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Table 1 Patients’ characteristics, disease activities, treatment agents, and pregnancy outcomes

From: Preterm birth is strongly affected by the glucocorticoid dose during pregnancy in women complicated by systemic lupus erythematosus

 

(n = 74)

Patients’ characteristics

 Mean age at delivery, years

31.8 ± 4.4

 Mean disease duration, years

10.0 ± 5.1

 Parity, n (%)

40 (54.1)

 Autoantibody positivity

  Anti-SS-A antibody, n (%)

42 (56.8)

  Antiphospholipid antibodies, n (%)

29 (39.2)

   LAC/anti-cardiolipin/anti-CLβ2GP1

23 (31.1)/10 (13.5)/3 (4.1)

   Number of positive antibodies (single/double/triple)

22 (29.7)/6 (8.1)/1 (1.4)

 Disease activity parameters

First trimester (at conception)

Third trimester

  Mean SLEDAI score

1.8 ± 2.1

1.2 ± 1.9

  Achievement of LLDAS, n (%)

40 (59.7)

35 (58.3)

  Achievement of LLDAS without a glucocorticoid dose, n (%)

50 (74.6)

50 (83.3)

  C3, mg/dl

89.8 ± 21.4

101.9 ± 23.1

  C4, mg/dl

18.2 ± 6.7

17.9 ± 7.2

  CH50, IU/ml

41.0 ± 9.6

42.7 ± 10.1

  Titer of anti-dsDNA antibody, IU/ml

10.8 ± 32.6

5.8 ± 12.3

Status of treatment agents

 Immunosuppressant use at conception, n (%)

16 (21.6)

 Hydroxychloroquine use during pregnancy, n (%)

10 (13.5)

 Glucocorticoid use

  Use at conception, n (%)

57 (77.0)

  Mean dose at conception, mg/day

6.5 ± 3.2

  Use during pregnancy, n (%)

61 (82.4)

  Mean dose during pregnancy, mg/day

8.4 ± 4.8

  Increasing doses used, n (%)

15 (20.3)

Pregnancy outcomes

(n = 74)

 Neonatal loss, n (%)

15 (20.3)

  Spontaneous abortion, n (%)

8 (10.8)

  Stillbirth, n (%)

2 (2.7)

  Induced abortion, n (%)

5 (6.8)

 Live birth, n (%)

59 (79.7)

  Cesarean section, n (%)

16 (27.1)

  Gestational age at delivery, weeks

37.5 ± 3.0

  Birth weight of newborns, g

2643.3 ± 665.2

 APOs, n (%)

35 (50.7)

  Spontaneous abortion, n (%)

8 (10.8)

  Stillbirth, n (%)

2 (2.7)

  PB, n (%)

14 (23.7)

  LBW newborns, n (%)

23 (39.0)

  LFD newborns, n (%)

10 (16.9)

  Preterm PROM, n (%)

7 (11.9)

  Preeclampsia, n (%)

5 (8.6)

  NICU administration, n (%)

17 (28.8)

  1. Values are shown as mean ± standard deviation or n (%). LAC lupus anti-coagulant, CLβ2GP1 cardiolipin-beta 2 glycoprotein 1, SLEDAI Systemic Lupus Erythematosus Disease Activity Index, LLDAS lupus low disease activity state, APOs adverse pregnancy outcomes, PB preterm birth, LBW low birth weight, LFD light-for-date, PROM premature rupture of the membranes, NICU neonatal intensive care unit