Related factors of fetal loss in Chinese women with systemic lupus erythematosus: data from Chinese SLE Treatment and Research Group registry IV

Objective To study the factors associated with fetal loss in Chinese women with systemic lupus erythematosus (SLE) in a large cohort of SLE patients in the CSTAR (Chinese SLE Treatment and Research Group) registry. Methods We compared the clinical characteristics and auto‐antibody profiles between S...

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Veröffentlicht in:International journal of rheumatic diseases 2015-07, Vol.18 (6), p.654-660
Hauptverfasser: Tian, Xinping, Li, Mengtao, Ye, Zhizhong, Zhang, Xiao, Liu, Shengyun, Wu, Lijun, Ma, Li, Bi, Liqi, Zuo, Xiaoxia, Sun, Lingyun, Huang, Cibo, Zhao, Jiuliang, Zhang, Fengchun, Zhao, Yan, Zeng, Xiaofeng
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container_issue 6
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container_title International journal of rheumatic diseases
container_volume 18
creator Tian, Xinping
Li, Mengtao
Ye, Zhizhong
Zhang, Xiao
Liu, Shengyun
Wu, Lijun
Ma, Li
Bi, Liqi
Zuo, Xiaoxia
Sun, Lingyun
Huang, Cibo
Zhao, Jiuliang
Zhang, Fengchun
Zhao, Yan
Zeng, Xiaofeng
description Objective To study the factors associated with fetal loss in Chinese women with systemic lupus erythematosus (SLE) in a large cohort of SLE patients in the CSTAR (Chinese SLE Treatment and Research Group) registry. Methods We compared the clinical characteristics and auto‐antibody profiles between SLE patients with fetal loss and SLE patients with normal pregnancies. The relationship between selected variables and fetal loss was examined by univariate analysis and binary logistic regression analysis. Results A total of 992 patients with 2026 pregnancies were recruited. Fifty women experienced fetal loss, including 49 spontaneous abortion, eight stillbirths and three neonatal deaths. The overall fetal loss rate was 3.0% (60/2026). Arthritis and serositis were observed significantly more frequently (P 
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Methods We compared the clinical characteristics and auto‐antibody profiles between SLE patients with fetal loss and SLE patients with normal pregnancies. The relationship between selected variables and fetal loss was examined by univariate analysis and binary logistic regression analysis. Results A total of 992 patients with 2026 pregnancies were recruited. Fifty women experienced fetal loss, including 49 spontaneous abortion, eight stillbirths and three neonatal deaths. The overall fetal loss rate was 3.0% (60/2026). Arthritis and serositis were observed significantly more frequently (P &lt; 0.05) in normal pregnancy women. The rate of thrombocytopenia was significantly increased in patients with fetal loss (30.0% vs. 16.1%, P = 0.010), while there was no statistically significant difference in the frequency of nephropathy, central nervous system involvement between the normal pregnancy group and fetal loss group. Factors that associated with fetal loss included anti‐phospholipid antibodies (aPL) (OR 2.299; 95% CI 1.058–4.993; P = 0.035) and anti‐Sjögren syndrome antigen A (SSA) antibody (OR 2.283; 95% CI 1.275–4.088; P = 0.005), and thrombocytopenia (OR 2.241; 95% CI 1.192–4.213; P = 0.012). However, arthritis (OR 0.544, 95% CI 0.307–0.965, P = 0.037) was associated with favorable fetal outcome. Conclusions Both univariate analysis and binary logistic regression analysis suggest that thrombocytopenia, aPL antibodies and anti‐SSA antibody are associated with fetal loss in Chinese SLE women, while arthritis may be a possible factor related to favorable pregnancy outcome.