Povezanost trudnoće i COVID-19: sistematski pregled i meta-analiza.
The American journal of emergency medicine
Sažetak istraživanja
Ciljevi
Svrha ove studije bila je uporediti i utvrditi postoje li razlike u kliničkim ishodima između trudnica i netrudnica koje su bile zaražene COVID-19.
Metode Pretraživanje literature izvršeno je u 9 baza podataka 20. novembra 2021. Relativni rizik (RR) sa 95% intervalom povjerenja (95% CI) korišten je za procjenu učinka trudnoće na ishode COVID-19. I kvadrat vrijednost je korištena za procjenu heterogenosti, a usvojen je model slučajnog ili fiksnog efekta. Izvršena je analiza osjetljivosti i pristranosti objavljivanja.
Rezultati Ova studija je uključivala 8 objavljenih studija sa 859.278 pacijenata oboljelih od COVID-19. Incidenca groznice i kašlja kod trudnica sa COVID-19 iznosila je 19,07%, odnosno 28,79%. Trudnoća je bila povezana sa značajno povećanim rizicima prijema u jedinicu intenzivne njege (IRU) (RR = 2,23, 95% CI = 1,58-3,16) i ventilacije (RR = 2,13, 95% CI = 1,06-4,28), ali nije bila povezana sa statistički značajnim povećanjem mortaliteta.
Zaključci Naši rezultati sugeriraju da trudnice s COVID-19 imaju značajno veću vjerovatnoću da budu hospitalizirane na odjelu intenzivne nege i ventilacije nego ne-trudnice s COVID-19. Kako bi izbjegli ove štetne ishode, trudnice bi trebale poduzeti mjere opreza (na primjer, smanjiti izlaske, održavati društvenu distancu i nositi masku) kako bi izbjegle infekciju COVID-19. Konačno, potrebno je dodatno istraživanje fetalnih ishoda kako bi se bolje istražio utjecaj COVID-19 na trudnoću.
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The association between pregnancy and COVID-19: A systematic review and meta-analysis.
Objectives The purpose of this study was to compare and determine whether there were any differences in clinical outcomes between pregnant and non-pregnant women who had been infected with COVID-19.
Methods A literature search was performed in 9 databases on November 20, 2021. The relative risk (RR) with 95% confidence interval (95% CI) was used to estimate the effect of pregnancy on COVID-19 outcomes. The I square value was used to assess heterogeneity, and the random or the fixed-effects model were adopted. Sensitivity and publication bias analyses were performed.
Results This study included 8 published studies with 859,278 COVID-19 female patients. The incidences of fever and cough among pregnant women with COVID-19 were 19.07% and 28.79%, respectively. Pregnancy was associated with significantly increased risks of intensive care unit (ICU) admission (RR = 2.23, 95% CI = 1.58-3.16) and ventilation (RR = 2.13, 95% CI = 1.06-4.28), but was not associated with a statistically significant increase in mortality.
Conclusions Our results suggest that pregnant women with COVID-19 have a significantly higher probability of being hospitalized to the ICU and ventilation than non-pregnant women with COVID-19. To avoid these adverse outcomes, pregnant women should take precautions (for example, reduce going out, maintain social distance, and wear a mask) to avoid COVID-19 infection. Finally, additional research into the fetal outcomes is required to better investigate the impact of COVID-19 on pregnancy.
Izvorni podaci
- DOI
- 10.1016/j.ajem.2022.03.060
- PMID
- 35413655
- PMCID
- PMC8986277
- Provjereno
- 2026-07-26
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