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Article ; Online: Multimodality screening and prevention of cervical cancer in sub-Saharan Africa: a collaborative model.

Chinn, Justine / Tewari, Krishnansu S

Current opinion in obstetrics & gynecology

2020 Volume 32, Issue 1, Page(s) 28–35

Abstract: Purpose of review: Although cervical cancer continues to decrease in incidence throughout the developed world because of rigorous screening and vaccination campaigns, the disease remains a major cause of cancer-related morbidity and mortality in ... ...

Abstract	Purpose of review: Although cervical cancer continues to decrease in incidence throughout the developed world because of rigorous screening and vaccination campaigns, the disease remains a major cause of cancer-related morbidity and mortality in resource-limited regions including sub-Saharan Africa. This review summarizes current efforts to implement cost-effective and widespread cervical cancer education, screening, and community-based interventions in Africa and the challenges faced by local healthcare workers. Recent findings: Effective screening with cytology (with or without high-risk human papillomavirus [HPV] DNA testing) as well as HPV self-sampling remains problematic in African countries because of a paucity of cytopathologists and resources. Accordingly, visual inspection of the cervix with acetic acid (VIA) with cryotherapy triage has gained traction in mass-screening campaigns because of low-cost supplies. Summary: Public education to facilitate screening is essential. VIA remains a strong community-based approach. The involvement of technology in teaching local providers, advertising screenings to the community, and helping improve follow-up may also improve screening efforts. Ultimately, the best form of prevention is through HPV vaccination, which also requires implementation of ongoing public education programs.
MeSH term(s)	Africa South of the Sahara ; Community Health Services/organization & administration ; Early Detection of Cancer/economics ; Early Detection of Cancer/methods ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Mass Screening/economics ; Mass Screening/methods ; Papanicolaou Test ; Papillomavirus Infections/diagnosis ; Papillomavirus Vaccines/administration & dosage ; Physical Examination/methods ; Physical Examination/statistics & numerical data ; Uterine Cervical Neoplasms/prevention & control
Chemical Substances	Papillomavirus Vaccines
Language	English
Publishing date	2020-02-07
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	1049382-7
ISSN	1473-656X ; 1040-872X
ISSN (online)	1473-656X
ISSN	1040-872X
DOI	10.1097/GCO.0000000000000597
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Article ; Online: Collaboration between GI surgery & Gastroenterology improves understanding of the optimal antireflux valve-the omega flap valve.

Nguyen, Ninh T / Chinn, Justine / Chang, Kenneth

Surgical endoscopy

2021 Volume 35, Issue 6, Page(s) 3214–3220

Abstract: Background: Gastroesophageal reflux disease (GERD) is a chronic and sometimes disabling disease. An important component in the surgical management of GERD is either laparoscopic or endoscopic restoration of the native gastroesophageal flap valve (GEFV). ...

Abstract	Background: Gastroesophageal reflux disease (GERD) is a chronic and sometimes disabling disease. An important component in the surgical management of GERD is either laparoscopic or endoscopic restoration of the native gastroesophageal flap valve (GEFV). Recently, a procedure combining laparoscopic hiatal hernia repair with transoral incisionless fundoplication (cTIF) was introduced. This relatively new operation is performed in collaboration between the gastrointestinal (GI) surgeon and the gastroenterologist. Methods: By working together, both interventionalists gain new insight into the ideal GEFV by observing the same operation being performed from different perspectives. In the cTIF, the gastroenterologist learns from an external perspective, through the laparoscopic view, the importance of the crura in contributing to the antireflux barrier. Similarly, the GI surgeon gains understanding of the elements that define an effective and desirable GEFV through an endoscopic perspective. Results: This collaboration with cTIF and seeing the procedure from different perspectives have led to our improved understanding of 1) factors contributing to an optimal surgically constructed GEFV and 2) the limitations of the GEFV constructed by the conventional laparoscopic total and partial fundoplications. Conclusion: The collaboration between GI surgery and gastroenterology with cTIF has led to an improved understanding in characteristics of an optimal antireflux barrier and allowed for a proposed technical modification of the current fundoplication technique to optimize the construct of the surgical GEFV.
MeSH term(s)	Fundoplication ; Gastroenterology ; Gastroesophageal Reflux/surgery ; Humans ; Laparoscopy ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2021-03-11
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-021-08416-y
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Article ; Online: Outcomes of COVID-19 adults managed in an outpatient versus hospital setting.

