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Brazilian Black Women are at Higher Risk for COVID-19 Complications: An Analysis of REBRACO, a National Cohort

Objective  To evaluate the impact of the race (Black versus non-Black) on maternal and perinatal outcomes of pregnant women with COVID-19 in Brazil. Methods  This is a subanalysis of REBRACO, a Brazilian multicenter cohort study designed to evaluate the impact of COVID-19 on pregnant women. From Feb...

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Autores principales: Dantas-Silva, Amanda, Surita, Fernanda Garanhani, Souza, Renato, Rocha, Leila, Guida, José Paulo, Pacagnella, Rodolfo, Tedesco, Ricardo, Fernandes, Karayna, Martins-Costa, Sérgio, Peret, Frederico, Feitosa, Francisco, Traina, Evelyn, Cunha Filho, Edson, Vettorazzi, Janete, Haddad, Samira, Andreucci, Carla, Correa Junior, Mario, Dias, Marcos, Oliveira, Leandro de, Melo Junior, Elias, Luz, Marília, Cecatti, Jose Guilherme, Costa, Maria Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10281763/
https://www.ncbi.nlm.nih.gov/pubmed/37339644
http://dx.doi.org/10.1055/s-0043-1770133
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author Dantas-Silva, Amanda
Surita, Fernanda Garanhani
Souza, Renato
Rocha, Leila
Guida, José Paulo
Pacagnella, Rodolfo
Tedesco, Ricardo
Fernandes, Karayna
Martins-Costa, Sérgio
Peret, Frederico
Feitosa, Francisco
Traina, Evelyn
Cunha Filho, Edson
Vettorazzi, Janete
Haddad, Samira
Andreucci, Carla
Correa Junior, Mario
Dias, Marcos
Oliveira, Leandro de
Melo Junior, Elias
Luz, Marília
Cecatti, Jose Guilherme
Costa, Maria Laura
author_facet Dantas-Silva, Amanda
Surita, Fernanda Garanhani
Souza, Renato
Rocha, Leila
Guida, José Paulo
Pacagnella, Rodolfo
Tedesco, Ricardo
Fernandes, Karayna
Martins-Costa, Sérgio
Peret, Frederico
Feitosa, Francisco
Traina, Evelyn
Cunha Filho, Edson
Vettorazzi, Janete
Haddad, Samira
Andreucci, Carla
Correa Junior, Mario
Dias, Marcos
Oliveira, Leandro de
Melo Junior, Elias
Luz, Marília
Cecatti, Jose Guilherme
Costa, Maria Laura
author_sort Dantas-Silva, Amanda
collection PubMed
description Objective  To evaluate the impact of the race (Black versus non-Black) on maternal and perinatal outcomes of pregnant women with COVID-19 in Brazil. Methods  This is a subanalysis of REBRACO, a Brazilian multicenter cohort study designed to evaluate the impact of COVID-19 on pregnant women. From February 2020 until February 2021, 15 maternity hospitals in Brazil collected data on women with respiratory symptoms. We selected all women with a positive test for COVID-19; then, we divided them into two groups: Black and non-Black women. Finally, we compared, between groups, sociodemographic, maternal, and perinatal outcomes. We obtained the frequency of events in each group and compared them using X2 test; p-values < 0.05 were considered significant. We also estimated the odds ratio (OR) and confidence intervals (CI). Results  729 symptomatic women were included in the study; of those, 285 were positive for COVID-19, 120 (42.1%) were Black, and 165 (57.9%) were non-Black. Black women had worse education (p = 0.037). The timing of access to the health system was similar between both groups, with 26.3% being included with seven or more days of symptoms. Severe acute respiratory syndrome (OR 2.22 CI 1.17–4.21), intensive care unit admission (OR 2.00 CI 1.07–3.74), and desaturation at admission (OR 3.72 CI 1.41–9.84) were more likely to occur among Black women. Maternal death was higher among Black women (7.8% vs. 2.6%, p = 0.048). Perinatal outcomes were similar between both groups. Conclusion  Brazilian Black women were more likely to die due to the consequences of COVID-19.
