Prediction of preterm pre‐eclampsia according to NICE and ACOG criteria: descriptive study of 597 492 Danish births from 2008 to 2017
ABSTRACT Objective The aim of this national study was to examine the incidence of preterm pre‐eclampsia (PE) and the proportion of women with risk factors for PE, according to the criteria suggested by the National Institute for Health and Care Excellence (NICE) and the American College of Obstetric...
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| Veröffentlicht in: | Ultrasound in obstetrics & gynecology 2021-10, Vol.58 (4), p.561-567 |
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| creator | Rode, L. Ekelund, C. K. Riishede, I. Rasmussen, S. Lidegaard, Ø. Tabor, A. |
| description | ABSTRACT
Objective
The aim of this national study was to examine the incidence of preterm pre‐eclampsia (PE) and the proportion of women with risk factors for PE, according to the criteria suggested by the National Institute for Health and Care Excellence (NICE) and the American College of Obstetricians and Gynecologists (ACOG), during a 10‐year period in Denmark.
Methods
Data from The Danish National Patient Registry and the Danish Medical Birth Registry were used to obtain the incidence of preterm PE with delivery |
| doi_str_mv | 10.1002/uog.23693 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_webof</sourceid><recordid>TN_cdi_webofscience_primary_000702451300008</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2531218053</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3603-154a43d6c1eea7bf76eef5b1367d017f5582f819aa09c3d9fd226189297a518a3</originalsourceid><addsrcrecordid>eNqNkc1u1DAURi0EokNhwQsgL0EorX9iO2ZXhTJUqhgWdB05znVrlMSDnRTNrtvueMY-CQ4zdIfE6trS-Y6uvovQa0pOKCHsdA7XJ4xLzZ-gFS2lLogi4ilaES1JoaRmR-hFSt8JIbLk8jk64iVhVJdqhe6_Rui8nXwYcXB4G2GCOCzz4e4X2N4M2-QNNtaG2PnxGk8Bf7moz7EZO3xWb9bYRp8j3nzAHaT82U7-FnCa5m63GIVWD3f3pWb4oxl9usGtj9NNwi6GATNCqsXICFUv0TNn-gSvDvMYXX06_1Z_Li4364v67LKwXBJeUFGaknfSUgCjWqckgBMt5VJ12eKEqJirqDaGaMs77TrGJK0008oIWhl-jN7uvdsYfsyQpmbwyULfmxHCnBomOGW0IoJn9N0etTGkFME12-gHE3cNJc3SfJObb_40n9k3B-3cDtA9kn-rzsD7PfAT2uCS9TBaeMTybRRhpaA8v0iV6er_6dpPZrlgHeZxytHTQ9T3sPv3ys3VZr3f_Tc6oq1T</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2531218053</pqid></control><display><type>article</type><title>Prediction of preterm pre‐eclampsia according to NICE and ACOG criteria: descriptive study of 597 492 Danish births from 2008 to 2017</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" /></source><source>EZB-FREE-00999 freely available EZB journals</source><source>Wiley Online Library (Open Access Collection)</source><creator>Rode, L. ; Ekelund, C. K. ; Riishede, I. ; Rasmussen, S. ; Lidegaard, Ø. ; Tabor, A.</creator><creatorcontrib>Rode, L. ; Ekelund, C. K. ; Riishede, I. ; Rasmussen, S. ; Lidegaard, Ø. ; Tabor, A.</creatorcontrib><description>ABSTRACT
Objective
The aim of this national study was to examine the incidence of preterm pre‐eclampsia (PE) and the proportion of women with risk factors for PE, according to the criteria suggested by the National Institute for Health and Care Excellence (NICE) and the American College of Obstetricians and Gynecologists (ACOG), during a 10‐year period in Denmark.
Methods
Data from The Danish National Patient Registry and the Danish Medical Birth Registry were used to obtain the incidence of preterm PE with delivery < 37 weeks' gestation and risk factors for PE for all deliveries in Denmark from 1 January 2008 to 31 December 2017. The proportion of women with at least one high‐risk factor and/or at least two moderate‐risk factors for PE, according to the NICE and ACOG criteria, and the detection rate for preterm PE were examined. Race, socioeconomic status and the woman's weight at birth were not available from the registries used, and information on Type‐2 diabetes was found to be invalid.
