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与 ICU 住院孕妇 COVID-19 死亡相关的因素。

Factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units.

机构信息

Universidade Estadual de Maringá. Maringá, Paraná, Brazil.

Centro Universitário Ingá. Maringá, Paraná, Brazil.

出版信息

Rev Bras Enferm. 2024 Aug 26;77(5):e20230172. doi: 10.1590/0034-7167-2023-0172. eCollection 2024.

DOI:10.1590/0034-7167-2023-0172
PMID:39194128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11346909/
Abstract

OBJECTIVES

to evaluate the factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.

METHODS

this ecological study was conducted using secondary data from Brazilian pregnant women with COVID-19 hospitalized in Intensive Care Units between March 2020 and March 2022. Univariate analysis and logistic regression were employed.

RESULTS

out of 3,547 pregnant women with COVID-19 hospitalized in Intensive Care Units, 811 died (22.8%). It was found that lack of COVID-19 vaccination (OR: 2.73; 95% CI: 1.83; 4.04), dyspnea (OR: 1.73; 95% CI: 1.17; 2.56), obesity (OR: 1.51; 95% CI: 1.05; 2.17), chronic cardiovascular disease (OR: 1.65; 95% CI: 1.14; 2.38), and non-white race/color (OR: 1.29; 95% CI: 1.00; 1.66) were independently and significantly associated with death.

CONCLUSIONS

it is concluded that vaccination status, presence of comorbidities, and clinical and ethnic-racial characteristics are associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.

摘要

目的

评估与巴西重症监护病房住院 COVID-19 孕妇死亡相关的因素。

方法

本生态研究使用了 2020 年 3 月至 2022 年 3 月期间在重症监护病房住院的巴西 COVID-19 孕妇的二次数据进行。采用单因素分析和逻辑回归进行分析。

结果

在 3547 名 COVID-19 住院孕妇中,有 811 人死亡(22.8%)。研究发现,未接种 COVID-19 疫苗(OR:2.73;95%CI:1.83;4.04)、呼吸困难(OR:1.73;95%CI:1.17;2.56)、肥胖(OR:1.51;95%CI:1.05;2.17)、慢性心血管疾病(OR:1.65;95%CI:1.14;2.38)和非白色种族/肤色(OR:1.29;95%CI:1.00;1.66)与死亡独立且显著相关。

结论

研究表明,疫苗接种状况、合并症以及临床和种族/肤色特征与巴西重症监护病房住院 COVID-19 孕妇的死亡相关。

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Rev Esc Enferm USP. 2023 Nov 24;57:e202320042. doi: 10.1590/1980-220X-REEUSP-2023-0042en. eCollection 2023.
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Anti-Black racism and maternal death from COVID-19: what have we seen in the Pandemic?反黑种人主义和 COVID-19 导致的孕产妇死亡:大流行期间我们看到了什么?
Cien Saude Colet. 2023 Sep;28(9):2501-2510. doi: 10.1590/1413-81232023289.08412022. Epub 2022 Oct 22.
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Severe maternal morbidity and mortality during the COVID-19 pandemic: a cohort study in Rio de Janeiro.新冠疫情期间的严重孕产妇发病和死亡情况:里约热内卢的一项队列研究
IJID Reg. 2023 Mar;6:1-6. doi: 10.1016/j.ijregi.2022.11.004. Epub 2022 Nov 10.
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Excess maternal mortality in Brazil: Regional inequalities and trajectories during the COVID-19 epidemic.巴西产妇死亡率过高:新冠疫情期间的地区不平等和变化趋势。
PLoS One. 2022 Oct 20;17(10):e0275333. doi: 10.1371/journal.pone.0275333. eCollection 2022.
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