关键词: COVID-19 Coronavirus infections Health information systems Maternal death Postpartum period Pregnancy SARS-CoV-2

Mesh : Humans Female COVID-19 / mortality epidemiology Brazil / epidemiology Adult Pregnancy Retrospective Studies Young Adult Adolescent Pregnancy Complications, Infectious / epidemiology mortality Middle Aged Child Postpartum Period Cohort Studies Cause of Death SARS-CoV-2 Comorbidity

来  源:   DOI:10.61622/rbgo/2024rbgo52   PDF(Pubmed)

Abstract:
UNASSIGNED: To analyze the death of Brazilian pregnant and postpartum women due to COVID-19 or unspecific cause.
UNASSIGNED: This is retrospective, descriptive-exploratory, population-based study carried out with the Sistema de Informação de Vigilância Epidemiológica da Gripe (SIVEP-Gripe) database, with pregnant and postpartum women of reproductive age who died from confirmed COVID-19 between 2020 and 2021. The chosen variables were: age, gestational period, type and number of comorbidities, skin color, using the statistical software R Foundation for Statistical Computing Platform, version 4.0.3 and Statistical Package for Social Science, version 29.0 for analysis.
UNASSIGNED: A total of 19,333 cases of pregnant and postpartum women aged between 10 and 55 years diagnosed with SARS were identified, whether due to confirmed COVID-19 or unspecific causes. Of these, 1,279 died, these cases were classified into two groups according to the cause of death: deaths from COVID-19 (n= 1,026) and deaths from SARS of unspecific cause (n= 253).
UNASSIGNED: The risk of death increased among black and brown women, in the postpartum period and with the presence of comorbidities, mainly diabetes, cardiovascular diseases and obesity. The data presented here draw attention to the number of deaths from SARS, especially among sociodemographic profiles, precarious access to health, such as the black population. In addition, limitations in adequate access to health care are reinforced by even lower rates of ICU admissions among women who died from SARS of an unspecified cause.
摘要:
分析巴西孕妇和产后妇女因COVID-19或非特异性原因死亡的情况。
这是回顾性的,描述性探索性,基于人群的研究,使用信息信息系统(SIVEP-Gripe)数据库进行,在2020年至2021年间,孕妇和产后育龄妇女死于确诊的COVID-19。选择的变量是:年龄,妊娠期,合并症的类型和数量,肤色,使用统计软件RFoundationfor统计计算平台,4.0.3版和社会科学统计包,版本29.0用于分析。
共发现19,333例10至55岁的孕妇和产后妇女被诊断为SARS,是否由于确诊的COVID-19或非特异性原因。其中,1,279人死亡,根据死亡原因将这些病例分为两组:COVID-19死亡(n=1,026)和非特异性原因SARS死亡(n=253)。
黑人和棕色女性的死亡风险增加,在产后和合并症的存在,主要是糖尿病,心血管疾病和肥胖。这里提供的数据引起了人们对SARS死亡人数的关注,尤其是在社会人口统计学特征中,不稳定的健康,比如黑人人口。此外,因不明原因而死于SARS的妇女中,ICU入院率更低,这加剧了充分获得医疗保健的限制.
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