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spelling pubmed-102817632023-07-27 Brazilian Black Women are at Higher Risk for COVID-19 Complications: An Analysis of REBRACO, a National Cohort Dantas-Silva, Amanda Surita, Fernanda Garanhani Souza, Renato Rocha, Leila Guida, José Paulo Pacagnella, Rodolfo Tedesco, Ricardo Fernandes, Karayna Martins-Costa, Sérgio Peret, Frederico Feitosa, Francisco Traina, Evelyn Cunha Filho, Edson Vettorazzi, Janete Haddad, Samira Andreucci, Carla Correa Junior, Mario Dias, Marcos Oliveira, Leandro de Melo Junior, Elias Luz, Marília Cecatti, Jose Guilherme Costa, Maria Laura Rev Bras Ginecol Obstet Objective  To evaluate the impact of the race (Black versus non-Black) on maternal and perinatal outcomes of pregnant women with COVID-19 in Brazil. Methods  This is a subanalysis of REBRACO, a Brazilian multicenter cohort study designed to evaluate the impact of COVID-19 on pregnant women. From February 2020 until February 2021, 15 maternity hospitals in Brazil collected data on women with respiratory symptoms. We selected all women with a positive test for COVID-19; then, we divided them into two groups: Black and non-Black women. Finally, we compared, between groups, sociodemographic, maternal, and perinatal outcomes. We obtained the frequency of events in each group and compared them using X2 test; p-values < 0.05 were considered significant. We also estimated the odds ratio (OR) and confidence intervals (CI). Results  729 symptomatic women were included in the study; of those, 285 were positive for COVID-19, 120 (42.1%) were Black, and 165 (57.9%) were non-Black. Black women had worse education (p = 0.037). The timing of access to the health system was similar between both groups, with 26.3% being included with seven or more days of symptoms. Severe acute respiratory syndrome (OR 2.22 CI 1.17–4.21), intensive care unit admission (OR 2.00 CI 1.07–3.74), and desaturation at admission (OR 3.72 CI 1.41–9.84) were more likely to occur among Black women. Maternal death was higher among Black women (7.8% vs. 2.6%, p = 0.048). Perinatal outcomes were similar between both groups. Conclusion  Brazilian Black women were more likely to die due to the consequences of COVID-19. Thieme Revinter Publicações Ltda. 2023-06-20 /pmc/articles/PMC10281763/ /pubmed/37339644 http://dx.doi.org/10.1055/s-0043-1770133 Text en Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Dantas-Silva, Amanda
Surita, Fernanda Garanhani
Souza, Renato
Rocha, Leila
Guida, José Paulo
Pacagnella, Rodolfo
Tedesco, Ricardo
Fernandes, Karayna
Martins-Costa, Sérgio
Peret, Frederico
Feitosa, Francisco
Traina, Evelyn
Cunha Filho, Edson
Vettorazzi, Janete
Haddad, Samira
Andreucci, Carla
Correa Junior, Mario
Dias, Marcos
Oliveira, Leandro de
Melo Junior, Elias
Luz, Marília
Cecatti, Jose Guilherme
Costa, Maria Laura
Brazilian Black Women are at Higher Risk for COVID-19 Complications: An Analysis of REBRACO, a National Cohort
title Brazilian Black Women are at Higher Risk for COVID-19 Complications: An Analysis of REBRACO, a National Cohort
title_full Brazilian Black Women are at Higher Risk for COVID-19 Complications: An Analysis of REBRACO, a National Cohort
title_fullStr Brazilian Black Women are at Higher Risk for COVID-19 Complications: An Analysis of REBRACO, a National Cohort
title_full_unstemmed Brazilian Black Women are at Higher Risk for COVID-19 Complications: An Analysis of REBRACO, a National Cohort
title_short Brazilian Black Women are at Higher Risk for COVID-19 Complications: An Analysis of REBRACO, a National Cohort
title_sort brazilian black women are at higher risk for covid-19 complications: an analysis of rebraco, a national cohort
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10281763/
https://www.ncbi.nlm.nih.gov/pubmed/37339644
http://dx.doi.org/10.1055/s-0043-1770133
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