Results
Of the 597 492 deliveries during the study period, any PE was registered in 3.2%, preterm PE < 37 weeks in 0.7% and early‐onset PE < 34 weeks' gestation in 0.3%. These proportions remained largely unchanged from 2008 to 2017. Overall, the NICE criteria were fulfilled in 7.5% of deliveries and the ACOG criteria in 17.3%. In the total population, the NICE criteria identified 47.6% of those with preterm PE and the ACOG criteria identified 60.5%. The current criteria for offering aspirin treatment in Denmark largely correspond to having at least one NICE high‐risk factor. In 2017, a total of 3.5% of deliveries had at least one NICE high‐risk factor, which identified 28.4% of cases that later developed preterm PE.
Conclusions
The incidence of preterm PE remained largely unchanged in Denmark from 2008 to 2017. Prediction of PE according to high‐risk maternal factors could be improved by addition of moderate‐risk factors. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.</description><identifier>ISSN: 0960-7692</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1002/uog.23693</identifier><identifier>PMID: 34021947</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject><![CDATA[Acoustics ; Adult ; American College of Obstetricians and Gynecologists ; Aspirin - therapeutic use ; Denmark - epidemiology ; Female ; Gestational Age ; Humans ; Incidence ; Infant, Newborn ; Life Sciences & Biomedicine ; National Institute for Health and Care Excellence ; Obstetrics & Gynecology ; Obstetrics - standards ; Pre-Eclampsia - diagnosis ; Pre-Eclampsia - epidemiology ; Pre-Eclampsia - prevention & control ; Predictive Value of Tests ; Pregnancy ; Premature Birth - diagnosis ; Premature Birth - epidemiology ; Premature Birth - prevention & control ; Prenatal Diagnosis - standards ; Prenatal Diagnosis - statistics & numerical data ; pre‐eclampsia ; Radiology, Nuclear Medicine & Medical Imaging ; Registries ; Risk Assessment - standards ; Risk Assessment - statistics & numerical data ; Risk Factors ; Science & Technology ; screening ; Technology]]></subject><ispartof>Ultrasound in obstetrics & gynecology, 2021-10, Vol.58 (4), p.561-567</ispartof><rights>2021 International Society of Ultrasound in Obstetrics and Gynecology.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>8</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000702451300008</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3603-154a43d6c1eea7bf76eef5b1367d017f5582f819aa09c3d9fd226189297a518a3</citedby><cites>FETCH-LOGICAL-c3603-154a43d6c1eea7bf76eef5b1367d017f5582f819aa09c3d9fd226189297a518a3</cites><orcidid>0000-0002-9080-3389</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fuog.23693$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fuog.23693$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,1434,27929,27930,39263,45579,45580,46414,46838</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34021947$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rode, L.</creatorcontrib><creatorcontrib>Ekelund, C. K.</creatorcontrib><creatorcontrib>Riishede, I.</creatorcontrib><creatorcontrib>Rasmussen, S.</creatorcontrib><creatorcontrib>Lidegaard, Ø.</creatorcontrib><creatorcontrib>Tabor, A.</creatorcontrib><title>Prediction of preterm pre‐eclampsia according to NICE and ACOG criteria: descriptive study of 597 492 Danish births from 2008 to 2017</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>ULTRASOUND OBST GYN</addtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><description>ABSTRACT
Objective
The aim of this national study was to examine the incidence of preterm pre‐eclampsia (PE) and the proportion of women with risk factors for PE, according to the criteria suggested by the National Institute for Health and Care Excellence (NICE) and the American College of Obstetricians and Gynecologists (ACOG), during a 10‐year period in Denmark.
Methods
Data from The Danish National Patient Registry and the Danish Medical Birth Registry were used to obtain the incidence of preterm PE with delivery < 37 weeks' gestation and risk factors for PE for all deliveries in Denmark from 1 January 2008 to 31 December 2017. The proportion of women with at least one high‐risk factor and/or at least two moderate‐risk factors for PE, according to the NICE and ACOG criteria, and the detection rate for preterm PE were examined. Race, socioeconomic status and the woman's weight at birth were not available from the registries used, and information on Type‐2 diabetes was found to be invalid.
Results
Of the 597 492 deliveries during the study period, any PE was registered in 3.2%, preterm PE < 37 weeks in 0.7% and early‐onset PE < 34 weeks' gestation in 0.3%. These proportions remained largely unchanged from 2008 to 2017. Overall, the NICE criteria were fulfilled in 7.5% of deliveries and the ACOG criteria in 17.3%. In the total population, the NICE criteria identified 47.6% of those with preterm PE and the ACOG criteria identified 60.5%. The current criteria for offering aspirin treatment in Denmark largely correspond to having at least one NICE high‐risk factor. In 2017, a total of 3.5% of deliveries had at least one NICE high‐risk factor, which identified 28.4% of cases that later developed preterm PE.
