在最初的COVID-19大流行期间,保持社会距离和极度早产
Vivek V Shukla1, Benjamin A Carper2, Namasivayam Ambalavanan3
1Division of Neonatology, University of Alabama at Birmingham, Birmingham, AL, USA. vshukla@uabmc.edu.
概括
在COVID-19期间的社交距离措施并没有减少极度早产活产 (EPLB). 然而,增加的社交距离与这些脆弱的婴儿出生时更高的妊娠年龄有关.
科学领域:
- 新生儿科学 新生儿科学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 随着COVID-19的流行,人们采取了广泛的社交距离措施.
- 这些措施对极早活产 (EPLB) 和极早产死产 (EPIS) 的影响尚不完全理解.
研究的目的:
- 调查社会距离与EPLB和EPIS在早期COVID-19大流行期间的发病率之间的联系.
- 探索社交距离和极度早产婴儿的妊娠年龄之间的相关性.
主要方法:
- 在NICHD新生儿研究网络网站进行了前性研究.
- 在大流行期间 (2020年3月至7月) 的EPLB和EPIS率与参考期 (2018-2019年) 相比较.
- 国家特定的社会距离指数 (SDI) 与EPLB,EPIS和妊娠年龄的变化相关.
主要成果:
- 在大流行期间,EPLB (1.58%至1.45%) 或EPIS (0.08%至0.06%) 的百分比没有显著下降.
- SDI与EPLB或EPIS的百分比变化没有显著的相关性.
- 在SDI和平均妊娠年龄百分比变化 (CC=0.49) 之间发现了正相关性.
结论:
- 增加社交距离与极度早产活产或死产发生率的变化没有关联.
- 疫情期间的社交距离措施与极度早产婴儿中更高的平均妊娠年龄有关.
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