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suck abstract from ncbi


10.1186/s12874-020-01102-y

http://scihub22266oqcxt.onion/10.1186/s12874-020-01102-y
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32842979!7447612!32842979
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suck abstract from ncbi


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pmid32842979      BMC+Med+Res+Methodol 2020 ; 20 (1): 215
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  • Rapid establishment of a COVID-19 perinatal biorepository: early lessons from the first 100 women enrolled #MMPMID32842979
  • Shook LL; Shui JE; Boatin AA; Devane S; Croul N; Yonker LM; Matute JD; Lima RS; Schwinn M; Cvrk D; Gardner L; Azevedo R; Stanton S; Bordt EA; Yockey LJ; Fasano A; Li JZ; Yu XG; Kaimal AJ; Lerou PH; Edlow AG
  • BMC Med Res Methodol 2020[Aug]; 20 (1): 215 PMID32842979show ga
  • BACKGROUND: Collection of biospecimens is a critical first step to understanding the impact of COVID-19 on pregnant women and newborns - vulnerable populations that are challenging to enroll and at risk of exclusion from research. We describe the establishment of a COVID-19 perinatal biorepository, the unique challenges imposed by the COVID-19 pandemic, and strategies used to overcome them. METHODS: A transdisciplinary approach was developed to maximize the enrollment of pregnant women and their newborns into a COVID-19 prospective cohort and tissue biorepository, established on March 19, 2020 at Massachusetts General Hospital (MGH). The first SARS-CoV-2 positive pregnant woman was enrolled on April 2, and enrollment was expanded to SARS-CoV-2 negative controls on April 20. A unified enrollment strategy with a single consent process for pregnant women and newborns was implemented on May 4. SARS-CoV-2 status was determined by viral detection on RT-PCR of a nasopharyngeal swab. Wide-ranging and pregnancy-specific samples were collected from maternal participants during pregnancy and postpartum. Newborn samples were collected during the initial hospitalization. RESULTS: Between April 2 and June 9, 100 women and 78 newborns were enrolled in the MGH COVID-19 biorepository. The rate of dyad enrollment and number of samples collected per woman significantly increased after changes to enrollment strategy (from 5 to over 8 dyads/week, P < 0.0001, and from 7 to 9 samples, P < 0.01). The number of samples collected per woman was higher in SARS-CoV-2 negative than positive women (9 vs 7 samples, P = 0.0007). The highest sample yield was for placenta (96%), umbilical cord blood (93%), urine (99%), and maternal blood (91%). The lowest-yield sample types were maternal stool (30%) and breastmilk (22%). Of the 61 delivered women who also enrolled their newborns, fewer women agreed to neonatal blood compared to cord blood (39 vs 58, P < 0.0001). CONCLUSIONS: Establishing a COVID-19 perinatal biorepository required patient advocacy, transdisciplinary collaboration and creative solutions to unique challenges. This biorepository is unique in its comprehensive sample collection and the inclusion of a control population. It serves as an important resource for research into the impact of COVID-19 on pregnant women and newborns and provides lessons for future biorepository efforts.
  • |*Betacoronavirus[MESH]
  • |*Patient Participation[MESH]
  • |*Specimen Handling[MESH]
  • |Adult[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*diagnosis/*psychology[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant, Newborn[MESH]
  • |Pandemics[MESH]
  • |Patient Selection[MESH]
  • |Perinatal Care[MESH]
  • |Pneumonia, Viral/*diagnosis/*psychology[MESH]
  • |Pregnancy[MESH]
  • |Pregnancy Complications, Infectious/*diagnosis/psychology[MESH]


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