Nguyen, Ninh T / Chinn, Justine / Kirby, Katherine / Hohmann, Samuel F / Amin, Alpesh

PloS one

2022 Volume 17, Issue 2, Page(s) e0263813

Abstract: Introduction: The coronavirus disease 2019 (COVID-19) pandemic continues to spread globally and as of February 4, 2021, there are more than 26 million confirmed cases and more than 440,000 deaths in the United States (US). A top priority of the Centers ... ...

Abstract	Introduction: The coronavirus disease 2019 (COVID-19) pandemic continues to spread globally and as of February 4, 2021, there are more than 26 million confirmed cases and more than 440,000 deaths in the United States (US). A top priority of the Centers for Disease Control and Prevention (CDC) is to identify risk factors for severe COVID-19 illness. The objective of this study was to analyze the characteristics and outcomes of COVID-19 adults who were managed in an outpatient setting compared to patients who required hospitalization at US academic centers. Methods: Using the Vizient clinical database, Discharge records of adults with a diagnosis of COVID-19 between March 1, 2020 and January 31, 2021 were reviewed. Outcome measures included demographics, characteristics, rate of hospitalization, and mortality, and data were analyzed based on inpatient versus outpatient management. Results: Among COVID-19 adults, 1,360,078 patients were managed in an outpatient setting while 545,635 patients required hospitalization. Compared to hospitalized COVID-19 adults, COVID-19 adults who were managed in an outpatient setting were more likely to be female (56.1% vs 47.5%, p <0.001), white (57.7% vs 54.8%, p <0.001), within younger age group of 18-50 years (p<0.001) and have lower rate of comorbidities. Mortality was significantly lower in outpatient group compared to hospitalized group (0.2% vs 12.2%, respectively, p <0.01%). For outpatient group, mortality increased with increasing age group: 0.02% (52 of 295,112) for patients 18-30 years and 1.2% (1,373 of 117,866) for patients >75 years. The rate of hospitalization was lowest for age group 18-30 years at 10.6% (35,607 of 330,719) and highest for age group >75 years at 56.1% (150,381 of 268,247). Conclusion: This analysis of US academic centers showed that 28.6% of COVID-19 adults who sought care at one of the hospitals reporting data to the Vizient clinical database required in-patient treatment. The rate of hospitalization in our study was lowest for the youngest age group of 18-30 years and highest for age group >75 years. Beside older age, other factors associated with outpatient management included female gender, white race, and having commercial insurance.
MeSH term(s)	Adolescent ; Adult ; Age Distribution ; Aged ; COVID-19/therapy ; Female ; Hospitals ; Humans ; Male ; Middle Aged ; Outpatients ; Treatment Outcome ; Young Adult
Language	English
Publishing date	2022-02-14
Publishing country	United States
Document type	Journal Article
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0263813
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Article ; Online: The Impact of COVID-19 on Volume of Inpatient Hospitalization Through General Medicine and Medicine Subspecialty Services at US Medical Centers.

Chinn, Justine / Ramirez, Andrew / Hohmann, Samuel / Amin, Alpesh / Nguyen, Ninh T

Mayo Clinic proceedings. Innovations, quality & outcomes

2021 Volume 5, Issue 2, Page(s) 516–519

Abstract: As the coronavirus disease 2019 pandemic continues to impact hospital systems both in the United States and throughout the world, it is important to understand how the pandemic has impacted the volume of hospital admissions. Using the Vizient Inc ( ... ...

