Evidence map›Paper›PMID 33110055›Full record

ArticleThe American journal of case reports2020

Severe COVID-19 Pneumonia in a 30-Year-Old Woman in the 36th Week of Pregnancy Treated with Postpartum Extracorporeal Membrane Oxygenation.

Watatu Takayama, Akira Endo, Junichiro Yoshii, Hirokuni Arai, Keiji Oi, Eiki Nagaoka, Satoshi Toyama, Hiroto Yamamoto, Tokujiro Uchida, Yasuhiro Otomo

Open access · hybridAbstract readCase Reports
In one paragraph

Article in The American journal of case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Vaginal delivery after improvement in COVID-19 by monoclonal antibody treatment: A case report and literature review.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2022
    Review
  2. Article
  3. COVID-19-related deaths among women of reproductive age in Brazil: The burden of postpartum.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
    Article
  4. Article
  5. Article
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

10 authors at 1 institution in 1 country.

Watatu TakayamaTrauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital of Medicine, Tokyo, Japan.
Akira EndoTrauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital of Medicine, Tokyo, Japan.
Junichiro YoshiiTrauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital of Medicine, Tokyo, Japan.
Hirokuni AraiDepartment of Cardiovascular Surgery, Tokyo Medical and Dental University Hospital of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Keiji OiDepartment of Cardiovascular Surgery, Tokyo Medical and Dental University Hospital of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Eiki NagaokaDepartment of Cardiovascular Surgery, Tokyo Medical and Dental University Hospital of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Satoshi ToyamaDepartment of Anesthesiology, Tokyo Medical and Dental University Hospital of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Hiroto YamamotoDepartment of Anesthesiology, Tokyo Medical and Dental University Hospital of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Tokujiro UchidaDepartment of Anesthesiology, Tokyo Medical and Dental University Hospital of Medicine, Tokyo Medical and Dental University, Tokyo, Japan.
Yasuhiro OtomoTrauma and Acute Critical Care Center, Tokyo Medical and Dental University Hospital of Medicine, Tokyo, Japan.
Tokyo Medical and Dental University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND There are few reports of coronavirus disease 2019 (COVID-19) in pregnant women. Although coagulation dysfunction was reported to affect the severity of COVID-19, the association between pregnancy, which is usually accompanied by changes in coagulation function, and the worsening of COVID-19 is unknown. We present a case of a 30-year-old woman in the 36th week of pregnancy who was diagnosed with severe COVID-19 pneumonia and required postpartum extracorporeal membrane oxygenation (ECMO) therapy. CASE REPORT A 30-year-old, 36-weeks pregnant woman presented to our hospital and was diagnosed with severe COVID-19 pneumonia soon after she had undergone a cesarean section. Her respiratory failure could not be managed by conventional therapeutic approaches. Therefore, ECMO was administered on day 7. Controlling coagulation function to maintain ECMO therapy was challenging. Nafamostat mesylate and cryoprecipitate were administered to treat the hypercoagulative status and severe hypofibrinogenemia, respectively. Since coagulopathy and her respiratory state improved, the ECMO therapy was terminated on day 15. CONCLUSIONS We report a case of severe COVID-19 pneumonia in a pregnant woman urgently treated with ECMO in the postpartum period. Thus, this case highlights the importance of close monitoring and appropriate medical care for pregnant women with severe COVID-19 pneumonia.

Indexed as

BetacoronavirusAdultCesarean SectionCoronavirus InfectionsCOVID-19Extracorporeal Membrane OxygenationFemaleHumansPandemicsPneumonia, ViralPregnancyPregnancy Complications, InfectiousSARS-CoV-2

Identifiers

PMID33110055
PMCPMC7603798
OpenAlexW3096943898

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.