Maternal Risk Factors Associated with Negative COVID-19 Outcomes and Their Relation to Socioeconomic Indicators in Brazil.

Autor:	Ribeiro HF; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil., de Barros Carvalho MD; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil., Pelloso FC; Medicine Centers, Federal University of Paraná-UFPR, Curitiba 80060-240, Brazil., Santos LD; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil., de Andrade Pereira Silva M; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil., Stevanato KP; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil., Borghesan DHP; University Center UNINGÁ, Maringá 87035-510, Brazil., Romani I; University Center UNINGÁ, Maringá 87035-510, Brazil., Marques VD; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil., de Freitas KMS; University Center UNINGÁ, Maringá 87035-510, Brazil., Jacinto Alarcão AC; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil., Pujals C; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil., Bocchi Pedroso R; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil., Cardelli AAM; Department of Graduate Studies in Nursing, State University of Londrina, Londrina 86057-970, Brazil., Pelloso SM; Health Sciences Center, State University of Maringá-UEM, Maringá 87020-900, Brazil.
Jazyk:	angličtina
Zdroj:	Healthcare (Basel, Switzerland) [Healthcare (Basel)] 2023 Jul 20; Vol. 11 (14). Date of Electronic Publication: 2023 Jul 20.
DOI:	10.3390/healthcare11142072
Abstrakt:	Background: This study aimed to analyze maternal risk factors associated with negative outcomes of COVID-19 and association with socioeconomic indicators in Brazil. Methods: A cross-sectional study, with data from the Influenza Epidemiological Surveillance Information System (SIVEP-Flu) of pregnant women with COVID-19 and cases of hospitalization and death. For the analysis of risk factors and outcomes, the multiple logistic regression method was used. Results: Pregnant women who had some risk factor represented 47.04%. The chance of death was 2.48 times greater when there was a risk factor, 1.55 for ICU admission and 1.43 for use of ventilatory support. The percentage of cure was 79.64%, 15.46% without any negative outcome, 4.65% death and 0.26% death from other causes. Pregnant women who did not take the vaccine represented 30.08%, 16.74% took it and 53.18% were not specified. The variables HDI, illiteracy, per capita income and urbanization did not influence the cases of COVID-19. Conclusions: Factors such as age, obesity, asthma and pregnancy were responsible for the increase in hospitalizations, respiratory complications and death. Vaccination reduced the risk of negative outcomes by 50%. There were no correlations between socioeconomic indicators and the negative outcomes of COVID-19 in pregnant women.
Databáze:	MEDLINE
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