Evidence map›Paper›PMID 36878392›Full record

ArticleJournal of gynecology obstetrics and human reproduction2023

Nasopharyngeal SARS-CoV-2 load and perinatal outcomes after maternal infection diagnosed close to delivery.

Alexandre J Vivanti, Christelle Vauloup-Fellous, Asma Khalil, Dominique A Badr, Francesco Raimondi, Serena Salome, Smriti Prasad, Giuseppe Portella, Mariano Fiorenza, Jacques C Jani and 7 more

Open access · greenAbstract read
In one paragraph

Article in Journal of gynecology obstetrics and human reproduction, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

17 authors at 5 institutions in 4 countries.

Alexandre J VivantiDivision of Obstetrics and Gynecology, "Antoine Béclère" Hospital, Paris Saclay University Hospitals, APHP, Paris, France. Electronic address: alexandre.vivanti@aphp.fr.
Christelle Vauloup-FellousDivision of Virology, "Paul Brousse" Hospital, Paris Saclay University Hospitals, APHP, Paris, France.
Asma KhalilFetal Medicine Unit, Department of Obstetrics and Gynaecology, St. George's University Hospitals NHS Foundation Trust, London, United Kingdom.
Dominique A BadrDepartment of Obstetrics and Gynecology, University Hospital Brugmann, Université Libre de Bruxelles, Belgium.
Francesco RaimondiDivision of Neonatology, Department of Translational Medical Sciences, "Federico II" University, Naples, Italy.
Serena SalomeDivision of Neonatology, Department of Translational Medical Sciences, "Federico II" University, Naples, Italy.
Smriti PrasadFetal Medicine Unit, Department of Obstetrics and Gynaecology, St. George's University Hospitals NHS Foundation Trust, London, United Kingdom.
Giuseppe PortellaDivision of Virology, Department of Translational Medical Sciences, "Federico II" University, Naples, Italy.
Mariano FiorenzaDivision of Virology, Department of Translational Medical Sciences, "Federico II" University, Naples, Italy.
Jacques C JaniDepartment of Obstetrics and Gynecology, University Hospital Brugmann, Université Libre de Bruxelles, Belgium.
Luce LandraudDivision of Microbiology, "Louis Mourier" Hospital, Paris Saclay University Hospitals, APHP, Paris, France.
Olivier PiconeDivision of Obstetrics and Gynecology, "Louis Mourier" Hospital, Paris Saclay University Hospitals, APHP, Paris, France.
Lucilla PezzaDivision of Pediatrics and Neonatal Critical Care, "A.Béclère" Medical Centre, Paris Saclay University Hospitals, APHP, Paris, France.
Nadege Bourgeois-NicolaosDivision of Microbiology, "Antoine Béclère" Hospital, Paris Saclay University Hospitals, APHP, Paris, France.
Anne-Gael CordierDivision of Obstetrics and Gynecology, "Antoine Béclère" Hospital, Paris Saclay University Hospitals, APHP, Paris, France.
Luca VedovelliUnit of Biostatistics, Epidemiology, and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, Padova, Italy.
Daniele De LucaDivision of Pediatrics and Neonatal Critical Care, "A.Béclère" Medical Centre, Paris Saclay University Hospitals, APHP, Paris, France.
Université Paris-Saclay · FRFederico II University Hospital · ITSt George’s University Hospitals NHS Foundation Trust · GBUniversité Libre de Bruxelles · BEUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe occurrence of COVID-19 during the pregnancy can cause several negative maternal and neonatal outcomes. Nasopharyngeal viral load is associated with inflammatory markers and might influence the disease severity in non-pregnant patients, but there are no data about the relationship between viral load and perinatal outcomes in pregnant patients.

objectiveTo investigate the hypothesis that nasopharyngeal SARS-CoV-2 load (estimated with real-time polymerase chain reaction delta cycle (ΔCt), measured in hospital clinical laboratories) is associated with perinatal outcomes, when COVID-19 is diagnosed in the third trimester of pregnancy. STUDY

designInternational, retrospective, observational, multi-center, cohort study enrolling 390 women (393 neonates, three pairs of twins), analyzed with multivariate generalized linear models with skewed distributions (gamma) and identity link. The analyses were conducted for the whole population and then followed by a subgroup analysis according to the clinical severity of maternal COVID-19.

resultsThe estimated viral load in maternal nasopharynx is not significantly associated with gestational age at birth (adjusted B: -0.008 (95%CI: -0.04; 0.02); p = 0.889), birth weight (adjusted B: 4.29 (95%CI: -25; 35); p = 0.889), weight Z-score (adjusted B: -0.01 (95%CI: -0.03; 1); p = 0.336), 5' Apgar scores (adjusted B: -0. -9.8e

conclusionsThe estimated maternal nasopharyngeal viral load in pregnant women affected by COVID-19 during the third trimester is not associated with main perinatal outcomes.

Indexed as

COVID-19Pregnancy Complications, InfectiousCohort StudiesFemaleHumansInfant, NewbornPregnancyRetrospective StudiesSARS-CoV-2AsphyxiaBirth weightCOVID-19NeonateNICUPregnancyPrematurity

Identifiers

PMID36878392
PMCPMC9985537
OpenAlexW4323275773

What OpenQuestion holds

Textmetadata
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.