COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study

McPeake, J. et al. (2022) COVID-19 infection and maternal morbidity in critical care units in Scotland: a national cohort study. International Journal of Obstetric Anesthesia, (doi: 10.1016/j.ijoa.2022.103613) (PMCID:PMC9715259) (In Press)

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Abstract

Background: Previous research has shown that, in comparison with non-pregnant women of reproductive age, pregnant women with COVID-19 are more likely to be admitted to critical care, receive invasive ventilation, and die. At present there are limited data in relation to outcomes and healthcare utilisation following hospital discharge of pregnant and recently pregnant women admitted to critical care. Methods: A national cohort study of pregnant and recently pregnant women who were admitted to critical care in Scotland with confirmed or suspected COVID-19. We examined hospital outcomes as well as hospital re-admission rates. Results: Between March 2020 and March 2022, 75 pregnant or recently pregnant women with laboratory-confirmed COVID-19 were admitted to 24 Intensive Care Units across Scotland. Almost two thirds (n=49, 65%) were from the most deprived socio-economic areas. Complete 90-day acute hospital re-admission data were available for 74 (99%) patients. Nine (12%) women required an emergency non-obstetric hospital re-admission within 90 days. Less than 5% of the cohort had received any form of vaccination. Conclusions: This national cohort study has demonstrated that pregnant or recently pregnant women admitted to critical care with COVID-19 were more likely to reside in areas of socio-economic deprivation, and fewer than 5% of the cohort had received any form of vaccination. More targeted public health campaigning across the socio-economic gradient is urgently required.

Item Type:Articles
Additional Information:Funding: Research Fellowship (PD-2019-02-16).
Status:In Press
Refereed:Yes
Glasgow Author(s) Enlighten ID:Puxty, Dr Kathryn and McPeake, Dr Jo
Authors: McPeake, J., Blayney, M.C., Stewart, N.I., Kaye, C.T., Seem, R.C., Hall, R., Martin, C., Paton, M., Wise, A., Puxty, K., Lone, N.I., and on behalf of the Scottish Intensive Care Society Audit Group,
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:International Journal of Obstetric Anesthesia
Publisher:Elsevier
ISSN:0959-289X
ISSN (Online):1532-3374
Published Online:02 December 2022
Copyright Holders:Copyright © 2022 The Authors
First Published:First published in International Journal of Obstetric Anesthesia 2022
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
307748Improving health and social care integration delivery in the acute care environmentJoanne McPeakeUniversity of Cambridge (HEI-CAMB)RG88620HW - MRC/CSO Social and Public Health Sciences Unit