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 |
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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 |
doi_str_mv | 10.1111/1756-185X.12542 |
format | Article |
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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 < 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 < 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 & 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 < 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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source | MEDLINE; Wiley Online Library All Journals |
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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