In the spring of 2020, as Massachusetts skilled a surge in COVID-19 instances within the Boston space, 4 space hospitals performed common testing amongst all pregnant sufferers on the time of admission for SARS-CoV-2, the virus that causes COVID-19. At the time, Massachusetts had the third highest price of an infection within the nation. In an evaluation of the info collected throughout that point, a crew of investigators from Brigham and Women’s Hospital discovered no affiliation between the number of in-person well being care visits and risk of an infection with SARS-CoV-2. Results are printed in JAMA.
“One major concern in obstetrics, but also in general medicine, is that patients are avoiding necessary medical care because of fear of contracting COVID-19 in a health care setting, but there was no indication that in-person health care affects risk of infection,” stated corresponding creator Sharon Reale, MD, an attending anesthesiologist within the Department of Anesthesiology, Perioperative and Pain Medicine. “Our study provides important evidence that we can do in-person visits safely. Our findings should be reassuring for our obstetrical patients that when they come to the hospital for appointments, they are not increasing their risk of infection.”
While some sufferers may benefit from digital visits by way of telemedicine through the spring, pregnant sufferers are a singular inhabitants. Many require a number of, in-person visits for measurements, exams and lab tests to make sure the well being of each mom and child or infants. Since April 19 and persevering with by way of right now, 4 Mass General Brigham hospitals—Brigham and Women’s Hospital, Massachusetts General Hospital, Newton-Wellesley Hospital and North Shore Medical Center—take a look at all obstetrical sufferers for COVID-19 when they’re admitted. In the examine, Reale and colleagues checked out sufferers delivering between April 19 and June 27, 2020.
To conduct their examine, Reale and colleagues used a case-control strategy through which sufferers who examined constructive (instances) have been matched to those that examined unfavourable (controls) primarily based on gestational age, race/ethnicity, insurance coverage sort and the speed of COVID-19 within the sufferers’ zip code. The crew additionally adjusted for age, physique mass index and important employee occupation.
Of shut to 3,000 ladies who delivered through the examine interval, 111 sufferers examined constructive. On common, sufferers who examined constructive attended 3.1 visits in particular person (with a variety of 0 to 10 visits); sufferers who examined unfavourable attended a median of 3.3 visits in particular person (with a variety of 0 to 16 visits). The authors conclude that there was no significant affiliation between in-person visits and an infection among the many sufferers studied.
The authors observe that their affected person inhabitants included obstetrical sufferers solely—future research can be wanted to affirm if the findings prolong to different sufferers. Reale additionally notes that Mass General Brigham adopted common masking early on to assist cut back transmission.
“Results will need to be replicated outside of obstetrics, but this should be reassuring and indicate that necessary and important care should be done and can be done safely,” stated Reale.
There was no funding group for this examine.
Sharon C. Reale et al, Association Between Number of In-Person Health Care Visits and SARS-CoV-2 Infection in Obstetrical Patients, JAMA (2020). DOI: 10.1001/jama.2020.15242
Brigham and Women’s Hospital
For pregnant sufferers, number of clinic visits not tied to risk of getting COVID-19 (2020, August 14)
retrieved 14 August 2020
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