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COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study

BACKGROUND: Previous research has shown that, in comparison with non-pregnant women of reproductive age, pregnant women with COVID-19 are more likely to be admitted to critical care, receive invasive ventilation, and die. At present there are limited data in relation to outcomes and healthcare utili...

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Autores principales: McPeake, J., Blayney, M.C., Stewart, N.I., Kaye, C.T., Chan Seem, R., Hall, R., Martin, C., Paton, M., Wise, A., Puxty, K., Lone, N.I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Author(s). Published by Elsevier Ltd. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9715259/
https://www.ncbi.nlm.nih.gov/pubmed/36564271
http://dx.doi.org/10.1016/j.ijoa.2022.103613
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author McPeake, J.
Blayney, M.C.
Stewart, N.I.
Kaye, C.T.
Chan Seem, R.
Hall, R.
Martin, C.
Paton, M.
Wise, A.
Puxty, K.
Lone, N.I.
author_facet McPeake, J.
Blayney, M.C.
Stewart, N.I.
Kaye, C.T.
Chan Seem, R.
Hall, R.
Martin, C.
Paton, M.
Wise, A.
Puxty, K.
Lone, N.I.
author_sort McPeake, J.
collection PubMed
description BACKGROUND: Previous research has shown that, in comparison with non-pregnant women of reproductive age, pregnant women with COVID-19 are more likely to be admitted to critical care, receive invasive ventilation, and die. At present there are limited data in relation to outcomes and healthcare utilisation following hospital discharge of pregnant and recently pregnant women admitted to critical care. METHODS: A national cohort study of pregnant and recently pregnant women who were admitted to critical care in Scotland with confirmed or suspected COVID-19. We examined hospital outcomes as well as hospital re-admission rates. RESULTS: Between March 2020 and March 2022, 75 pregnant or recently pregnant women with laboratory-confirmed COVID-19 were admitted to 24 Intensive Care Units across Scotland. Almost two thirds (n=49, 65%) were from the most deprived socio-economic areas. Complete 90-day acute hospital re-admission data were available for 74 (99%) patients. Nine (12%) women required an emergency non-obstetric hospital re-admission within 90 days. Less than 5% of the cohort had received any form of vaccination. CONCLUSIONS: This national cohort study has demonstrated that pregnant or recently pregnant women admitted to critical care with COVID-19 were more likely to reside in areas of socio-economic deprivation, and fewer than 5% of the cohort had received any form of vaccination. More targeted public health campaigning across the socio-economic gradient is urgently required.
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spelling pubmed-97152592022-12-02 COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study McPeake, J. Blayney, M.C. Stewart, N.I. Kaye, C.T. Chan Seem, R. Hall, R. Martin, C. Paton, M. Wise, A. Puxty, K. Lone, N.I. Int J Obstet Anesth Short Report BACKGROUND: Previous research has shown that, in comparison with non-pregnant women of reproductive age, pregnant women with COVID-19 are more likely to be admitted to critical care, receive invasive ventilation, and die. At present there are limited data in relation to outcomes and healthcare utilisation following hospital discharge of pregnant and recently pregnant women admitted to critical care. METHODS: A national cohort study of pregnant and recently pregnant women who were admitted to critical care in Scotland with confirmed or suspected COVID-19. We examined hospital outcomes as well as hospital re-admission rates. RESULTS: Between March 2020 and March 2022, 75 pregnant or recently pregnant women with laboratory-confirmed COVID-19 were admitted to 24 Intensive Care Units across Scotland. Almost two thirds (n=49, 65%) were from the most deprived socio-economic areas. Complete 90-day acute hospital re-admission data were available for 74 (99%) patients. Nine (12%) women required an emergency non-obstetric hospital re-admission within 90 days. Less than 5% of the cohort had received any form of vaccination. CONCLUSIONS: This national cohort study has demonstrated that pregnant or recently pregnant women admitted to critical care with COVID-19 were more likely to reside in areas of socio-economic deprivation, and fewer than 5% of the cohort had received any form of vaccination. More targeted public health campaigning across the socio-economic gradient is urgently required. The Author(s). Published by Elsevier Ltd. 2023-02 2022-12-02 /pmc/articles/PMC9715259/ /pubmed/36564271 http://dx.doi.org/10.1016/j.ijoa.2022.103613 Text en © 2022 The Author(s) Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Short Report
McPeake, J.
Blayney, M.C.
Stewart, N.I.
Kaye, C.T.
Chan Seem, R.
Hall, R.
Martin, C.
Paton, M.
Wise, A.
Puxty, K.
Lone, N.I.
COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study
title COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study
title_full COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study
title_fullStr COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study
title_full_unstemmed COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study
title_short COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study
title_sort covid-19 infection and maternal morbidity in critical care units in scotland: a national cohort study
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9715259/
https://www.ncbi.nlm.nih.gov/pubmed/36564271
http://dx.doi.org/10.1016/j.ijoa.2022.103613
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