Evidence map›Paper›PMID 34452534›Full record

ArticleViruses2021

Unique Severe COVID-19 Placental Signature Independent of Severity of Clinical Maternal Symptoms.

Marjolein F Husen, Lotte E van der Meeren, Robert M Verdijk, Pieter L A Fraaij, Annemiek A van der Eijk, Marion P G Koopmans, Liv Freeman, Hein Bogers, Marjolijn D Trietsch, Irwin K M Reiss and 2 more

Abstract readMulticenter Study
In one paragraph

Article in Viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  18. SARS-CoV-2 Immunohistochemistry In Placenta.International journal of surgical pathology · 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

12 authors.

Marjolein F HusenDepartment of Obstetrics and Gynaecology, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The Netherlands.
Lotte E van der MeerenDepartment of Pathology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Robert M VerdijkDepartment of Pathology, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.
Pieter L A FraaijDepartment of Viroscience, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The Netherlands.
Annemiek A van der EijkDepartment of Viroscience, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The Netherlands.
Marion P G KoopmansDepartment of Pediatric Infectiology, Immunology and Rheumatology, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands.ORCID 0000-0002-5204-2312
Liv FreemanDepartment of Obstetrics and Gynaecology, Ikazia Hospital, 3083 AN Rotterdam, The Netherlands.
Hein BogersDepartment of Obstetrics and Gynaecology, Franciscus en Vlietland Hospital, 3045 PM Rotterdam, The Netherlands.
Marjolijn D TrietschDepartment of Obstetrics and Gynaecology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Irwin K M ReissDepartment of Neonatology, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The Netherlands.
Philip L J DeKoninckDepartment of Obstetrics and Gynaecology, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The Netherlands.
Sam SchoenmakersDepartment of Obstetrics and Gynaecology, Erasmus MC, University Medical Center, 3015 GD Rotterdam, The Netherlands.

Funding

strong babies The Netherlands not applicableStrong Babies The Netherlands not applicable
6 · The paper itself

Abstract

backgroundAlthough the risk for transplacental transmission of SARS-CoV-2 is rare, placental infections with adverse functional consequences have been reported. This study aims to analyse histological placental findings in pregnancies complicated by SARS-CoV-2 infection and investigate its correlation with clinical symptoms and perinatal outcomes. We want to determine which pregnancies are at-risk to prevent adverse pregnancy outcomes related to COVID-19 in the future.

methodsA prospective, longitudinal, multicentre, cohort study. All pregnant women presenting between April 2020 and March 2021 with a nasopharyngeal RT-PCR-confirmed SARS-CoV-2 infection were included. Around delivery, maternal, foetal and placental PCR samples were collected. Placental pathology was correlated with clinical maternal characteristics of COVID-19.

resultsThirty-six patients were included, 33 singleton pregnancies (

conclusionWe describe a unique placental signature in pregnant patients with COVID-19, which has not been reported in a historical cohort. We show that the foetal environment can be seriously compromised by disruption of placental function due to local, devastating SARS-CoV-2 infection. Maternal clinical symptoms did not predict the severity of the SARS-CoV-2-related placental signature, resulting in a lack of adequate identification of maternal criteria for pregnancies at risk. Close foetal monitoring and pregnancy termination in case of foetal distress can prevent adverse pregnancy outcomes due to COVID-19 related placental disease.

Indexed as

AdultCOVID-19FemaleFetal DistressHumansLongitudinal StudiesPlacentaPlacenta DiseasesPregnancyPregnancy Complications, InfectiousPregnancy OutcomeProspective StudiesSARS-CoV-2Severity of Illness IndexTrophoblastsfoetal outcomeplacentapregnancySARS-CoV-2

Identifiers

PMID34452534
PMCPMC8402730

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Registered trials

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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.