Demographic and epidemiological characteristics of pregnant and postpartum women who died from severe acute respiratory syndrome in Brazil: A retrospective cohort study comparing COVID-19 and nonspecific etiologic causes

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art_FRANCO_Demographic_and_epidemiological_characteristics_of_pregnant_and_postpartum_2022.PDF (1.06 MB)
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2022
DOI
Scopus
Web of Science
PubMed
Título da Revista
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Título do Volume
Editora
PUBLIC LIBRARY SCIENCE
Autores
ROSA JUNIOR, Elias Ribeiro
GODOI, Luciana Graziela de
MONROY, Nataly Adriana Jimenez
Citação
PLOS ONE, v.17, n.10, article ID e0274797, 12p, 2022
Projetos de Pesquisa
Unidades Organizacionais
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Resumo
The objective of this study is to compare the demographic characteristics and symptoms in pregnant and postpartum women who died from Severe Acute Respiratory Syndrome (SARS) caused by COVID-19 or by nonspecific cause in different states of Brazil. This is a retrospective cohort study and the analysis was conducted on SARS death records between 02/16/2020 and 04/17/2021, obtained from the Information System for the Epidemiological Surveillance of Influenza (Sistema de Informacao da Vigilancia Epidemiologica da Gripe, SIVEP-Gripe). Pregnant and postpartum women, aged between 10 and 55 years, who died from SARS, were included and classified into two groups: SARS due to confirmed COVID-19 or SARS due to nonspecific cause. The cases were analyzed according to the women's demographic and epidemiological characteristics, clinical symptoms, risk factors and disease evolution. As results, 19,333 pregnant and postpartum women were identified. From these, 1,279 died (1,026 deaths from COVID-19 and 253 deaths from SARS with nonspecific cause). The groups showed significant differences in age, education, race, and occurrence of obesity and chronic lung disease. The group of women who died from confirmed COVID-19 presented a significantly higher frequency of symptoms of fever, cough, fatigue, loss of taste, and loss of smell, as well as a higher rate of admission to the intensive care unit (ICU). Data analysis draws attention to the high number of cases of SARS without a causal diagnosis, the low access to ICU and orotracheal intubation (OTI), which might be explained by the demographic and regional inequalities in the access to healthcare.
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URI
https://observatorio.fm.usp.br/handle/OPI/53979
Referências
  1. Amzat J, 2020, INT J INFECT DIS, V98, P218, DOI 10.1016/j.ijid.2020.06.067
  2. Baqui P, 2020, LANCET GLOB HEALTH, V8, P1018, DOI 10.1016/S2214-109X(20)30285-0
  3. Barbosa EC, 2019, SOC SCI MED, V228, P1, DOI 10.1016/j.socscimed.2019.02.034
  4. Brasil. Ministerio da Saude, SRAG 2021 BANC DAD S
  5. Brasil. Ministerio da Saude, PAIN MON NASC VIV
  6. Brasil. Ministerio da Saude, 2016, CONS NAC SAUD RES 51
  7. Brasil. Ministerio da Saude, SECR VIG SAUD B EP E
  8. da Silva NN, 2020, REV BRAS ENFERM, V73, DOI 10.1590/0034-7167-2018-0834
  9. de Bairros FS, 2011, CAD SAUDE PUBLICA, V27, P2364, DOI 10.1590/S0102-311X2011001200008
  10. Ho JSY, 2020, ANN ACAD MED SINGAP, V49, P996, DOI 10.47102/annals-acadmedsg.2020299
  11. Hone T, 2021, BMC PUBLIC HEALTH, V21, DOI 10.1186/s12889-021-11328-0
  12. Li Q, 2020, NEW ENGL J MED, V382, P1199, DOI 10.1056/NEJMoa2001316
  13. Oviedo Tejada CA., 2017, SOCIODEMOGRAPHIC BEH
  14. Pan American Health Organization, HIST PAND COVID 19
  15. Pereira R.H.M., 2019, GITHUB REPOSITORY
  16. Prado Marcelo Freitas do, 2020, Rev. bras. ter. intensiva, V32, P224, DOI [10.5935/0103-507x.20200030, 10.5935/0103-507X.20200030]
  17. Yang J, 2021, J MED VIROL, V93, P257, DOI 10.1002/jmv.26237

Coleções
Artigos e Materiais de Revistas Científicas - FM/MOG
Artigos e Materiais de Revistas Científicas - COVID-19
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - LIM/57
Artigos e Materiais de Revistas Científicas - ODS/03
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