</description><identifier>ISSN: 1756-1841</identifier><identifier>EISSN: 1756-185X</identifier><identifier>DOI: 10.1111/1756-185X.12542</identifier><identifier>PMID: 25546582</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Abortion, Spontaneous - blood ; Abortion, Spontaneous - diagnosis ; Abortion, Spontaneous - ethnology ; Abortion, Spontaneous - etiology ; Abortion, Spontaneous - immunology ; Adult ; Antibodies, Antinuclear - blood ; Antibodies, Antiphospholipid - blood ; Asian Continental Ancestry Group ; Biomarkers - blood ; Chi-Square Distribution ; China - epidemiology ; Chinese registry ; Female ; fetal loss ; Humans ; Infant, Newborn ; Logistic Models ; Lupus Erythematosus, Systemic - blood ; Lupus Erythematosus, Systemic - complications ; Lupus Erythematosus, Systemic - diagnosis ; Lupus Erythematosus, Systemic - ethnology ; Lupus Erythematosus, Systemic - immunology ; Middle Aged ; Odds Ratio ; Perinatal Death - etiology ; Pregnancy ; Registries ; risk factor ; Risk Factors ; Stillbirth - ethnology ; systemic upus erythematosus ; Thrombocytopenia - blood ; Thrombocytopenia - complications ; Thrombocytopenia - ethnology ; Young Adult</subject><ispartof>International journal of rheumatic diseases, 2015-07, Vol.18 (6), p.654-660</ispartof><rights>2014 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd</rights><rights>2014 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd.</rights><rights>International Journal of Rheumatic Diseases © 2015 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4792-bae579b2b192e30c2438c41113039bd11ddcb81d23a97eaaaf0dd32a3ffc11943</citedby><cites>FETCH-LOGICAL-c4792-bae579b2b192e30c2438c41113039bd11ddcb81d23a97eaaaf0dd32a3ffc11943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F1756-185X.12542$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F1756-185X.12542$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27922,27923,45572,45573</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25546582$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tian, Xinping</creatorcontrib><creatorcontrib>Li, Mengtao</creatorcontrib><creatorcontrib>Ye, Zhizhong</creatorcontrib><creatorcontrib>Zhang, Xiao</creatorcontrib><creatorcontrib>Liu, Shengyun</creatorcontrib><creatorcontrib>Wu, Lijun</creatorcontrib><creatorcontrib>Ma, Li</creatorcontrib><creatorcontrib>Bi, Liqi</creatorcontrib><creatorcontrib>Zuo, Xiaoxia</creatorcontrib><creatorcontrib>Sun, Lingyun</creatorcontrib><creatorcontrib>Huang, Cibo</creatorcontrib><creatorcontrib>Zhao, Jiuliang</creatorcontrib><creatorcontrib>Zhang, Fengchun</creatorcontrib><creatorcontrib>Zhao, Yan</creatorcontrib><creatorcontrib>Zeng, Xiaofeng</creatorcontrib><creatorcontrib>CSTAR co-authors</creatorcontrib><creatorcontrib>CSTAR co-authors</creatorcontrib><title>Related factors of fetal loss in Chinese women with systemic lupus erythematosus: data from Chinese SLE Treatment and Research Group registry IV</title><title>International journal of rheumatic diseases</title><addtitle>Int J Rheum Dis</addtitle><description>Objective To study the factors associated with fetal loss in Chinese women with systemic lupus erythematosus (SLE) in a large cohort of SLE patients in the CSTAR (Chinese SLE Treatment and Research Group) registry. Methods We compared the clinical characteristics and auto‐antibody profiles between SLE patients with fetal loss and SLE patients with normal pregnancies. The relationship between selected variables and fetal loss was examined by