Conclusions
The incidence of preterm PE remained largely unchanged in Denmark from 2008 to 2017. Prediction of PE according to high‐risk maternal factors could be improved by addition of moderate‐risk factors. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.</description><subject>Acoustics</subject><subject>Adult</subject><subject>American College of Obstetricians and Gynecologists</subject><subject>Aspirin - therapeutic use</subject><subject>Denmark - epidemiology</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Life Sciences & Biomedicine</subject><subject>National Institute for Health and Care Excellence</subject><subject>Obstetrics & Gynecology</subject><subject>Obstetrics - standards</subject><subject>Pre-Eclampsia - diagnosis</subject><subject>Pre-Eclampsia - epidemiology</subject><subject>Pre-Eclampsia - prevention & control</subject><subject>Predictive Value of Tests</subject><subject>Pregnancy</subject><subject>Premature Birth - diagnosis</subject><subject>Premature Birth - epidemiology</subject><subject>Premature Birth - prevention & control</subject><subject>Prenatal Diagnosis - standards</subject><subject>Prenatal Diagnosis - statistics & numerical data</subject><subject>pre‐eclampsia</subject><subject>Radiology, Nuclear Medicine & Medical Imaging</subject><subject>Registries</subject><subject>Risk Assessment - standards</subject><subject>Risk Assessment - statistics & numerical data</subject><subject>Risk Factors</subject><subject>Science & Technology</subject><subject>screening</subject><subject>Technology</subject><issn>0960-7692</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkc1u1DAURi0EokNhwQsgL0EorX9iO2ZXhTJUqhgWdB05znVrlMSDnRTNrtvueMY-CQ4zdIfE6trS-Y6uvovQa0pOKCHsdA7XJ4xLzZ-gFS2lLogi4ilaES1JoaRmR-hFSt8JIbLk8jk64iVhVJdqhe6_Rui8nXwYcXB4G2GCOCzz4e4X2N4M2-QNNtaG2PnxGk8Bf7moz7EZO3xWb9bYRp8j3nzAHaT82U7-FnCa5m63GIVWD3f3pWb4oxl9usGtj9NNwi6GATNCqsXICFUv0TNn-gSvDvMYXX06_1Z_Li4364v67LKwXBJeUFGaknfSUgCjWqckgBMt5VJ12eKEqJirqDaGaMs77TrGJK0008oIWhl-jN7uvdsYfsyQpmbwyULfmxHCnBomOGW0IoJn9N0etTGkFME12-gHE3cNJc3SfJObb_40n9k3B-3cDtA9kn-rzsD7PfAT2uCS9TBaeMTybRRhpaA8v0iV6er_6dpPZrlgHeZxytHTQ9T3sPv3ys3VZr3f_Tc6oq1T</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Rode, L.</creator><creator>Ekelund, C. K.</creator><creator>Riishede, I.</creator><creator>Rasmussen, S.</creator><creator>Lidegaard, Ø.</creator><creator>Tabor, A.</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</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>7X8</scope><orcidid>https://orcid.org/0000-0002-9080-3389</orcidid></search><sort><creationdate>202110</creationdate><title>Prediction of preterm pre‐eclampsia according to NICE and ACOG criteria: descriptive study of 597 492 Danish births from 2008 to 2017</title><author>Rode, L. ; Ekelund, C. K. ; Riishede, I. ; Rasmussen, S. ; Lidegaard, Ø. ; Tabor, A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3603-154a43d6c1eea7bf76eef5b1367d017f5582f819aa09c3d9fd226189297a518a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acoustics</topic><topic>Adult</topic><topic>American College of Obstetricians and Gynecologists</topic><topic>Aspirin - therapeutic use</topic><topic>Denmark - epidemiology</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Life Sciences & Biomedicine</topic><topic>National Institute for Health and Care Excellence</topic><topic>Obstetrics & Gynecology</topic><topic>Obstetrics - standards</topic><topic>Pre-Eclampsia - diagnosis</topic><topic>Pre-Eclampsia - epidemiology</topic><topic>Pre-Eclampsia - prevention & control</topic><topic>Predictive Value of Tests</topic><topic>Pregnancy</topic><topic>Premature Birth - diagnosis</topic><topic>Premature Birth - epidemiology</topic><topic>Premature Birth - prevention & control</topic><topic>Prenatal Diagnosis - standards</topic><topic>Prenatal Diagnosis - statistics & numerical data</topic><topic>pre‐eclampsia</topic><topic>Radiology, Nuclear Medicine & Medical Imaging</topic><topic>Registries</topic><topic>Risk Assessment - standards</topic><topic>Risk Assessment - statistics & numerical data</topic><topic>Risk Factors</topic><topic>Science & Technology</topic><topic>screening</topic><topic>Technology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rode, L.</creatorcontrib><creatorcontrib>Ekelund, C. K.</creatorcontrib><creatorcontrib>Riishede, I.</creatorcontrib><creatorcontrib>Rasmussen, S.</creatorcontrib><creatorcontrib>Lidegaard, Ø.