دورية أكاديمية
Mechanical ventilation and death in pregnant patients admitted for COVID-19: a prognostic analysis from the Brazilian COVID-19 registry score.
| العنوان: | Mechanical ventilation and death in pregnant patients admitted for COVID-19: a prognostic analysis from the Brazilian COVID-19 registry score. |
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| المؤلفون: | Reis ZSN; Department of Gynecology and Obstetrics, University Hospital. Universidade Federal de Minas Gerais, Av. Professor Alfredo Balena, 190, Belo Horizonte, Brazil., Pires MC; Department of Statistics, Universidade Federal de Minas Gerais, Av. Presidente Antônio Carlos, 6627, Belo Horizonte, Brazil., Ramos LEF; Department of Statistics, Universidade Federal de Minas Gerais, Av. Presidente Antônio Carlos, 6627, Belo Horizonte, Brazil., Sales TLS; Universidade Federal de São João del-Rei, R. Sebastião Gonçalves Coelho, 400, Chanadour, Divinópolis, MG, 35501-296, Brazil. thaislorennass30@yahoo.com.br., Delfino-Pereira P; Department of Internal Medicine, Medical School, Universidade Federal de Minas Gerais, Av. Professor Alfredo Balena, 190, Belo Horizonte, Brazil.; Institute for Health Technology Assessment (IATS/CNPq), R. Ramiro Barcelos, 2359, Porto Alegre, Brazil., Martins KPMP; University Hospital, Universidade Federal de Minas Gerais, Av. Professor Alfredo Balena, 190, Belo Horizonte, Brazil., Garbini AF; Hospital Nossa Senhora da Conceição and Hospital Cristo Redentor, Av. Francisco Trein, 326, Porto Alegre, Brazil., Gomes AGDR; Hospitais da Rede Mater Dei, Av. do Contorno, Belo Horizonte, 9000, Brazil., Pessoa BP; Hospital Júlia Kubitschek, R. Dr. Cristiano Rezende, Belo Horizonte, 2745, Brazil., Matos CC; Faculdade de Ciências Médicas de Minas Gerais, Alameda Ezequiel Dias, 275, Belo Horizonte, Brazil., Cimini CCR; Hospital Santa Rosália, R. Dr. Onófre, 575, Teófilo Otoni, Brazil.; Mucuri Medical School, Universidade Federal dos Vales do Jequitinhonha e Mucuri, R. Cruzeiro, 01, Teófilo Otoni, Brazil., Rempel C; Hospital Bruno Born, Av. Benjamin Constant, 881, Lajeado, Brazil., Ponce D; Botucatu Medical School, Universidade Estadual Paulista 'Júlio de Mesquita Filho' and Hospital das Clínicas da Faculdade de Medicina de Botucatu, Av. Prof. Mário Rubens Guimarães Montenegro, s/n, Botucatu, Brazil., Aranha FFMG; Hospital SOS Cardio, Rodovia, SC-401, 121, Florianópolis, Brazil., Anschau F; Hospital Nossa Senhora da Conceição and Hospital Cristo Redentor, Av. Francisco Trein, 326, Porto Alegre, Brazil., Crestani GP; Hospital Mãe de Deus, R. José de Alencar, 286, Porto Alegre, Brazil., Grizende GMS; Hospital Santa Casa de Misericórdia de Belo Horizonte, Av. Francisco Sales, 1111, Belo Horizonte, Brazil., Bastos GAN; Hospital Moinhos de Vento, R. Ramiro Barcelos, 910, Porto Alegre, Brazil., Goedert GMDS; Medical School, Universidade Federal de Santa Maria, Av. Roraima, 1000, Santa Maria, Brazil., Menezes LSM; Hospital Metropolitano Odilon Behrens, R. Formiga, 50, Belo Horizonte, Brazil., Carneiro M; Hospital Santa Cruz, R. Fernando Abott, 174, Santa Cruz do Sul, Brazil., Tolfo MF; Faculdade Integrada de Santa Maria, R. José do Patrocínio, 26, Santa Maria, Brazil., Corrêa MAM; Mucuri Medical School, Universidade Federal dos Vales do Jequitinhonha e Mucuri, R. Cruzeiro, 01, Teófilo Otoni, Brazil., Amorim MM; Universidade Luterana do Brasil, Av. Farroupilha, 8001, Canoas, Brazil., Guimarães Júnior MH; Hospital Márcio Cunha, Av. Kiyoshi Tsunawaki, 41, Ipatinga, Brazil., Durães PAA; Pontifícia Universidade Católica de Minas Gerais, R. do Rosário, 1081, Betim, Brazil., Rosa PMDS; Centro Universitário de Belo Horizonte, Av. Professor Werneck, 1685, Belo Horizonte, Brazil., Martelli PJL; Centro de Ciências Médicas, Universidade Federal de Pernambuco, Hospital das Clínicas da Universidade Federal de Pernambuco, Av. Prof. Moraes Rego, 1235, Recife, Brazil., Almeida RSC; Hospital Nossa Senhora da Conceição and Hospital Cristo Redentor, Av. Francisco Trein, 326, Porto Alegre, Brazil., Martins RC; Hospital Tacchini, R. Dr. José Mário Mônaco, 