Abstract	As the coronavirus disease 2019 pandemic continues to impact hospital systems both in the United States and throughout the world, it is important to understand how the pandemic has impacted the volume of hospital admissions. Using the Vizient Inc (Chicago, IL) clinical databases, we analyzed inpatient hospital discharges from the general medicine service and its subspecialty services including cardiology, neonatology, pulmonary/critical care, oncology, psychiatry, and neurology between December 2019 and July 2020. We compared baseline discharge data to that of the first six months of the pandemic, from February to July 2020. We set the baseline as discharges by specialty from February 2019 through January 2020, averaged over the 12 months. Compared to baseline, by April 2020 the volume of general medicine hospital discharge was reduced by -20.2%, from 235,581 to 188,027 discharges. We found that while overall the number of discharges decreased from baseline, with a nadir in April 2020, pulmonary/critical care services had an increase in hospital discharge volume throughout the pandemic, from 7534 at baseline to 15,792 discharges in April. These findings are important for understanding health care use during the pandemic and ensuring proper allocation of resources and funding throughout the coronavirus disease 2019 pandemic.
Language	English
Publishing date	2021-03-03
Publishing country	Netherlands
Document type	Case Reports
ISSN	2542-4548
ISSN (online)	2542-4548
DOI	10.1016/j.mayocpiqo.2021.02.003
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Article ; Online: Comparison of BMI on operative time and complications of robotic inguinal hernia repair at a VA medical center.

Chinn, Justine / Tellez, Rene / Huy, Bunchhin / Farzaneh, Cyrus / Christian, Ashton / Ramsay, Jay / Kim, Hubert / Smith, Brian / Hinojosa, Marcelo W

Surgical endoscopy

2022 Volume 36, Issue 12, Page(s) 9398–9402

Abstract: Background: BMI is a risk factor for recurrence and post-operative complications in both open and laparoscopic totally extraperitoneal approach (TEP) repair. Robotic surgery using the transabdominal preperitoneal approach (TAPP) is a safe and viable ... ...

Abstract	Background: BMI is a risk factor for recurrence and post-operative complications in both open and laparoscopic totally extraperitoneal approach (TEP) repair. Robotic surgery using the transabdominal preperitoneal approach (TAPP) is a safe and viable option for inguinal hernia repair (IHR). The objective of this study is to determine how difference in BMI influences rate of operative time, complications, and rate of recurrence in a robotic TAPP IHR. Methods: We performed a retrospective review of patients who underwent robotic inguinal hernia repair between 2012 and 2019 at a Veterans Health Administration facility (N = 304). The operating time, outcomes, and overall morbidity and mortality for robotic IHR were compared between three different BMI Groups. These groups were divided into: "Underweight/Normal Weight" (BMI < 25) n = 102, "Pre-Obese" (BMI 25-29.9) n = 120, and "Obese" (BMI 30 +) n = 82. Results: The average operating time of a bilateral IHR by BMI group was 83.5, 98.4, and 97.8 min for BMIs < 25, 25-29.9, and 30 +, respectively. Operating time was lower in the Underweight/Normal BMI group compared to the Pre-Obese group (p = 0.006) as well as the Obese group (p = 0.001). For unilateral repair, the average operation length by group was 65.2, 70.9, and 85.6 min for BMIs < 25, 25-29.9, and 30 +, respectively, demonstrating an increased time for Obese compared to Underweight/Normal BMI (p = 0.001) and for Obese compared to Pre-Obese (p = 0.01). Demographic/comorbidity variables were not significantly different, except for a higher percentage of white patients in the Underweight/Normal BMI group compared to the Pre-Obese and Obese groups (p = 0.02 and p = 0.0003). There was no significant difference in complications or recurrence. Conclusion: BMI has a significant impact on the operating time of both unilateral and bilateral robotic hernia repair. Despite this increased operative time, BMI group did not differ significantly in postoperative outcomes or in recurrence rates.
MeSH term(s)	Humans ; Hernia, Inguinal/surgery ; Hernia, Inguinal/complications ; Operative Time ; Robotic Surgical Procedures/adverse effects ; Body Mass Index ; Thinness/complications ; Herniorrhaphy/adverse effects ; Laparoscopy/adverse effects ; Obesity/complications ; Obesity/surgery ; Surgical Mesh ; Treatment Outcome
Language	English
Publishing date	2022-05-11
Publishing country	Germany
Document type	Journal Article
ZDB-ID	639039-0
ISSN	1432-2218 ; 0930-2794
ISSN (online)	1432-2218
ISSN	0930-2794
DOI	10.1007/s00464-022-09259-x
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Article ; Online: Comparing Accuracy of Night Radiology Interpretations for Pediatric Trauma: Radiology Residents Versus Attending Teleradiologists.

