Evidence map›Paper›PMID 33072417›Full record

ArticleTurkish journal of obstetrics and gynecology2020

Pregnancy worsens the morbidity of COVID-19 and this effect becomes more prominent as pregnancy advances.

Niyazi Tug, Murat Yassa, Emre Köle, Önder Sakin, Merve Çakır Köle, Ateş Karateke, Nurettin Yiyit, Emre Yavuz, Pınar Birol, Doğuş Budak and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Turkish journal of obstetrics and gynecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. COVID-19 disease and vaccination in pregnant and lactating women.American journal of reproductive immunology (New York, N.Y. : 1989) · 2022
    Review
  7. Article
  8. Article
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  11. Article
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  14. Clinical and radiologic characteristics of symptomatic pregnant women with COVID-19 pneumoniaJournal of the Turkish German Gynecological Association · 2021
    Article
  15. Article
  16. Review
  17. Article
  18. Review
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

12 authors at 3 institutions in 1 country.

Niyazi TugUniversity of Health Sciences Turkey, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID https://orcid.org/0000-0001-7442-834X
Murat YassaUniversity of Health Sciences Turkey, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID https://orcid.org/0000-0001-8661-1192
Emre KöleDarıca Farabi Training and Research Hospital, Clinic of Obstetrics and Gynecology, Kocaeli, Turkey.ORCID https://orcid.org/0000-0002-4940-8862
Önder SakinUniversity of Health Sciences Turkey, Kartal Dr. Lütfi Kırdar Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID https://orcid.org/0000-0001-6036-9975
Merve Çakır KöleDarıca Farabi Training and Research Hospital, Clinic of Obstetrics and Gynecology, Kocaeli, Turkey.ORCID https://orcid.org/0000-0002-9330-3363
Ateş Karatekeİstanbul Medeniyet University, Göztepe Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-0199-6474
Nurettin YiyitUniversity of Health Sciences Turkey, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Clinic of Thoracic Surgery, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-1671-7498
Emre YavuzUniversity of Health Sciences Turkey, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID https://orcid.org/0000-0003-3251-4906
Pınar BirolUniversity of Health Sciences Turkey, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-2194-0726
Doğuş BudakUniversity of Health Sciences Turkey, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-8351-7798
Ömer KolUniversity of Health Sciences Turkey, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-8671-0526
Edip EmirUniversity of Health Sciences Turkey, Şehit Prof. Dr. İlhan Varank Sancaktepe Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.ORCID https://orcid.org/0000-0002-4104-3301
Sağlık Bilimleri Üniversitesi · TRFarabi Hastanesi · TRIstanbul Medeniyet University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate pregnancy outcomes and compare the clinical characteristics of coronavirus 2019 (COVID-19) disease in pregnant and agematched non-pregnant women. MATERIALS AND

methodsHospital records of four tertiary care centers were reviewed retrospectively. The subjects comprised 188 pregnant patients and 799 non-pregnant women who were admitted to these hospitals.

resultsPregnancy significantly affected the clinical severity of COVID-19 and this effect was more prominent in pregnant women at >20 weeks gestation (p<0.001). Rates of oxygen support (10.1% vs 4.8%; p≤0.001), intensive care unit admission (3.2% vs 0.6%; p=0.009), presence of fever (12.8% vs 4.4%; p<0.001), tachypnea (7.0% vs 2.4%; p=0.003) and tachycardia (16.0% vs 1.9%; p<0.001) were significantly more frequent in pregnant women compared with non-pregnant women. Pregnancy was strongly associated with the need for oxygen support [relative risk (RR), 2.125; 95% confidence interval (CI): 1.25-3.60] and admission to the intensive care unit (RR, 5.1; 95% CI: 1.57-16.53) compared with non-pregnant women. Some 14.4% of the pregnant women had co-morbidities. Sixty of the 188 pregnant women (31.9%) delivered during the Severe Acute Respiratory syndrome coronavirus-2 infection, 11 (18.3%) had vaginal deliveries and 49 (81.7%) were by cesarean section. Of these 60 deliveries, 40 (66.7%) were <37 weeks gestation.

conclusionPregnancy worsens the morbidity of COVID-19 and this effect seems to increase as the pregnancy advances, but not the mortality rate.

Indexed as

COVID-19intensive care unit admissionmorbiditypregnancypreterm birthSARS-CoV-2

Identifiers

PMID33072417
PMCPMC7538816
OpenAlexW3091171029

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.