在产前COVID-19感染患者中产前和30天产后并发症:一项回顾性队列研究
Sriya Donthi1, Jacqueline Kloos1, Kelly S Gibson2
1Case Western Reserve University School of Medicine, Cleveland, Ohio 44106, USA.
Infectious diseases in obstetrics and gynecology
|November 12, 2024
概括
有产前COVID-19的孕妇面临更高的分娩后并发症风险,包括出血,高血压和心血管问题. 这一发现强调了在怀孕期间和怀孕后对感染COVID-19的母亲健康的监测的重要性.
科学领域:
- 产科和妇科 产科和妇科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 孕妇产前COVID-19感染可能会影响产前和产后健康.
- 了解这些风险对于孕产妇的医疗保健和结果至关重要.
研究的目的:
- 为了比较孕妇与没有产前COVID-19感染的孕妇之间的产前和产后结果.
- 确定与产前COVID-19相关的特定产科,心血管,神经血管和呼吸道并发症.
主要方法:
- 使用80多个医疗保健机构的非识别电子健康记录 (EHR) 数据进行了回顾性队列研究.
- 对2020年1月至2023年5月期间接受分娩的个人进行分析,比较那些有和没有COVID-19诊断的人.
- 评估结果包括产后30天内产科,心血管,神经血管和呼吸道并发症.
主要成果:
- 在369,923名生育父母中,有7%的孕产前COVID-19诊断.
- 产前COVID-19与产后出血,妊娠高血压,子宫前,子宫内和早产风险增加有关.
- 观察到脑梗塞,心肌病,心力衰竭,败血症,深静脉血栓症 (DVT) 和肺栓塞的风险显著增加.
结论:
- 患有产前COVID-19的个体经历了更高的产前和产后并发症的可能性.
- 调查结果强调需要加强产前护理提供者的风险分层和查.
- 这些数据可以为临床实践提供信息,并改善COVID-19孕妇的孕产妇护理.
更多相关视频
相关概念视频
01:30Pneumonia III: Complications and Assessment
170
Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
170
01:30Pneumonia I: Introduction
211
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
211
01:17Transmission-based Precautions I: Contact, Enteric, and Droplets
3.5K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.5K
01:25Transmission-based Precautions II: Airborne and Protective Environment
1.2K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.2K
01:25Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.
2.7K
Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
2.7K
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.0K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.0K