Martino, Alice M / Yeates, Eric O / Grigorian, Areg / Chinn, Justine / Young, Hayley / Colin Escobar, Jessica / Glavis-Bloom, Justin / Anavim, Arash / Yaghmai, Vahid / Nguyen, Ninh T / Dolich, Matthew / Schubl, Sebastian D / Goodman, Laura F / Guner, Yigit S / Nahmias, Jeffry

The American surgeon

2024 , Page(s) 31348241248794

Abstract: Background: ...

Abstract	Background:
Language	English
Publishing date	2024-04-24
Publishing country	United States
Document type	Journal Article
ZDB-ID	202465-2
ISSN	1555-9823 ; 0003-1348
ISSN (online)	1555-9823
ISSN	0003-1348
DOI	10.1177/00031348241248794
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Article ; Online: Male gender is a predictor of higher mortality in hospitalized adults with COVID-19.

Nguyen, Ninh T / Chinn, Justine / De Ferrante, Morgan / Kirby, Katharine A / Hohmann, Samuel F / Amin, Alpesh

PloS one

2021 Volume 16, Issue 7, Page(s) e0254066

Abstract: Introduction: The coronavirus disease 2019 (COVID-19) pandemic continues to be a global threat, with tremendous resources invested into identifying risk factors for severe COVID-19 illness. The objective of this study was to analyze the characteristics ... ...

Abstract	Introduction: The coronavirus disease 2019 (COVID-19) pandemic continues to be a global threat, with tremendous resources invested into identifying risk factors for severe COVID-19 illness. The objective of this study was to analyze the characteristics and outcomes of male compared to female adults with COVID-19 who required hospitalization within US academic centers. Methods: Using the Vizient clinical database, discharge records of adults with a diagnosis of COVID-19 between March 1, 2020 and November 30, 2020 were reviewed. Outcome measures included demographics, characteristics, length of hospital stay, rate of respiratory intubation and mechanical ventilation, and rate of in-hospital mortality of male vs female according to age, race/ethnicity, and presence of preexisting comorbidities. Results: Among adults with COVID-19, 161,206 were male while 146,804 were female. Adult males with COVID-19 were more likely to have hypertension (62.1% vs 59.6%, p <0.001%), diabetes (39.2% vs 36.0%, p <0.001%), renal failure (22.3% vs 18.1%, p <0.001%), congestive heart failure (15.3% vs 14.6%, p <0.001%), and liver disease (5.9% vs 4.5%, p <0.001%). Adult females with COVID-19 were more likely to be obese (32.3% vs 25.7%, p<0.001) and have chronic pulmonary disease (23.7% vs 18.1%, p <0.001). Gender was significantly different among races (p<0.001), and there was a lower proportion of males versus females in African American patients with COVID-19. Comparison in outcomes of male vs. female adults with COVID-19 is depicted in Table 2. Compared to females, males with COVID-19 had a higher rate of in-hospital mortality (13.8% vs 10.2%, respectively, p <0.001); a higher rate of respiratory intubation (21.4% vs 14.6%, p <0.001); and a longer length of hospital stay (9.5 ± 12.5 days vs. 7.8 ± 9.8 days, p<0.001). In-hospital mortality analyzed according to age groups, race/ethnicity, payers, and presence of preexisting comorbidities consistently showed higher death rate among males compared to females (Table 2). Adult males with COVID-19 were associated with higher odds of mortality compared to their female counterparts across all age groups, with the effect being most pronounced in the 18-30 age group (OR, 3.02 [95% CI, 2.41-3.78]). Conclusion: This large analysis of 308,010 COVID-19 adults hospitalized at US academic centers showed that males have a higher rate of respiratory intubation and longer length of hospital stay compared to females and have a higher death rate even when compared across age groups, race/ethnicity, payers, and comorbidity.
MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19/drug therapy ; COVID-19/mortality ; Female ; Hospital Mortality ; Hospitalization ; Humans ; Male ; Middle Aged ; Sex Characteristics ; Sex Factors ; United States
Language	English
Publishing date	2021-07-09
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ZDB-ID	2267670-3
ISSN	1932-6203 ; 1932-6203
ISSN (online)	1932-6203
ISSN	1932-6203
DOI	10.1371/journal.pone.0254066
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Article ; Online: Outcomes and Mortality Among Adults Hospitalized With COVID-19 at US Medical Centers.

