Evidence map›Paper›PMID 32382516›Full record

ArticleCase reports in women's health2020

Severe COVID-19 infection in pregnancy requiring intubation without preterm delivery: A case report.

Leah Hong, Nicolina Smith, Madhurima Keerthy, Monica Lee-Griffith, Robyn Garcia, Majid Shaman, Gregory Goyert

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Case reports in women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 10 pooled it
4.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 10 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Clinical and Obstetric Aspects of Pregnant Women with COVID-19: A Systematic Review.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2021
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  6. A Systematic Review of 571 Pregnancies Affected by COVID-19.Advances in experimental medicine and biology · 2021
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  8. Clinical characteristics, prognostic factors, and maternal and neonatal outcomes of SARS-CoV-2 infection among hospitalized pregnant women: A systematic review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2020
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  14. COVID-19 and pregnancy: A comparison of case reports, case series and registry studies.European journal of obstetrics, gynecology, and reproductive biology · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Leah HongDepartment of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.
Nicolina SmithDepartment of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.
Madhurima KeerthyDepartment of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.
Monica Lee-GriffithDepartment of Obstetrics and Gynecology, Henry Ford Hospital, Detroit, MI, USA.
Robyn GarciaDepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Majid ShamanDepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Gregory GoyertDepartment of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Henry Ford Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCoronavirus-2019 (COVID-19) is a global health crisis, but there is limited guidance for the critical care management of pregnant patients experiencing respiratory collapse. We describe our management of a peri-viable pregnant patient requiring intubation; discussion includes pharmacologic interventions, mechanical ventilation adjustments, and consideration of fetal interventions, including delivery timing. CASE: A 36-year-old, gravida 2, para 1 woman positive for COVID-19 at 23 weeks of gestation with severe disease required admission to the intensive care unit and intubation. She completed 5 days of hydroxychloroquine and 7 days of prednisone. She was successfully intubated after 8 days and discharged home in a stable condition without preterm delivery on hospital day 11.

conclusionFortunately, the patient responded to aggressive respiratory support with intubation and mechanical ventilation early upon presentation. It is unclear whether our institution's empiric use of hydroxychloroquine and prednisone facilitated her recovery. We hope that our report helps other institutions navigate the complex care surrounding pregnant patients with severe COVID-19 pneumonia requiring intensive care.

Indexed as

Acute respiratory distressCorona virusCOVID-19IntubationMaternal fetal medicinePregnancy

Identifiers

PMID32382516
PMCPMC7204648
OpenAlexW3021302739

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.