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Table 3 Risk factors for flare during the course of pregnancy

From: Risk factors for flare and treatment of disease flares during pregnancy in rheumatoid arthritis and axial spondyloarthritis patients

 

Patients with RA (n = 75)

Patients with axSpA (n = 61)

Flare

No flare

RR

95% CI

P value

Flare

No flare

RR

95% CI

P value

Treatment

 TNFi before pregnancya and discontinued at positive pregnancy test

10 of 22 (45.5)

5 of 53 (9.4)

3.333

(1.8–6.1)

0.001*

10 of 15 (66.7)

14 of 46 (30.4)

3.083

(1.2–7.9)

0.017*

 TNFi during first trimester

3 of 22 (13.6)

5 of 53 (9.4)

1.322

(0.5–3.5)

0.686

6 of 15 (40)

12 of 46 (26.1)

1.593

(0.7–3.8)

0.340

 GCs before pregnancy

8 of 22 (36.4)

17 of 53 (32.1)

1.143

(0.6–2.4)

0.790

1 of 15 (6.7)

4 of 46 (8.7)

0.800

(0.1–4.9)

0.642

 GCs during first trimester

8 of 22 (36.4)

17 of 53 (32.1)

1.143

(0.6–2.4)

0.790

1 of 15 (6.7)

6 of 46 (13)

0.551

(0.1–3.6)

0.178

 DMARDs before pregnancy

10 of 22 (45.5)

22 of 53 (41.5)

1.120

(0.6–2.3)

0.801

3 of 15 (20)

5 of 46 (10.9)

1.656

(0.6–4.6)

0.589

 DMARDs during first trimester

8 of 22 (36.4)

22 of 53 (42.5)

0.860

(0.4–1.8)

0.798

2 of 15 (13.3)

3 of 46 (6.5)

1.723

(0.5–5.6)

0.589

 NSAIDs before pregnancy

2 of 22 (9.1)

6 of 53 (11.3)

0.838

(0.2–2.9)

0.568

3 of 15 (20)

15 of 46 (32.6)

0.597

(0.2–1.9)

0.518

 NSAIDs during first trimester

3 of 22 (13.6)

6 of 53 (11.3)

1.158

(0.4–3.1)

0.716

3 of 15 (20)

15 of 46 (32.6)

0.597

(0.2–1.9)

0.518

Disease activity

 Active disease before pregnancya

5 of 22 (22.7)

9 of 53 (17.0)

1.282

(0.6–2.9)

0.536

2 of 15 (13.3)

4 of 46 (8.7)

1.410

(0.4–4.8)

0.630

 Active disease during first trimester

8 of 22 (36.4)

10 of 53 (18.9)

0.456

(0.2–0.9)

0.038*

5 of 15 (33.3)

11 of 46 (23.9)

0.717

(0.3–1.7)

0.510

 Elevated CRP before pregnancya

3 of 22 (13.6)

8 of 53 (15.1)

0.584

(0.3–1.3)

0.282

1 of 15 (6.7)

2 of 46 (4.3)

0.724

(0.1–3.8)

0.718

 Elevated CRP during first trimester

9 of 22 (40.9)

12 of 53 (22.6)

0.553

(0.2–0.7)

0.008*

7 of 15 (46.7)

6 of 46 (13)

0.280

(0.1–0.7)

0.006*

  1. Abbreviations: axSpA Axial spondyloarthritis, CRP C-reactive protein, DMARD Disease-modifying antirheumatic drug, GC Glucocorticosteroid, NSAID Nonsteroidal anti-inflammatory drug, RA Rheumatoid arthritis, RR Relative risk, SpA Spondyloarthritis, TNFi Tumor necrosis factor inhibitor
  2. a“Before pregnancy” refers to period from 20 weeks prior to conception until the positive pregnancy test
  3. * p <0.05