Nguyen, Ninh T / Chinn, Justine / Nahmias, Jeffry / Yuen, Sarah / Kirby, Katharine A / Hohmann, Sam / Amin, Alpesh

JAMA network open

2021 Volume 4, Issue 3, Page(s) e210417

MeSH term(s)	Adolescent ; Adult ; Aged ; Aged, 80 and over ; COVID-19/economics ; COVID-19/mortality ; Critical Care/economics ; Female ; Hospital Mortality ; Humans ; Length of Stay/economics ; Male ; Middle Aged ; Pandemics/economics ; Retrospective Studies ; SARS-CoV-2 ; Treatment Outcome ; United States/epidemiology ; Young Adult
Language	English
Publishing date	2021-03-01
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ISSN	2574-3805
ISSN (online)	2574-3805
DOI	10.1001/jamanetworkopen.2021.0417
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Article ; Online: Improved outcomes over time for adult COVID-19 patients with acute respiratory distress syndrome or acute respiratory failure.

Yeates, Eric O / Nahmias, Jeffry / Chinn, Justine / Sullivan, Brittany / Stopenski, Stephen / Amin, Alpesh N / Nguyen, Ninh T

PloS one

2021 Volume 16, Issue 6, Page(s) e0253767

Abstract: Background: COVID-19's pulmonary manifestations are broad, ranging from pneumonia with no supplemental oxygen requirements to acute respiratory distress syndrome (ARDS) with acute respiratory failure (ARF). In response, new oxygenation strategies and ... ...

Abstract	Background: COVID-19's pulmonary manifestations are broad, ranging from pneumonia with no supplemental oxygen requirements to acute respiratory distress syndrome (ARDS) with acute respiratory failure (ARF). In response, new oxygenation strategies and therapeutics have been developed, but their large-scale effects on outcomes in severe COVID-19 patients remain unknown. Therefore, we aimed to examine the trends in mortality, mechanical ventilation, and cost over the first six months of the pandemic for adult COVID-19 patients in the US who developed ARDS or ARF. Methods and findings: The Vizient Clinical Data Base, a national database comprised of administrative, clinical, and financial data from academic medical centers, was queried for patients ≥ 18-years-old with COVID-19 and either ARDS or ARF admitted between 3/2020-8/2020. Demographics, mechanical ventilation, length of stay, total cost, mortality, and discharge status were collected. Mann-Kendall tests were used to assess for significant monotonic trends in total cost, mechanical ventilation, and mortality over time. Chi-square tests were used to compare mortality rates between March-May and June-August. 110,223 adult patients with COVID-19 ARDS or ARF were identified. Mean length of stay was 12.1±13.3 days and mean total cost was $35,991±32,496. Mechanical ventilation rates were 34.1% and in-hospital mortality was 22.5%. Mean cost trended downward over time (p = 0.02) from $55,275 (March) to $18,211 (August). Mechanical ventilation rates trended down (p<0.01) from 53.8% (March) to 20.3% (August). Overall mortality rates also decreased (p<0.01) from 28.4% (March) to 13.7% (August). Mortality rates in mechanically ventilated patients were similar over time (p = 0.45), but mortality in patients not requiring mechanical ventilation decreased from March-May compared to June-July (13.5% vs 4.6%, p<0.01). Conclusions: This study describes the outcomes of a large cohort with COVID-19 ARDS or ARF and the subsequent decrease in cost, mechanical ventilation, and mortality over the first 6 months of the pandemic in the US.
MeSH term(s)	Adolescent ; Adult ; Aged ; COVID-19/economics ; COVID-19/mortality ; COVID-19/therapy ; Disease-Free Survival ; Female ; Hospital Mortality ; Humans ; Length of Stay ; Male ; Middle Aged ; Respiratory Distress Syndrome/economics ; Respiratory Distress Syndrome/mortality ; Respiratory Distress Syndrome/therapy ; SARS-CoV-2 ; Survival Rate
Language	English
Publishing date	2021-06-25
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ISSN	1932-6203
ISSN (online)	1932-6203
DOI	10.1371/journal.pone.0253767
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Article ; Online: Characteristics and Outcomes of Women With COVID-19 Giving Birth at US Academic Centers During the COVID-19 Pandemic.

