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- W3126252327 abstract "During the first two weeks of the pandemic, we discovered that within our academic medical center in New York City more than 1 in 8 patients admitted for labor and delivery were COVID-19 positive without symptoms. We sought to describe rates of COVID-positivity rates among gravidas delivering over the subsequent months of the COVID-19 pandemic. A retrospective review was conducted of SARS-COV2 PCR results among all gravidas who delivered from March 22 to Sept 12, 2020. A program of universal testing for COVID-19 began on March 22, 2020 with all patients being tested with PCR analysis for SARS-COV2 on nasopharyngeal swabs immediately before delivery admission. Electronic medical records were queried to determine date and result of all PCR tests, and symptomatology at the time of delivery swab. We created three non-mutually exclusive patient classifications. Patients with any positive PCR before or at delivery were considered ‘COVID-positive’. Asymptomatic patients with no prior COVID diagnosis were considered ‘Low suspicion positive’. Patients with 28 days elapsed between initial positive PCR and delivery were classified as ‘COVID-recovered’. Within each week of the study period, delivery volume was tabulated as well as rates of overall positivity, low-suspicion positivity, and recovered positives were calculated. Over the 25 week study period, 2996 patients gave birth including 294 (9.81%) with any positive SARS-COV2 PCR. Weekly rates of PCR-positivity ranged from 2.34%-22.95% (Figure 1). Over half of positives (167/294; 56.8%) were low-suspicion positives detected based on routine testing at delivery admission. Of positives, 73.47% delivered within 28-days of their initial positive result, whereas 26.53% were COVID-recovered at delivery. At the height of the pandemic at an urban academic medical center, rates of COVID-19 positivity was as high as 2 in 10. Given that half of all of our COVID-19 positive patients were asymptomatic, universal testing was vital for our obstetrical units." @default.
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- W3126252327 date "2021-02-01" @default.
- W3126252327 modified "2023-10-18" @default.
- W3126252327 title "1161 Six month experience of universal COVID-19 screening of patients delivering at an urban academic center" @default.
- W3126252327 doi "https://doi.org/10.1016/j.ajog.2020.12.1185" @default.
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