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Table 5 Glucocorticoid dosage (prednisolone equivalent) ≥ 7.5 mg/day at conception and risk of APO

From: Effect of remission, clinical remission with active serology, and glucocorticoid dosage on the pregnancy outcome of pregnant patients with systemic lupus erythematosus

Factor

Glucocorticoid dosage at conception

Logistic regression model Univariate analysis

Logistic regression model multivariate analysis

PSL < 7.5 mg/day

PSL ≥ 7.5 mg/day

p-value

ORa

95%CI

P value

aORb

95%CI

P value

n

64

32

       

overall APO (%)

27 (42.2)

22 (68.8)

0.018

3.01

1.23–7.39

0.016

3.11

1.20–8.04

0.019

Maternal APO (%)

14 (21.9)

12 (37.5)

0.14

2.14

0.85–5.43

0.11

2.78

0.98–7.88

0.055

Neonatal APO (%)

25 (39.1)

21 (65.6)

0.018

2.98

1.23–7.22

0.016

2.91

1.14–7.38

0.025

PROMISSE APO (%)

13 (20.3)

9 (28.1)

0.44

1.54

0.58–4.10

0.39

1.59

0.56–4.50

0.38

Flare during pregnancy (%)

2 (3.1)

8 (25.0)

 

10.3

2.05–42.2

    

Flare after delivery (%)

1 (1.7)

2 (8.0)

 

5.04

0.44–58.3

    

Gestational DM (%)

5 (7.8)

5 (15.6)

 

2.19

0.58–8.19

    

Preeclampsia (%)

4 (6.2)

2 (6.2)

 

1.0

0.17–5.77

    

Hypertensive disorders in pregnancy (%)

8 (12.5)

5 (15.6)

 

1.3

0.39–4.34

    

HELLP syndrome (%)

1 (1.6)

1 (3.1)

 

2.03

0.12–33.6

    

Oligohydramnios (%)

2 (3.2)

6 (18.8)

 

7.04

1.33–37.2

    

Live birth (%)

59 (92.2)

24 (75.0)

 

0.25

0.08–0.86

    

Total duration of gestation (days)

268.0 [262.0, 276.0]

261.00 [234.8, 269.5]

 

NA

NA

    

Preterm birth (%)

9 (15.3)

5 (17.9)

 

1.21

0.36–1.0

    

Spontaneous abortion (%)

2 (3.2)

1 (3.2)

 

1.02

0.09–11.7

    

Missed abortion (%)

1 (1.6)

3 (9.4)

 

6.31

0.63–63.3

    

Iatrogenic abortion (%)

2 (3.1)

5 (15.6)

 

5.74

1.05–31.5

    

Still birth (%)

0 (0.0)

0 (0.0)

 

NA

NA

    

Height at birth (cm)

47.9 [46.2, 49.4]

46.2 [44.1, 48.1]

 

NA

NA

    

Weight at birth (g)

2732.0 [2461.0, 3014.5]

2421.0 [2168.0, 2825.8]

 

NA

NA

    

Low birth weight (%)

17 (28.8)

13 (54.2)

 

2.92

1.09–7.79

    

SGA (%)

8 (13.6)

6 (25.0)

 

2.13

0.65–6.96

    

Apgar score (1 m)

8.00 [8.00, 8.00]

8.00 [8.00, 8.25]

 

NA

NA

    

Apgar Score (5 m)

9.00 [9.00, 9.00]

9.00 [9.00, 9.00]

 

NA

NA

    

Apgar.score.1 m > 7 (%)

57 (96.6)

23 (95.8)

 

0.81

0.07–9.34

    

Apgar.score.5 m > 7 (%)

59 (100.0)

24 (100.0)

 

NA

NA

    

Major malformation (%)

2 (3.4)

0 (0.0)

 

NA

NA

    

Death of neonate

0 (0.0)

0 (0.0)

 

NA

NA

    
  1. a Odds ratio of glucocorticoid dosage (prednisolone equivalent) ≥ 7.5 mg/day for each APO
  2. b adjusted odds ratio of glucocorticoid dosage (prednisolone equivalent) ≥ 7.5 mg/day for each APO
  3. ※multivariate analysis adjusted for renal manifestation, hydroxychloroquine prescription, and aspirin prescription at conception
  4. APO; adverse pregnancy outcome, DM; diabetes mellitus, NA; not applicable, OR; odds ratio, PROMISSE; Predictors of Pregnancy Outcome: Biomarkers in Antiphospholipid Antibody Syndrome and Systemic Lupus Erythematosus, SGA; small for gestational age