univariate analysis and binary logistic regression analysis. Results A total of 992 patients with 2026 pregnancies were recruited. Fifty women experienced fetal loss, including 49 spontaneous abortion, eight stillbirths and three neonatal deaths. The overall fetal loss rate was 3.0% (60/2026). Arthritis and serositis were observed significantly more frequently (P &lt; 0.05) in normal pregnancy women. The rate of thrombocytopenia was significantly increased in patients with fetal loss (30.0% vs. 16.1%, P = 0.010), while there was no statistically significant difference in the frequency of nephropathy, central nervous system involvement between the normal pregnancy group and fetal loss group. Factors that associated with fetal loss included anti‐phospholipid antibodies (aPL) (OR 2.299; 95% CI 1.058–4.993; P = 0.035) and anti‐Sjögren syndrome antigen A (SSA) antibody (OR 2.283; 95% CI 1.275–4.088; P = 0.005), and thrombocytopenia (OR 2.241; 95% CI 1.192–4.213; P = 0.012). However, arthritis (OR 0.544, 95% CI 0.307–0.965, P = 0.037) was associated with favorable fetal outcome. Conclusions Both univariate analysis and binary logistic regression analysis suggest that thrombocytopenia, aPL antibodies and anti‐SSA antibody are associated with fetal loss in Chinese SLE women, while arthritis may be a possible factor related to favorable pregnancy outcome.</description><subject>Abortion, Spontaneous - blood</subject><subject>Abortion, Spontaneous - diagnosis</subject><subject>Abortion, Spontaneous - ethnology</subject><subject>Abortion, Spontaneous - etiology</subject><subject>Abortion, Spontaneous - immunology</subject><subject>Adult</subject><subject>Antibodies, Antinuclear - blood</subject><subject>Antibodies, Antiphospholipid - blood</subject><subject>Asian Continental Ancestry Group</subject><subject>Biomarkers - blood</subject><subject>Chi-Square Distribution</subject><subject>China - epidemiology</subject><subject>Chinese registry</subject><subject>Female</subject><subject>fetal loss</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Logistic Models</subject><subject>Lupus Erythematosus, Systemic - blood</subject><subject>Lupus Erythematosus, Systemic - complications</subject><subject>Lupus Erythematosus, Systemic - diagnosis</subject><subject>Lupus Erythematosus, Systemic - ethnology</subject><subject>Lupus Erythematosus, Systemic - immunology</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>Perinatal Death - etiology</subject><subject>Pregnancy</subject><subject>Registries</subject><subject>risk factor</subject><subject>Risk Factors</subject><subject>Stillbirth - ethnology</subject><subject>systemic upus erythematosus</subject><subject>Thrombocytopenia - blood</subject><subject>Thrombocytopenia - complications</subject><subject>Thrombocytopenia - ethnology</subject><subject>Young Adult</subject><issn>1756-1841</issn><issn>1756-185X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtv1DAUhS0EomVgzQ5diQ2btLEd58GuGspMpRGgUh5iYzn2DZOSxIPtaMi_4CfjYdos2GDJsnX1naOrcwh5TtMzGs85LUSe0FJ8PaNMZOwBOZ0nD-d_Rk_IE-9v0zSnPC8ekxMmRJaLkp2S39fYqYAGGqWDdR5sAw0G1UFnvYd2gOW2HdAj7G2PA-zbsAU_-YB9q6Ebd6MHdFPYYq-C9aN_DUYFBY2z_Sz9uLmEG4cqRIcAajBwHcfK6S2snB134PB764Ob4OrzU_KoUZ3HZ3fvgnx6e3mzXCeb96ur5cUm0VlRsaRWKIqqZjWtGPJUs4yXOouR8JRXtaHUGF2X1DCuqgKVUk1qDGeKN42mtMr4grw6-u6c_TmiD7JvvcauUwPa0UtapIUQnMe7IC__QW_t6Ia43YHKGaclrSJ1fqS0i8k5bOTOtb1yk6SpPJQlD3XIQzXyb1lR8eLOd6x7NDN_304ExBHYtx1O__OTFx8298bJURdDxV-zTrkfMi94IeSXdyuZVm_W39g6lxn_A2zlruI</recordid><startdate>201507</startdate><enddate>201507</enddate><creator>Tian, Xinping</creator><creator>Li, Mengtao</creator><creator>Ye, Zhizhong</creator><creator>Zhang, Xiao</creator><creator>Liu, Shengyun</creator><creator>Wu, Lijun</creator><creator>Ma, Li</creator><creator>Bi, Liqi</creator><creator>Zuo, Xiaoxia</creator><creator>Sun, Lingyun</creator><creator>Huang, Cibo</creator><creator>Zhao, Jiuliang</creator><creator>Zhang, Fengchun</creator><creator>Zhao, Yan</creator><creator>Zeng, Xiaofeng</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>201507</creationdate><title>Related