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Puerperium could have better intensive care outcomes with acute respiratory distress syndrome caused by COVID-19

Acute respiratory distress syndrome (ARDS) with (COVID-19 often result in mortality. Treatment outcomes among puerperant, when compared with non-pregnant women (NPW) with the same syndrome. Physiological changes underwent within the gestation period have a considerable impact on the immune system, r...

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Autores principales: Tulubas, Evrim Kucur, Çetingök, Halil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575398/
https://www.ncbi.nlm.nih.gov/pubmed/36254075
http://dx.doi.org/10.1097/MD.0000000000031077
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author Tulubas, Evrim Kucur
Çetingök, Halil
author_facet Tulubas, Evrim Kucur
Çetingök, Halil
author_sort Tulubas, Evrim Kucur
collection PubMed
description Acute respiratory distress syndrome (ARDS) with (COVID-19 often result in mortality. Treatment outcomes among puerperant, when compared with non-pregnant women (NPW) with the same syndrome. Physiological changes underwent within the gestation period have a considerable impact on the immune system, respiratory system, cardiovascular function, and coagulation. Through this research, it was aimed to compare intensive care unit (ICU) follow-up and treatment results of postpartum-period patients with those of non-pregnant ones. During the first week of ICU, 23 puerperant COVID-19 patients with ARDS and 34 non-pregnant COVID-19 patients took part in the study. Age, height, and predictive body weight (PBW) at admission to the ICU were compared with the clinical parameters of disease severity, such as FiO2 (fraction of inspired oxygen), PaO2 (arterial oxygen partial pressure), Horowitz index (PaO2/FiO2), procalcitonin (PCT), and C-reactive protein (CRP). Respiration parameters were recorded a meta-vision back server. Demographic data, FiO2, PaO2, Horowitz index, PCT, CRP and respiration parameters values were similar in both groups. The duration of non-mechanical ventilation and number of patients were seen to be significantly greater among the puerperant group than control group (P; .04 and .002, respectively). The duration of mechanical ventilation was similar in both groups (P; .07), while the mortality rate was lower in the puerperant group (P; .004). The postpartum women with COVID-19 induced ARDS were observed to have better ICU follow-up results and lower mortality. However, it is considered that the present results need to be supported greater number of participants.
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spelling pubmed-95753982022-10-17 Puerperium could have better intensive care outcomes with acute respiratory distress syndrome caused by COVID-19 Tulubas, Evrim Kucur Çetingök, Halil Medicine (Baltimore) 3300 Acute respiratory distress syndrome (ARDS) with (COVID-19 often result in mortality. Treatment outcomes among puerperant, when compared with non-pregnant women (NPW) with the same syndrome. Physiological changes underwent within the gestation period have a considerable impact on the immune system, respiratory system, cardiovascular function, and coagulation. Through this research, it was aimed to compare intensive care unit (ICU) follow-up and treatment results of postpartum-period patients with those of non-pregnant ones. During the first week of ICU, 23 puerperant COVID-19 patients with ARDS and 34 non-pregnant COVID-19 patients took part in the study. Age, height, and predictive body weight (PBW) at admission to the ICU were compared with the clinical parameters of disease severity, such as FiO2 (fraction of inspired oxygen), PaO2 (arterial oxygen partial pressure), Horowitz index (PaO2/FiO2), procalcitonin (PCT), and C-reactive protein (CRP). Respiration parameters were recorded a meta-vision back server. Demographic data, FiO2, PaO2, Horowitz index, PCT, CRP and respiration parameters values were similar in both groups. The duration of non-mechanical ventilation and number of patients were seen to be significantly greater among the puerperant group than control group (P; .04 and .002, respectively). The duration of mechanical ventilation was similar in both groups (P; .07), while the mortality rate was lower in the puerperant group (P; .004). The postpartum women with COVID-19 induced ARDS were observed to have better ICU follow-up results and lower mortality. However, it is considered that the present results need to be supported greater number of participants. Lippincott Williams & Wilkins 2022-10-14 /pmc/articles/PMC9575398/ /pubmed/36254075 http://dx.doi.org/10.1097/MD.0000000000031077 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 3300
Tulubas, Evrim Kucur
Çetingök, Halil
Puerperium could have better intensive care outcomes with acute respiratory distress syndrome caused by COVID-19
title Puerperium could have better intensive care outcomes with acute respiratory distress syndrome caused by COVID-19
title_full Puerperium could have better intensive care outcomes with acute respiratory distress syndrome caused by COVID-19
title_fullStr Puerperium could have better intensive care outcomes with acute respiratory distress syndrome caused by COVID-19
title_full_unstemmed Puerperium could have better intensive care outcomes with acute respiratory distress syndrome caused by COVID-19
title_short Puerperium could have better intensive care outcomes with acute respiratory distress syndrome caused by COVID-19
title_sort puerperium could have better intensive care outcomes with acute respiratory distress syndrome caused by covid-19
topic 3300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9575398/
https://www.ncbi.nlm.nih.gov/pubmed/36254075
http://dx.doi.org/10.1097/MD.0000000000031077
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