ABSTRACT
COVID-19 affects pregnant women more severely than nonpregnant women of reproductive age. However, the rate of critical illness and fatality reported in other studies varied in a wide range in both groups. The study aims to investigate the clinical outcomes of COVID-19 in the pregnant and nonpregnant matched control patients admitted to the hospital. Pregnant and nonpregnant patients of reproductive age (18-45 years) infected with COVID-19 who were admitted to Ondokuz Mayis University Hospital, Samsun, Turkey, from March 11 to December 11, 2020, were enrolled in the study. The clinical, radiological, and laboratory data of the patients were analyzed retrospectively. A total of 153 patients were investigated;123 were nonpregnant, and 30 were pregnant. Emergency delivery occurred in 5 (17%) pregnant women due to acute respiratory failure associated with COVID-19 and 1 (3%) pregnant woman due to obstetric reasons. Four premature births, one perinatal death, and no stillbirth or miscarriage were reported. The rate of admission to the intensive care unit (ICU) [7/30 (23.3%) vs 3/123 (2.4%), p<0.001] and the need for invasive mechanical ventilation (IMV) [5/30 (17.0%) vs 2/123 (1.6%), p=0.003] were significantly higher in pregnant than in non-pregnant patients. However, hospital length of stay (HLOS) and mortality did not differ between groups: HLOS was median 4 vs 5 days, p=0.68, and the mortality rate was 1/123 (0.8%) vs 0/30 (0%), p=0.62 in nonpregnant and pregnant patients respectively. We observed that COVID-19 has a more severe course in pregnant women versus the nonpregnant control group, but no difference was noted in terms of hospital length of stay and mortality. The overall case fatality rate of COVID-19 in hospitalized pregnant or nonpregnant women of reproductive age was found to be much lower than the general hospitalized population worldwide. Copyright © 2022 Ondokuz Mayis Universitesi. All rights reserved.
ABSTRACT
Objective: During the COVID-19 pandemic, working in hemodialysis (HD) can be a source of anxiety. In this study, the anxiety status of HD healthcare professionals (HCPs) during the COVID-19 pandemic and the associated factors were investigated. Materials and Methods: The data were collected through a web-based questionnaire. The questionnaire consisted of 3 parts: (1) demographic features, (2) questions about the causes and consequences of anxiety, and (3) general anxiety disorder-7 survey. Results: One hundred eighty-three HCPs completed the survey, mostly nurses and dialysis technicians (71.6%). Two-thirds of the participants stated that preventive measures increase workload and cause physical harm (68.3%, 62.3%). One-third of participants reported a lack of communication with the patients and a decrease in desire to work (31.1%, 35.6%). A-moderate-severe anxiety was detected in 24.6%. Physical contact with infected people, being physically harmed by -preventive measures, decreased desire to work, and a lack of communication with the patients were found to be -significantly more in participants with anxiety (P = .036, P < .001, P < .001, P < .001). In multivariate analyzes, being -physically harmed by preventive measures was the only risk factor for anxiety (OR = 7.423, CI: 2.050-26.877, P = .002). Conclusion: During the pandemic period, anxiety was observed in one-fourth of HCPs. Being physically harmed by preventive measures is the only risk factor for anxiety.