factors of fetal loss in Chinese women with systemic lupus erythematosus: data from Chinese SLE Treatment and Research Group registry IV</title><author>Tian, Xinping ; Li, Mengtao ; Ye, Zhizhong ; Zhang, Xiao ; Liu, Shengyun ; Wu, Lijun ; Ma, Li ; Bi, Liqi ; Zuo, Xiaoxia ; Sun, Lingyun ; Huang, Cibo ; Zhao, Jiuliang ; Zhang, Fengchun ; Zhao, Yan ; Zeng, Xiaofeng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4792-bae579b2b192e30c2438c41113039bd11ddcb81d23a97eaaaf0dd32a3ffc11943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Abortion, Spontaneous - blood</topic><topic>Abortion, Spontaneous - diagnosis</topic><topic>Abortion, Spontaneous - ethnology</topic><topic>Abortion, Spontaneous - etiology</topic><topic>Abortion, Spontaneous - immunology</topic><topic>Adult</topic><topic>Antibodies, Antinuclear - blood</topic><topic>Antibodies, Antiphospholipid - blood</topic><topic>Asian Continental Ancestry Group</topic><topic>Biomarkers - blood</topic><topic>Chi-Square Distribution</topic><topic>China - epidemiology</topic><topic>Chinese registry</topic><topic>Female</topic><topic>fetal loss</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Logistic Models</topic><topic>Lupus Erythematosus, Systemic - blood</topic><topic>Lupus Erythematosus, Systemic - complications</topic><topic>Lupus Erythematosus, Systemic - diagnosis</topic><topic>Lupus Erythematosus, Systemic - ethnology</topic><topic>Lupus Erythematosus, Systemic - immunology</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>Perinatal Death - etiology</topic><topic>Pregnancy</topic><topic>Registries</topic><topic>risk factor</topic><topic>Risk Factors</topic><topic>Stillbirth - ethnology</topic><topic>systemic upus erythematosus</topic><topic>Thrombocytopenia - blood</topic><topic>Thrombocytopenia - complications</topic><topic>Thrombocytopenia - ethnology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tian, Xinping</creatorcontrib><creatorcontrib>Li, Mengtao</creatorcontrib><creatorcontrib>Ye, Zhizhong</creatorcontrib><creatorcontrib>Zhang, Xiao</creatorcontrib><creatorcontrib>Liu, Shengyun</creatorcontrib><creatorcontrib>Wu, Lijun</creatorcontrib><creatorcontrib>Ma, Li</creatorcontrib><creatorcontrib>Bi, Liqi</creatorcontrib><creatorcontrib>Zuo, Xiaoxia</creatorcontrib><creatorcontrib>Sun, Lingyun</creatorcontrib><creatorcontrib>Huang, Cibo</creatorcontrib><creatorcontrib>Zhao, Jiuliang</creatorcontrib><creatorcontrib>Zhang, Fengchun</creatorcontrib><creatorcontrib>Zhao, Yan</creatorcontrib><creatorcontrib>Zeng, Xiaofeng</creatorcontrib><creatorcontrib>CSTAR co-authors</creatorcontrib><creatorcontrib>CSTAR co-authors</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of rheumatic diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tian, Xinping</au><au>Li, Mengtao</au><au>Ye, Zhizhong</au><au>Zhang, Xiao</au><au>Liu, Shengyun</au><au>Wu, Lijun</au><au>Ma, Li</au><au>Bi, Liqi</au><au>Zuo, Xiaoxia</au><au>Sun, Lingyun</au><au>Huang, Cibo</au><au>Zhao, Jiuliang</au><au>Zhang, Fengchun</au><au>Zhao, Yan</au><au>Zeng, Xiaofeng</au><aucorp>CSTAR co-authors</aucorp><aucorp>CSTAR