Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/55048 |
Resumo: | Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil / Hospital Estadual Sumaré. Sumaré, SP, Brasil. |
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Guida, José P.Cecatti, Jose G.Souza, Renato T.Pacagnella, Rodolfo C.Ribeiro-do-Valle, Carolina C.Luz, Adriana G.Lajos, Giuliane J.Surita, Fernanda G.Nobrega, Guilherme M.Griggio, Thayna B.Charles, Charles M.Miele, Maria J.Ferreira, Silvana B.Tedesco, Ricardo P.Fernandes, Karayna G.Martins-Costa, Sérgio H. A.Ramos, José G. L.Peret, Frederico J. A.Feitosa, Francisco E.Traina, EvelynCunha-Filho, Edson V.Vettorazzi, JaneteHaddad, Samira M.Andreucci, Carla B.Correa-Junior, Mário D.Mayrink, JussaraDias, Marcos A. B.Oliveira, Leandro G.Melo-Junior, Elias F.Luz, Marília G. Q. daCosta, Maria Laura2022-10-07T14:18:12Z2022-10-07T14:18:12Z2022GUIDA, José P. et al. Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative. Pregnancy Hypertension, v. 28, p. 168-173, June 2022.2210-7789https://www.arca.fiocruz.br/handle/icict/5504810.1016/j.preghy.2022.05.0052210-7797engElsevierPreeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiativeinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil / Hospital Estadual Sumaré. Sumaré, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Faculdade de Medicina de Jundiaí. Hospital Universitário. Jundiaí, SP, Brasil.Faculdade de Medicina de Jundiaí. Hospital Universitário. Jundiaí, SP, Brasil.Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil.Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil.Maternidade UNIMED. Belo Horizonte, MG, Brasil.Universidade Federal do Ceará. Maternidade Escola Assis Chateaubriand. Fortaleza, CE, Brasil.Universidade Federal de São Paulo. Escola Paulista de Medicina. São Paulo, SP, Brasil.Hospital Moinhos de Vento. Porto Alegre, RS, Brasil.Hospital de Clínicas de Porto Alegre. Porto Alegre, RS, Brasil / Hospital Moinhos de Vento. Porto Alegre, RS, Brasil.Instituto Sócrates Guanaes. Hospital Regional Jorge Rossmann. Itanhaém, SP, Brasil.Universidade Federal de São Carlos. São Carlos, SP, Brasil.Universidade Federal de Minas Gerais. Hospital das Clínicas. Belo Horizonte, MG, Brasil.Universidade Federal de Minas Gerais. Hospital das Clínicas. Belo Horizonte, MG, Brasil.Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Rio de Janeiro, RJ, Brasil.Universidade Estadual Paulista "Júlio de Mesquita Filho". Faculdade de Medicina. Botucatu, SP, Brasil.Universidade Federal de Pernambuco. Hospital das Clínicas. Recife, PE, Brasil.Santa Casa de Misericórdia. Belém, PA, Brasil.Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil.Objective: To evaluate the prevalence of preeclampsia among cases of COVID-19 infection during pregnancy and the association between both conditions, in a multicenter cohort of Brazilian women with respiratory symptoms. Study design: Ancillary analysis of the Brazilian Network of COVID-19 in Obstetrics (REBRACO) study. We performed a nested case-control analysis selecting all women with COVID-19 and compared outcomes between women with and without PE. Main outcomes: Maternal, gestational, and clinical characteristics and perinatal outcomes. Measures: Prevalence ratio (PR) and its 95%CI for each of the predictors and outcomes. Results: A total of 203 women were included: 21 (10.3%) in PE group and 182 (89.7%) in non-PE group. Preeclampsia was not different among women with and without COVID-19 (10.3% vs 13.1%, p-value = 0.41), neither complication such as eclampsia and HELLP syndrome. Chronic hypertension (33.4%) (p < 0.01) and obesity (60.0%) (p = 0.03) were the most frequent comorbidities in PE group, and they were significantly more frequent in this group. Women with PE had more cesarean section (RR 5.54 [1.33 – 23.14]) and their neonates were more frequently admitted to neonatal intensive care unit (PR 2.46[1.06 – 5.69]), most likely due to preterm-birth-related complications. Conclusion: The prevalence of PE among women with COVID-19 infection during pregnancy was around 10%; women with COVID-19 and a history of chronic hypertension or obesity are more likely to have preeclampsia. Cesarean section is increased among women with PE and COVID-19, with increased rates of neonatal admission to intensive care units, mostly due to prematurity.COVID-19PreeclampsiaPregnancy complicationsMaternal healthPandemicinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83132https://www.arca.fiocruz.br/bitstream/icict/55048/1/license.txt33967fcc8ef681b8f5c2c34178ebc114MD51ORIGINALPreeclampsia among women with COVID-19 during pregnancy and its.pdfPreeclampsia among women with COVID-19 during pregnancy and its.pdfapplication/pdf508072https://www.arca.fiocruz.br/bitstream/icict/55048/2/Preeclampsia%20among%20women%20with%20COVID-19%20during%20pregnancy%20and%20its.pdf11df7ea0b3b538229574fd4d83a9b0e5MD52icict/550482022-10-07 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| dc.title.en_US.fl_str_mv |
Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative |
| title |
Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative |
| spellingShingle |
Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative Guida, José P. COVID-19 Preeclampsia Pregnancy complications Maternal health Pandemic |
| title_short |
Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative |
| title_full |
Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative |
| title_fullStr |
Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative |
| title_full_unstemmed |
Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative |
| title_sort |
Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative |
| author |
Guida, José P. |
| author_facet |
Guida, José P. Cecatti, Jose G. Souza, Renato T. Pacagnella, Rodolfo C. Ribeiro-do-Valle, Carolina C. Luz, Adriana G. Lajos, Giuliane J. Surita, Fernanda G. Nobrega, Guilherme M. Griggio, Thayna B. Charles, Charles M. Miele, Maria J. Ferreira, Silvana B. Tedesco, Ricardo P. Fernandes, Karayna G. Martins-Costa, Sérgio H. A. Ramos, José G. L. Peret, Frederico J. A. Feitosa, Francisco E. Traina, Evelyn Cunha-Filho, Edson V. Vettorazzi, Janete Haddad, Samira M. Andreucci, Carla B. Correa-Junior, Mário D. Mayrink, Jussara Dias, Marcos A. B. Oliveira, Leandro G. Melo-Junior, Elias F. Luz, Marília G. Q. da Costa, Maria Laura |
| author_role |
author |
| author2 |
Cecatti, Jose G. Souza, Renato T. Pacagnella, Rodolfo C. Ribeiro-do-Valle, Carolina C. Luz, Adriana G. Lajos, Giuliane J. Surita, Fernanda G. Nobrega, Guilherme M. Griggio, Thayna B. Charles, Charles M. Miele, Maria J. Ferreira, Silvana B. Tedesco, Ricardo P. Fernandes, Karayna G. Martins-Costa, Sérgio H. A. Ramos, José G. L. Peret, Frederico J. A. Feitosa, Francisco E. Traina, Evelyn Cunha-Filho, Edson V. Vettorazzi, Janete Haddad, Samira M. Andreucci, Carla B. Correa-Junior, Mário D. Mayrink, Jussara Dias, Marcos A. B. Oliveira, Leandro G. Melo-Junior, Elias F. Luz, Marília G. Q. da Costa, Maria Laura |
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author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Guida, José P. Cecatti, Jose G. Souza, Renato T. Pacagnella, Rodolfo C. Ribeiro-do-Valle, Carolina C. Luz, Adriana G. Lajos, Giuliane J. Surita, Fernanda G. Nobrega, Guilherme M. Griggio, Thayna B. Charles, Charles M. Miele, Maria J. Ferreira, Silvana B. Tedesco, Ricardo P. Fernandes, Karayna G. Martins-Costa, Sérgio H. A. Ramos, José G. L. Peret, Frederico J. A. Feitosa, Francisco E. Traina, Evelyn Cunha-Filho, Edson V. Vettorazzi, Janete Haddad, Samira M. Andreucci, Carla B. Correa-Junior, Mário D. Mayrink, Jussara Dias, Marcos A. B. Oliveira, Leandro G. Melo-Junior, Elias F. Luz, Marília G. Q. da Costa, Maria Laura |
| dc.subject.en.en_US.fl_str_mv |
COVID-19 Preeclampsia Pregnancy complications Maternal health Pandemic |
| topic |
COVID-19 Preeclampsia Pregnancy complications Maternal health Pandemic |
| description |
Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Tocoginecologia. Campinas, SP, Brasil / Hospital Estadual Sumaré. Sumaré, SP, Brasil. |
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2022 |
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2022-10-07T14:18:12Z |
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2022-10-07T14:18:12Z |
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2022 |
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GUIDA, José P. et al. Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative. Pregnancy Hypertension, v. 28, p. 168-173, June 2022. |
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https://www.arca.fiocruz.br/handle/icict/55048 |
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2210-7789 |
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10.1016/j.preghy.2022.05.005 |
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2210-7797 |
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GUIDA, José P. et al. Preeclampsia among women with COVID-19 during pregnancy and its impact on maternal and perinatal outcomes: results from a national multicenter study on COVID in Brazil, the REBRACO initiative. Pregnancy Hypertension, v. 28, p. 168-173, June 2022. 2210-7789 10.1016/j.preghy.2022.05.005 2210-7797 |
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