</creatorcontrib><creatorcontrib>Tabor, A.</creatorcontrib><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Web of Science - Science Citation Index Expanded - 2021</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics & gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rode, L.</au><au>Ekelund, C. K.</au><au>Riishede, I.</au><au>Rasmussen, S.</au><au>Lidegaard, Ø.</au><au>Tabor, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prediction of preterm pre‐eclampsia according to NICE and ACOG criteria: descriptive study of 597 492 Danish births from 2008 to 2017</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><stitle>ULTRASOUND OBST GYN</stitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2021-10</date><risdate>2021</risdate><volume>58</volume><issue>4</issue><spage>561</spage><epage>567</epage><pages>561-567</pages><issn>0960-7692</issn><eissn>1469-0705</eissn><abstract>ABSTRACT
Objective
The aim of this national study was to examine the incidence of preterm pre‐eclampsia (PE) and the proportion of women with risk factors for PE, according to the criteria suggested by the National Institute for Health and Care Excellence (NICE) and the American College of Obstetricians and Gynecologists (ACOG), during a 10‐year period in Denmark.
Methods
Data from The Danish National Patient Registry and the Danish Medical Birth Registry were used to obtain the incidence of preterm PE with delivery < 37 weeks' gestation and risk factors for PE for all deliveries in Denmark from 1 January 2008 to 31 December 2017. The proportion of women with at least one high‐risk factor and/or at least two moderate‐risk factors for PE, according to the NICE and ACOG criteria, and the detection rate for preterm PE were examined. Race, socioeconomic status and the woman's weight at birth were not available from the registries used, and information on Type‐2 diabetes was found to be invalid.
Results
Of the 597 492 deliveries during the study period, any PE was registered in 3.2%, preterm PE < 37 weeks in 0.7% and early‐onset PE < 34 weeks' gestation in 0.3%. These proportions remained largely unchanged from 2008 to 2017. Overall, the NICE criteria were fulfilled in 7.5% of deliveries and the ACOG criteria in 17.3%. In the total population, the NICE criteria identified 47.6% of those with preterm PE and the ACOG criteria identified 60.5%. The current criteria for offering aspirin treatment in Denmark largely correspond to having at least one NICE high‐risk factor. In 2017, a total of 3.5% of deliveries had at least one NICE high‐risk factor, which identified 28.4% of cases that later developed preterm PE.
Conclusions
The incidence of preterm PE remained largely unchanged in Denmark from 2008 to 2017. Prediction of PE according to high‐risk maternal factors could be improved by addition of moderate‐risk factors. © 2021 International Society of Ultrasound in Obstetrics and Gynecology.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>34021947</pmid><doi>10.1002/uog.23693</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9080-3389</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Access via Wiley Online Library; Web of Science - Science Citation Index Expanded - 2021<img src="https://exlibris-pub.s3.amazonaws.com/fromwos-v2.jpg" />; EZB-FREE-00999 freely available EZB journals; Wiley Online Library (Open Access Collection) |
| subjects | Acoustics Adult American College of Obstetricians and Gynecologists Aspirin - therapeutic use Denmark - epidemiology Female Gestational Age Humans Incidence Infant, Newborn Life Sciences & Biomedicine National Institute for Health and Care Excellence Obstetrics & Gynecology Obstetrics - standards Pre-Eclampsia - diagnosis Pre-Eclampsia - epidemiology Pre-Eclampsia - prevention & control Predictive Value of Tests Pregnancy Premature Birth - diagnosis Premature Birth - epidemiology Premature Birth - prevention & control Prenatal Diagnosis - standards Prenatal Diagnosis - statistics & numerical data pre‐eclampsia Radiology, Nuclear Medicine & Medical Imaging Registries Risk Assessment - standards Risk Assessment - statistics & numerical data Risk Factors Science & Technology screening Technology |
| title | Prediction of preterm pre‐eclampsia according to NICE and ACOG criteria: descriptive study of 597 492 Danish births from 2008 to 2017 |
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