co-authors</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Related factors of fetal loss in Chinese women with systemic lupus erythematosus: data from Chinese SLE Treatment and Research Group registry IV</atitle><jtitle>International journal of rheumatic diseases</jtitle><addtitle>Int J Rheum Dis</addtitle><date>2015-07</date><risdate>2015</risdate><volume>18</volume><issue>6</issue><spage>654</spage><epage>660</epage><pages>654-660</pages><issn>1756-1841</issn><eissn>1756-185X</eissn><abstract>Objective To study the factors associated with fetal loss in Chinese women with systemic lupus erythematosus (SLE) in a large cohort of SLE patients in the CSTAR (Chinese SLE Treatment and Research Group) registry. Methods We compared the clinical characteristics and auto‐antibody profiles between SLE patients with fetal loss and SLE patients with normal pregnancies. The relationship between selected variables and fetal loss was examined by univariate analysis and binary logistic regression analysis. Results A total of 992 patients with 2026 pregnancies were recruited. Fifty women experienced fetal loss, including 49 spontaneous abortion, eight stillbirths and three neonatal deaths. The overall fetal loss rate was 3.0% (60/2026). Arthritis and serositis were observed significantly more frequently (P &lt; 0.05) in normal pregnancy women. The rate of thrombocytopenia was significantly increased in patients with fetal loss (30.0% vs. 16.1%, P = 0.010), while there was no statistically significant difference in the frequency of nephropathy, central nervous system involvement between the normal pregnancy group and fetal loss group. Factors that associated with fetal loss included anti‐phospholipid antibodies (aPL) (OR 2.299; 95% CI 1.058–4.993; P = 0.035) and anti‐Sjögren syndrome antigen A (SSA) antibody (OR 2.283; 95% CI 1.275–4.088; P = 0.005), and thrombocytopenia (OR 2.241; 95% CI 1.192–4.213; P = 0.012). However, arthritis (OR 0.544, 95% CI 0.307–0.965, P = 0.037) was associated with favorable fetal outcome. Conclusions Both univariate analysis and binary logistic regression analysis suggest that thrombocytopenia, aPL antibodies and anti‐SSA antibody are associated with fetal loss in Chinese SLE women, while arthritis may be a possible factor related to favorable pregnancy outcome.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25546582</pmid><doi>10.1111/1756-185X.12542</doi><tpages>7</tpages></addata></record>
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subjects Abortion, Spontaneous - blood
Abortion, Spontaneous - diagnosis
Abortion, Spontaneous - ethnology
Abortion, Spontaneous - etiology
Abortion, Spontaneous - immunology
Adult
Antibodies, Antinuclear - blood
Antibodies, Antiphospholipid - blood
Asian Continental Ancestry Group
Biomarkers - blood
Chi-Square Distribution
China - epidemiology
Chinese registry
Female
fetal loss
Humans
Infant, Newborn
Logistic Models
Lupus Erythematosus, Systemic - blood
Lupus Erythematosus, Systemic - complications
Lupus Erythematosus, Systemic - diagnosis
Lupus Erythematosus, Systemic - ethnology
Lupus Erythematosus, Systemic - immunology
Middle Aged
Odds Ratio
Perinatal Death - etiology
Pregnancy
Registries
risk factor
Risk Factors
Stillbirth - ethnology
systemic upus erythematosus
Thrombocytopenia - blood
Thrombocytopenia - complications
Thrombocytopenia - ethnology
Young Adult
title Related factors of fetal loss in Chinese women with systemic lupus erythematosus: data from Chinese SLE Treatment and Research Group registry IV
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