358, Bento Gonçalves, Brazil., Alvarenga SP; Universidade Federal de São João del-Rei, R. Sebastião Gonçalves Coelho, 400, Chanadour, Divinópolis, MG, 35501-296, Brazil., Boersma E; Department of Cardiology, University Medical Center Rotterdam, Doctor Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands., Aguiar RALP; Department of Gynecology and Obstetrics, University Hospital. Universidade Federal de Minas Gerais, Av. Professor Alfredo Balena, 190, Belo Horizonte, Brazil., Marcolino MS; Department of Internal Medicine, Medical School, Universidade Federal de Minas Gerais, Av. Professor Alfredo Balena, 190, Belo Horizonte, Brazil.; Institute for Health Technology Assessment (IATS/CNPq), R. Ramiro Barcelos, 2359, Porto Alegre, Brazil.; University Hospital, Universidade Federal de Minas Gerais, Av. Professor Alfredo Balena, 190, Belo Horizonte, Brazil.; Telehealth Center, University Hospital, Universidade Federal de Minas Gerais, Av. Professor Alfredo Balena 190, Belo Horizonte, Brazil. |
| المصدر: | BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2023 Jan 10; Vol. 23 (1), pp. 18. Date of Electronic Publication: 2023 Jan 10. |
| نوع المنشور: | Multicenter Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | COVID-19*/mortality , COVID-19*/therapy , Hospital Mortality* , Respiration, Artificial*, Adult ; Female ; Humans ; Infant, Newborn ; Pregnancy ; Birth Weight ; Brazil/epidemiology ; Hypertension, Pregnancy-Induced ; Prognosis ; Retrospective Studies |
| مستخلص: | Background: The assessment of clinical prognosis of pregnant COVID-19 patients at hospital presentation is challenging, due to physiological adaptations during pregnancy. Our aim was to assess the performance of the ABC Methods: This multicenter cohort included consecutive pregnant patients with COVID-19 admitted to the participating hospitals, from April/2020 to March/2022. Primary outcomes were in-hospital mortality and the composite outcome of mechanical ventilation support and in-hospital mortality. Secondary endpoints were pregnancy outcomes. The overall discrimination of the model was presented as the area under the receiver operating characteristic curve (AUROC). Overall performance was assessed using the Brier score. Results: From 350 pregnant patients (median age 30 [interquartile range (25.2, 35.0)] years-old]), 11.1% had hypertensive disorders, 19.7% required mechanical ventilation support and 6.0% died. The AUROC for in-hospital mortality and for the composite outcome were 0.809 (95% IC: 0.641-0.944) and 0.704 (95% IC: 0.617-0.792), respectively, with good overall performance (Brier = 0.0384 and 0.1610, respectively). Calibration was good for the prediction of in-hospital mortality, but poor for the composite outcome. Women who died had a median age 4 years-old higher, higher frequency of hypertensive disorders (38.1% vs. 9.4%, p < 0.001) and obesity (28.6% vs. 10.6%, p = 0.025) than those who were discharged alive, and their newborns had lower birth weight (2000 vs. 2813, p = 0.001) and five-minute Apgar score (3.0 vs. 8.0, p < 0.001). Conclusions: The ABC (© 2023. The Author(s).) |
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| معلومات مُعتمدة: | APQ-00208-20 Fundação de Amparo à Pesquisa do Estado de Minas Gerais; 465518/2014-1 Conselho Nacional de Desenvolvimento Científico e Tecnológico; 147122/2021-0 Conselho Nacional de Desenvolvimento Científico e Tecnológico; 305837/2021-4 Conselho Nacional de Desenvolvimento Científico e Tecnológico; 88887.507149/2020-00 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior |
| فهرسة مساهمة: | Keywords: Artificial respiration; COVID-19; Clinical decision rules; Mortality; Pregnant women; Prognosis |
| تواريخ الأحداث: | Date Created: 20230110 Date Completed: 20230113 Latest Revision: 20230130 |
| رمز التحديث: | 20230130 |
| مُعرف محوري في PubMed: | PMC9830611 |
| DOI: | 10.1186/s12884-022-05310-w |
| PMID: | 36627576 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2393 |
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| DOI: | 10.1186/s12884-022-05310-w |