{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T05:44:05Z","timestamp":1749102245327,"version":"3.37.3"},"reference-count":14,"publisher":"The Korean Society of Anesthesiologists","issue":"4","license":[{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["anesth-pain-med.org"],"crossmark-restriction":true},"short-container-title":["Anesth Pain Med"],"published-print":{"date-parts":[[2024,10,31]]},"abstract":"<jats:p>Background: The incidence of hypotension in parturients with coronavirus disease (COVID-19) undergoing regional anesthesia remains controversial. This study aimed to investigate the incidence of hypotension during spinal anesthesia in parturients infected with COVID-19, as well as to identify associated risk factors.Methods: This retrospective study compared COVID-19-positive parturients who underwent cesarean section under spinal anesthesia (COVID-19 group) with a control group between January 2017 and June 2022. We reviewed the medical records and collected the following information: basic patient characteristics, spinal anesthesia, and newborn-related data. Results: Compared with the control group, the COVID-19 group did not show any significant differences in terms of hypotension occurrence and vasopressor usage. A positive correlation was noted in the COVID-19 group between heart rate and duration of hospital stay (P &lt; 0.001, Spearman\u2019s rho = 0.422). In subgroup analysis of the COVID-19 group, group with a baseline heart rate \u2265 100 (group H) had lower Apgar scores at 1 minute, longer hospital stays, and more severe COVID-19 symptoms than the with a baseline heart rate &lt; 100 (group L). Moreover, in group H, there was a positive correlation between the heart rate and the lowest systolic blood pressure after spinal anesthesia (P = 0.012, Spearman\u2019s rho = 0.528).Conclusions: Parturients with COVID-19 do not appear to have a higher risk of hypotension during cesarean section under spinal anesthesia than those without COVID-19. Given the close association between preoperative heart rate and extent of hypotension in parturients with COVID-19 undergoing spinal anesthesia, vigilant monitoring of vital signs by anesthesiologists is crucial during the perioperative period.<\/jats:p>","DOI":"10.17085\/apm.24010","type":"journal-article","created":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T04:37:38Z","timestamp":1730695058000},"page":"326-332","update-policy":"https:\/\/doi.org\/10.17085\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Risk factors of hypotension during cesarean section with spinal anesthesia in parturients with COVID-19: a retrospective study in comparison with pregnant women without COVID-19"],"prefix":"10.17085","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3290-0199","authenticated-orcid":true,"given":"Si Ra","family":"Bang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0014-8297","authenticated-orcid":true,"given":"Gunn Hee","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0709-0179","authenticated-orcid":true,"given":"Sung Jun","family":"Cho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5838-4893","authenticated-orcid":true,"given":"Mi Jung","family":"Yoon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2573","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2021.640835"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1177\/19418744211065242"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s12026-021-09185-5"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2020.07.002"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.713733"},{"key":"ref6","first-page":"2659","volume-title":"Our anesthesia experiences in COVID-19 positive patients delivering by cesarean section: a retrospective single-center cohort study","author":"Karasu","year":"2021"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-022-01719-0"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2022.103624"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.08.054"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.202604"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10010023"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.4103\/aer.aer_29_21"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare10030520"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.23736\/s0375-9393.20.14647-9"}],"container-title":["Anesthesia and Pain Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-24010.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.24010","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/anesth-pain-med.org\/upload\/pdf\/apm-24010.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T06:40:32Z","timestamp":1730702432000},"score":1,"resource":{"primary":{"URL":"http:\/\/anesth-pain-med.org\/journal\/view.php?doi=10.17085\/apm.24010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,31]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,10]]}},"URL":"https:\/\/doi.org\/10.17085\/apm.24010","relation":{},"ISSN":["1975-5171","2383-7977"],"issn-type":[{"type":"print","value":"1975-5171"},{"type":"electronic","value":"2383-7977"}],"subject":[],"published":{"date-parts":[[2024,10,31]]},"assertion":[{"value":"2024-01-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-30","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-10-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}