| Literature DB >> 35586305 |
S J Kroese1, M J H de Hair1, M Limper1, A T Lely2, J M van Laar1, R H W M Derksen1, R D E Fritsch-Stork1,3,4.
Abstract
[This corrects the article DOI: 10.1155/2017/2810202.].Entities:
Year: 2022 PMID: 35586305 PMCID: PMC9110207 DOI: 10.1155/2022/9783521
Source DB: PubMed Journal: J Immunol Res ISSN: 2314-7156 Impact factor: 4.818
Maternal and fetal pregnancy outcome according to HCQ treatment.
| Total ( | Non-HCQ ( | HCQ ( | OR (95% CI) $$; | |
|---|---|---|---|---|
|
| ||||
| Preeclampsia∗ | 11 (10.9) | 9 (11.3) | 2 (6.7) | 1.0 (1.0-1.0); 0.997 |
| Eclampsia∗ | 0 (0) | 0 (0) | 0 (0) | — |
| (i) HELLP∗ | 4 (3.6) | 3 (3.8) | 1 (3.3) | 0.93 |
| Prednisone use† | 63 (57.3) | 45 (56.3) | 18 (60.0) | 0.9 (0.7-1.2); 0.35 |
| Prednisone < 7.5 mg within prednisone users | 36 (32.7) | 14 (17.5) | 22 (73.3) | 0.2 (0.0-1.4); 0.10 |
|
| ||||
| Early spontaneous abortion (<10 weeks of gestation) | 19 (17.3) | 10 (12.5) | 9 (30.0)▲ | 1.5 (0.3-9.0); 0.66 |
| Fetal death‡ (>10 weeks of gestation) | 3 (2.7) | 2 (2.5) | 1 (3.3) | - |
| Preterm live birth | 18 (16.4) | 16 (20.0) | 2 (6.7) | 0.5 (0.1-2.4); 0.37 |
| Of which <34 weeks | 5 (4.5) | 5 (6.3) | 0 (0) | - |
| Term live birth | 70 (63.6) | 52 (65.0) | 18 (60.0) | 0.9 (0.3-2.7); 0.90 |
| Small for gestational age | 15 (13.6) | 10 (12.5) | 5 (16.7) | 2.2 (0.6-7.5); 0.22 |
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| ||||
| Duration of pregnancy∗ (median, IQR) | 38.9 (37.1-40.0) | 38.9 (36.4-40.1) | 38.7 (37.7-39.4) | -1 (-3.8-1.8); 0.48 |
| Duration of pregnancy in preterm live births# (median, IQR) | 35.1 (31.5-36.3) | 34.9 (30.9-35.4) | 36.8 (36.7-..) | 2.4 (1.0-3.8); 0.001 |
Data depicted as numbers (%) unless otherwise indicated. HCQ: hydroxychloroquine; IQR: interquartile range; HELLP: (incomplete) hemolysis, elevated liver enzymes, and low platelet syndrome. $$Dependent variable: pregnancy outcome/prednisone use/duration of pregnancy. Predictor variable: HCQ use (ref = non-HCQ). Adjusted for antiphospholipid status, except for early spontaneous abortion. ∗Pregnancies ending <10 weeks of gestation were excluded [N = 89/68/21]. †Prednisone dose was increased in 4.6% of pregnancies. ▲Of which 5 occurred within one woman. ‡Two were due to elective termination one because of trisomy 21 with Fallot's tetralogy and one because of infaust prognosis with severe preeclampsia, both occurred within the non-HCQ group. #[N = 18/16/2], duration of pregnancy in weeks.