará, Brazil, in the period 2020. Ecological, exploratory, cross-sectional study, with secondary data from the Influenza Epidemiological Surveillance Information System, were made available by the Obstetric Observatory Brazilian COVID-19. A total of 485 pregnant and postpartum women were included, and the analysis considered the notifications from the year 2020. The variables of interest and the outcome (death/cure by COVID-19) were analyzed in a descriptive way. Most pregnant and postpartum women were between 20 and 35 years old, brown/white skin color and residing in an urban area. The proportion of deaths was 5.8% in the year 2020. In that period, the rates of hospitalization in the ward increased by 95.5%, 12.6% of hospitalization in the Unit of Intensive Care (ICU), and 7.2% needed invasive ventilatory support. Maternal mortality from COVID-19 suggests an emergency in terms of the development of health actions and policies due to the aggravation and risks due to this disease.

摘要

本文旨在描述巴西塞阿拉州 2020 年期间 COVID-19 产妇死亡率的特征。这是一项生态、探索性、横断面研究,使用了巴西 COVID-19 产科观察站提供的流感流行病学监测信息系统的二级数据。共纳入 485 名孕妇和产后妇女,分析考虑了 2020 年的报告。对感兴趣的变量和结果(COVID-19 死亡/治愈)进行了描述性分析。大多数孕妇和产后妇女年龄在 20 至 35 岁之间,皮肤颜色为棕色/白色,居住在城市地区。2020 年的死亡率为 5.8%。在此期间,病房住院率增加了 95.5%,重症监护病房(ICU)住院率增加了 12.6%,7.2%需要有创性通气支持。COVID-19 导致的孕产妇死亡表明,由于这种疾病的加重和风险,在制定卫生行动和政策方面存在紧急情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23d/10001747/846c1c1d380a/ijerph-20-04645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23d/10001747/a180d9d990f1/ijerph-20-04645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23d/10001747/846c1c1d380a/ijerph-20-04645-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23d/10001747/a180d9d990f1/ijerph-20-04645-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e23d/10001747/846c1c1d380a/ijerph-20-04645-g002.jpg

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The risk of clinical complications and death among pregnant women with COVID-19 in the Cerner COVID-19 cohort: a retrospective analysis.
Cerner COVID-19 队列中 COVID-19 孕妇的临床并发症和死亡风险:一项回顾性分析。
BMC Pregnancy Childbirth. 2021 Apr 16;21(1):305. doi: 10.1186/s12884-021-03772-y.
4
Higher severe acute respiratory syndrome coronavirus 2 infection rate in pregnant patients.孕妇的严重急性呼吸综合征冠状病毒 2 感染率更高。
Am J Obstet Gynecol. 2021 Jul;225(1):75.e1-75.e16. doi: 10.1016/j.ajog.2021.02.011. Epub 2021 Feb 16.
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Poor maternal-neonatal outcomes in pregnant patients with confirmed SARS-Cov-2 infection: analysis of 145 cases.确诊感染 SARS-CoV-2 的孕妇母婴结局不良:145 例分析。
Arch Gynecol Obstet. 2021 Jun;303(6):1483-1488. doi: 10.1007/s00404-020-05909-4. Epub 2021 Jan 3.
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