SECCION X. Prevención y control de la infección por SARS – COV-2/COVID-19

ObjectiveThe impact of the COVID-19 pandemic goes beyond morbidity and mortality from that disease. Increases in maternal mortality have also been described but have not been extensively studied to date. This study aimed to examine changes in maternal mortality and identify correlates and predictors of excess maternal mortality in Colombia during the pandemic.SettingAnalysis of data from the national epidemiological surveillance databases of Colombia (Sivigila).ParticipantsDeaths among 6342 Colombian pregnant women who experienced complications associated with pregnancy, childbirth or the perperium during 2008–2020 were included in this study. For inequalities analysis, a subsample of 1055 women from this group who died in 2019 or 2020 years were analysed.MethodsWe collected data from the national surveillance system (Sivigila) on maternal mortality. Analysis was carried out in two stages, starting with a time series modelling using the Box-Jenkins approach. Data from Sivigila for 2008–2019 were used to establish a baseline of expected mortality levels. Both simple and complex inequality metrics, with the maternal mortality ratios (MMRs), were then calculated using the Multidimensional Poverty Index as a socioeconomic proxy.ResultsMaternal deaths in 2020 were 12.6% (95% CI −21.4% to 95.7%) higher than expected. These excess deaths were statistically significant in elevation for the months of July (97.4%, 95% CI 35.1% to 250.0%) and August (87.8%, 95% CI 30.5% to 220.8%). The MMR was nearly three times higher in the poorest municipalities compared with the most affluent communities in 2020.ConclusionsThe COVID-19 pandemic had considerable impact on maternal health, not only by leading to increased deaths, but also by increasing social health inequity. Barriers to access and usage of essential health services are a challenge to achieving health-related Sustainable Development Goals.

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“… 9 Several studies have addressed pregnancy complications and clinical care guidelines for pregnant women. 10 11 …”

Section: Introductionmentioning

confidence: 99%

Maternal mortality in Colombia during the COVID-19 pandemic: time series and social inequities

et al. 2023

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Morbilidad y mortalidad perioperatoria en pacientes llevados a cirugía electiva y de urgencia durante la pandemia por covid-19 en un hospital de cuarto nivel

Valderrama Beltrán,

Grueso Angulo,

Montealegre Diaz

et al. 2024

Univ. Med.

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Introducción: Durante la pandemia por SARS-CoV-2 se describió un aumento en la morbimortalidad perioperatoria en el periodo previo a la vacunación. Objetivo: Determinar en pacientes intervenidos quirúrgicamente la incidencia acumulada de covid-19 y la mortalidad global a los 30 días del procedimiento. Metodología: Cohorte retrospectiva de 314 pacientes intervenidos quirúrgicamente entre el 6 de marzo de 2020 y el 30 de junio de 2021, seleccionados aleatoriamente. Se tomó prequirúrgicamente RT-PCR para SARS-CoV-2 en todos los pacientes y en el postoperatorio a los pacientes con aparición de síntomas. Resultados: A los 30 días de la intervención quirúrgica se encontró una incidencia acumulada de covid-19 del 0,97 %, y una mortalidad global del 2,2 %. De los pacientes con SARS-CoV-2 perioperatorio, 3 de 7 tenían importantes comorbilidades y fallecieron a los 30 días con una mortalidad asociada con covid-19. Conclusión: La incidencia acumulada de covid-19 fue similar a la reportada en otras cohortes. Se observó una mortalidad elevada a los 30 días entre los pacientes con covid-19 perioperatorio. Estos hallazgos deben reforzar la necesidad en las instituciones de salud de fortalecer las medidas de prevención perioperatorias, la búsqueda activa de pacientes infectados, así como la priorización de procedimientos quirúrgicos para el afrontamiento de futuras pandemias.

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SECCION X. Prevención y control de la infección por SARS – COV-2/COVID-19

Abstract: SECCION X. Prevención y control de la infección por SARS – COV-2/COVID-19

Cited by 2 publications

References 230 publications

Maternal mortality in Colombia during the COVID-19 pandemic: time series and social inequities

Maternal mortality in Colombia during the COVID-19 pandemic: time series and social inequities

Morbilidad y mortalidad perioperatoria en pacientes llevados a cirugía electiva y de urgencia durante la pandemia por covid-19 en un hospital de cuarto nivel

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