Evidence map›Paper›PMID 37535653›Full record

ArticlePloS one2023

Pregnant women with mild COVID-19 followed in community setting by telemedicine, and factors associated with unfavorable outcome.

Aurélien Dinh, Florian Drouet, Agnes Dechartres, Youri Yordanov, Clara Duran, Nicolas Schmidt, Amélie Banzet, Marie-Hermine Perrier, Nathalie Mosquet, François-Xavier Lescure and 4 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 24% 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, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Aurélien DinhInfectious Disease, Raymond-Poincaré University Hospital APHP, Garches, France.ORCID 0000-0002-5843-4819
Florian DrouetCovidom Regional Telemedicine Platform, APHP, Great Paris area, France.
Agnes DechartresInstitut Pierre Louis d'Epidémiologie et de Santé Publique, INSERM, Sorbonne Université, AP-HP, Paris, France.
Youri YordanovEmergency Department, University Hospital Saint Antoine, APHP, Paris, France.
Clara DuranInfectious Disease, Raymond-Poincaré University Hospital APHP, Garches, France.
Nicolas SchmidtCovidom Regional Telemedicine Platform, APHP, Great Paris area, France.
Amélie BanzetCovidom Regional Telemedicine Platform, APHP, Great Paris area, France.
Marie-Hermine PerrierCovidom Regional Telemedicine Platform, APHP, Great Paris area, France.
Nathalie MosquetCovidom Regional Telemedicine Platform, APHP, Great Paris area, France.
François-Xavier LescureInfectious Disease, Bichat University Hospital APHP, Paris, France.
Patrick JourdainCardiology Department, University Hospital of Kremlin Bicêtre, APHP, Le Kremlin Bicêtre, France.
Jacky NizardDepartment of Obstetrics and Gynecology, Pitié-Salpétrière University Hospital, Sorbonne Université, APHP, Paris, France.
Xavier MasingueCovidom Regional Telemedicine Platform, APHP, Great Paris area, France.
AP-HP/Universities/Inserm COVID-19 research collaboration
Assistance Publique – Hôpitaux de Paris · FRHôpital Raymond-Poincaré · FRSorbonne Université · FRBicêtre Hospital · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFew is known on pregnant women with mild COVID-19 managed in a community setting with a telemedicine solution, including their outcomes. The objective of this study is to evaluate the adverse fetal outcomes and hospitalization rates of pregnant COVID-19 outpatients who were monitored with the Covidom© telemedicine solution.

methodsA nested study was conducted on pregnant outpatients with confirmed COVID-19, who were managed with Covidom© between March and November 2020. The patients were required to complete a standard medical questionnaire on co-morbidities and symptoms at inclusion, and were then monitored daily for 30 days after symptom onset. Adverse fetal outcome was defined as a composite of preterm birth, low birthweight, or stillbirth, and was collected retrospectively through phone contact with a standardized questionnaire.

resultsThe study included 714 pregnant women, with a median age of 32.0 [29.0-35.0] and a median BMI of 23.8 [21.3-27.0]. The main comorbidities observed were smoking (53%), hypertension (19%). The most common symptoms were asthenia (45.6%), cough (40.3%) and headache (25.7%), as well as anosmia (28.4%) and agueusia (32.3%). Adverse fetal outcomes occurred in 64 (9%) cases, including 38 (5%) preterm births, 33 (5%) low birthweights, and 6 (1%) stillbirths. Hospitalization occurred in 102 (14%) cases and was associated with adverse fetal outcomes (OR 2.4, 95% CI 1.3-4.4).

conclusionsOur study suggests that adverse fetal outcomes are rare in pregnant women with mild COVID-19 who are monitored at home with telemedicine. However, hospitalization for COVID-19 and pregnancy-induced hypertension are associated with a higher risk of adverse fetal outcome.

Indexed as

COVID-19Premature BirthTelemedicineFemaleHumansInfant, NewbornPregnancyPregnancy OutcomePregnant PeopleRetrospective StudiesStillbirth

Identifiers

PMID37535653
PMCPMC10399733
OpenAlexW4385521502

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.