MMWR Morbidity and Mortality Weekly Report· 2020Q1
Hamile Kadınlar Ağır COVID-19 Sonuçları Açısından Daha Yüksek Risk Altında
Update: Characteristics of Symptomatic Women of Reproductive Age with Laboratory-Confirmed SARS-CoV-2 Infection by Pregnancy Status — United States, January 22–October 3, 2020
- 1.264atıf
- Q1SCImago
- 2020yıl
Kısa özet
Semptomatik COVID-19'lu hamile kadınlar, yaş, ırk/etnik köken ve altta yatan durumlara göre ayarlandıktan sonra, hamile olmayan kadınlara göre yoğun bakıma (YBÜ) kabul edilme olasılığı 3 kat, invaziv ventilasyon alma olasılığı ise 2,9 kat daha fazlaydı.
Yapay zekâ ile başlık ve abstract'tan üretildi; tam metin okunmaz.
Ana noktalar
- Semptomatik COVID-19'lu hamile kadınların yoğun bakıma kabul edilme olasılığı 3.0 kat daha fazlaydı (1.000 vaka başına 10.5'e karşı 3.9).
- Hamile kadınların invaziv ventilasyon alma olasılığı 2.9 kat daha fazlaydı (1.000 vaka başına 2.9'a karşı 1.1).
- Hamile kadınların COVID-19'dan ölüm riski 1.7 kat daha yüksekti (1.000 vaka başına 1.5'e karşı 1.2).
- Riskler yaş, ırk/etnik köken ve altta yatan tıbbi koşullar için ayarlanmıştır.
Yapay zekâ ile başlık ve abstract'tan üretildi; tam metin okunmaz.
Özet (abstract)
Studies suggest that pregnant women might be at increased risk for severe illness associated with coronavirus disease 2019 (COVID-19) (1,2). This report provides updated information about symptomatic women of reproductive age (15-44 years) with laboratory-confirmed infection with SARS-CoV-2, the virus that causes COVID-19. During January 22-October 3, CDC received reports through national COVID-19 case surveillance or through the National Notifiable Diseases Surveillance System (NNDSS) of 1,300,938 women aged 15-44 years with laboratory results indicative of acute infection with SARS-CoV-2. Data on pregnancy status were available for 461,825 (35.5%) women with laboratory-confirmed infection, 409,462 (88.7%) of whom were symptomatic. Among symptomatic women, 23,434 (5.7%) were reported to be pregnant. After adjusting for age, race/ethnicity, and underlying medical conditions, pregnant women were significantly more likely than were nonpregnant women to be admitted to an intensive care unit (ICU) (10.5 versus 3.9 per 1,000 cases; adjusted risk ratio [aRR] = 3.0; 95% confidence interval [CI] = 2.6-3.4), receive invasive ventilation (2.9 versus 1.1 per 1,000 cases; aRR = 2.9; 95% CI = 2.2-3.8), receive extracorporeal membrane oxygenation (ECMO) (0.7 versus 0.3 per 1,000 cases; aRR = 2.4; 95% CI = 1.5-4.0), and die (1.5 versus 1.2 per 1,000 cases; aRR = 1.7; 95% CI = 1.2-2.4). Stratifying these analyses by age and race/ethnicity highlighted disparities in risk by subgroup. Although the absolute risks for severe outcomes for women were low, pregnant women were at increased risk for severe COVID-19-associated illness. To reduce the risk for severe illness and death from COVID-19, pregnant women should be counseled about the importance of seeking prompt medical care if they have symptoms and measures to prevent SARS-CoV-2 infection should be strongly emphasized for pregnant women and their families during all medical encounters, including prenatal care visits. Understanding COVID-19-associated risks among pregnant women is important for prevention counseling and clinical care and treatment.
Yazarların özeti; kaynağından alınmıştır. MMWR Morbidity and Mortality Weekly Report, 2020 · DOI ↗
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