Table 3.
Subgroup | Number of studies | SARS-CoV-2 infection | No SARS-CoV-2 infection | Pooled odds ratio (95% CI) | I2, % |
---|---|---|---|---|---|
Severity of SARS-CoV-2 infection | |||||
Asymptomatic | 690,95,105,107,111,115 | 63/1206 | 246/6135 | 1.59 (1.21–2.10) | 0 |
Symptomatic | 790,93,95,105,107,111,115 | 84/1497 | 250/6268 | 2.11 (1.59–2.81) | 0 |
Study design | |||||
Prospective cohort | 1490,93,95,96,99, 101,103,105, 106, 107,111,113,115 | 255/4471 | 430/9504 | 1.69 (1.42–2.01) | 0 |
Retrospective cohort | 1088,89,91,97,98,102,108, 109, 110,112 | 114/848 | 1070/23,512 | 1.98 (1.56–2.52) | 0 |
Cross- sectional | 2104,114 | 703/9907 | 35,669/738,619 | 1.43 (1.22–1.67) | 65 |
Study of the association | |||||
As primary aim | 498,108,112,115 | 107/1048 | 317/4108 | 1.81 (1.41–2.33) | 0 |
As secondary aim | 2288, 89, 90, 91,93,95, 96, 97,99, 107,109, 110, 111,113,114 | 965/14,178 | 36,852/767,527 | 1.61 (1.41–1.83) | 20 |
Control for confounding factors | |||||
Yes | 1488,89,93,96,101,102,104,105,108,110, 111, 112,114,115 | 923/13,083 | 36,135/755,346 | 1.43 (1.33–1.54) | 0 |
No | 1290,91,95,97, 100,103,106,107,109,113 | 149/2143 | 1034/16,289 | 1.98 (1.49–2.64) | 25 |
Geographic location | |||||
North America |
1290,91,98,99,101,103,104,108, 109, 110, 111, 112 | 719/7625 | 28,192/414,376 | 1.67 (1.38–2.02) | 26 |
Europe | 688,95,105,107,113,114 | 249/6381 | 8782/343,871 | 1.52 (1.31–1.75) | 0 |
Asia | 589,93,97,100,106 | 26/291 | 102/11,395 | 3.65 (1.92–6.96) | 0 |
Latin America |
296,102 | 19/204 | 29/534 | 1.77 (0.96–3.28) | 0 |
Multiple regions | 1115 | 59/25 | 64/1459 | 1.93 (1.34–2.78) | NA |
Sample size | |||||
<200 | 693,97,99, 101,106 | 34/299 | 29/516 | 2.90 (1.65–5.09) | 0 |
200–999 | 788,90,96,102,108, 109, 110 | 78/663 | 122/2237 | 1.94 (1.42–2.65) | 0 |
1000–5000 | 995,98,103,105,107,111, 112, 113,115 | 243/4215 | 598/10,559 | 1.62 (1.36–1.92) | 20 |
>5000 | 489,91,104,114 | 717/10,049 | 36,420/758,323 | 1.50 (1.25–1.80) | 53 |
Test used for diagnosing SARS-CoV-2 infection | |||||
RT-PCR | 1788, 89, 90, 91,96, 102,105,109,111, 112, 113,115 | 299/4744 | 1278/29,168 | 1.79 (1.53–2.10) | 0 |
RT-PCR or antigens | 2108,110 | 35/189 | 33/269 | 1.63 (0.95–2.78) | 0 |
Antibodies in serum | 395,103,107 | 18/265 | 178/3352 | 1.46 (0.87–2.44) | 0 |
Mixed or unclear | 493,104,106,114 | 720/10,028 | 35,680/738,846 | 1.50 (1.23–1.84) | 56 |
Timing of the diagnosis of SARS-CoV-2 infection | |||||
At any time during pregnancy | 1289,91,93,97,100,105,106,108, 109, 110,113,115 | 224/3822 | 945/24,340 | 1.80 (1.47–2.21) | 4 |
At admission for delivery | 1488,90,95,96,98,99,101, 102, 103, 104,107,111,112,114 | 848/11,404 | 36,224/747,295 | 1.49 (1.35–1.66) | 9 |
Data are presented as n/N.
CI, confidence interval; NA, not applicable; RT-PCR, Reverse transcription polymerase chain reaction.
Conde-Agudelo. Association between SARS-CoV-2 infection during pregnancy and preeclampsia. Am J Obstet Gynecol 2022.