Chinn, Justine / Sedighim, Shaina / Kirby, Katharine A / Hohmann, Samuel / Hameed, Afshan B / Jolley, Jennifer / Nguyen, Ninh T

JAMA network open

2021 Volume 4, Issue 8, Page(s) e2120456

Abstract: Importance: Prior studies on COVID-19 and pregnancy have reported higher rates of cesarean delivery and preterm birth and increased morbidity and mortality. Additional data encompassing a longer time period are needed.: Objective: To examine ... ...

Abstract	Importance: Prior studies on COVID-19 and pregnancy have reported higher rates of cesarean delivery and preterm birth and increased morbidity and mortality. Additional data encompassing a longer time period are needed. Objective: To examine characteristics and outcomes of a large US cohort of women who underwent childbirth with vs without COVID-19. Design, setting, and participants: This cohort study compared characteristics and outcomes of women (age ≥18 years) who underwent childbirth with vs without COVID-19 between March 1, 2020, and February 28, 2021, at 499 US academic medical centers or community affiliates. Follow-up was limited to in-hospital course and discharge destination. Childbirth was defined by clinical classification software procedural codes of 134-137. A diagnosis of COVID-19 was identified using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-10) diagnosis of U07.1. Data were analyzed from April 1 to April 30, 2021. Exposures: The presence of a COVID-19 diagnosis using ICD-10. Main outcomes and measures: Analyses compared demographic characteristics, gestational age, and comorbidities. The primary outcome was in-hospital mortality. Secondary outcomes included hospital length of stay, intensive care unit (ICU) admission, mechanical ventilation, and discharge status. Continuous variables were analyzed using t test, and categorical variables were analyzed using χ2. Results: Among 869 079 women, 18 715 (2.2%) had COVID-19, and 850 364 (97.8%) did not. Most women were aged 18 to 30 years (11 550 women with COVID-19 [61.7%]; 447 534 women without COVID-19 [52.6%]) and were White (8060 White women [43.1%] in the COVID-19 cohort; 499 501 White women (58.7%) in the non-COVID-19 cohort). There was no significant increase in cesarean delivery among women with COVID-19 (6088 women [32.5%] vs 273 810 women [32.3%]; P = .57). Women with COVID-19 were more likely to have preterm birth (3072 women [16.4%] vs 97 967 women [11.5%]; P < .001). Women giving birth with COVID-19, compared with women without COVID-19, had significantly higher rates of ICU admission (977 women [5.2%] vs 7943 women [0.9%]; odds ratio [OR], 5.84 [95% CI, 5.46-6.25]; P < .001), respiratory intubation and mechanical ventilation (275 women [1.5%] vs 884 women [0.1%]; OR, 14.33 [95% CI, 12.50-16.42]; P < .001), and in-hospital mortality (24 women [0.1%] vs 71 [<0.01%]; OR, 15.38 [95% CI, 9.68-24.43]; P < .001). Conclusions and relevance: This retrospective cohort study found that women with COVID-19 giving birth had higher rates of mortality, intubation, ICU admission, and preterm birth than women without COVID-19.
MeSH term(s)	Academic Medical Centers/statistics & numerical data ; Adolescent ; Adult ; COVID-19/mortality ; COVID-19/therapy ; Case-Control Studies ; Cesarean Section/statistics & numerical data ; Databases, Factual ; Female ; Hospital Mortality ; Humans ; Intensive Care Units/statistics & numerical data ; Intubation, Intratracheal/statistics & numerical data ; Length of Stay/statistics & numerical data ; Middle Aged ; Pandemics ; Pregnancy ; Pregnancy Complications, Infectious/mortality ; Pregnancy Complications, Infectious/therapy ; Premature Birth/epidemiology ; Retrospective Studies ; SARS-CoV-2 ; United States/epidemiology ; Young Adult
Language	English
Publishing date	2021-08-02
Publishing country	United States
Document type	Journal Article ; Multicenter Study
ISSN	2574-3805
ISSN (online)	2574-3805
DOI	10.1001/jamanetworkopen.2021.20456
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