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Table 3 Prevalence of adverse pregnancy outcome in patients with lupus nephritis according to the tacrolimus exposure

From: A retrospective analysis of the safety of tacrolimus use and its optimal cut-off concentration during pregnancy in women with systemic lupus erythematosus: study from two Japanese tertiary referral centers

 

Tacrolimus exposure in pregnant with lupus nephritis

Logistic regression model

Factor

(-)

( +)

P value

OR

95% CI

P value

N

17

15

    

Overall APO (%)

9 (52.9)

8 (53.3)

1.00

1.00

0.25–4.08

0.98

Maternal APO (%)

6 (35.3)

7 (46.7)

0.77

1.60

0.39–6.64

0.51

Neonatal APO (%)

7 (41.2)

5 (33.3)

0.93

0.71

0.17–3.03

0.65

PROMISSE.APO (%)

4 (23.5)

2 (13.3)

0.66

0.50

0.08–3.22

0.47

Flare during pregnancy (%)

3 (17.6)

2 (13.3)

1.00

0.72

0.10–5.01

0.74

Flare after conception (%)

1 (6.2)

2 (15.4)

0.57

2.73

0.22–34

0.44

Hypertensive Disorders of Pregnancy (%)

4 (23.5)

3 (20.0)

1.00

0.81

0.15–4.4

0.81

Preeclampsia (%)

3 (17.6)

2 (13.3)

1.00

0.72

0.10–5.01

0.74

Eclampsia (%)

1 (5.9)

0 (0.0)

1.00

NA

NA

NA

HELLP syndrome (%)

0 (0.0)

0 (0.0)

NA

NA

NA

NA

Gestational DM (%)

2 (11.8)

3 (20.0)

0.65

1.87

0.27–13

0.53

Oligohydramnios (%)

1 (5.9)

1 (6.7)

1.00

1.14

0.07–20

0.93

PROM (%)

0 (0.0)

1 (6.7)

0.47

NA

NA

NA

Maternal death (%)

0 (0.0)

0 (0.0)

NA

NA

NA

NA

Live birth

16 (94.1)

13 (86.7)

0.91

0.41

0.03–5

0.48

Total duration of gestation (days)

264.0 [259.0, 268.0]

271.0 [262.0, 276.0]

0.045

NA

NA

NA

Preterm birth (%)

3 (18.8)

1 (7.1)

0.60

0.33

0.31–3.64

0.37

Spontaneous abortion (%)

0 (0.0)

0 ( 0.0)

NA

NA

NA

NA

Missed abortion (%)

0 (0.0)

1 (6.7)

0.47

NA

NA

NA

Iatrogenic abortion (%)

1 (5.9)

1 (6.7)

1.00

1.14

0.07–20.0

0.93

Still birth (%)

0 (0.0)

0 (0.0)

NA

NA

NA

NA

Planned C section (%)

5 (31.2)

2 (15.4)

0.41

0.40

0.06–2.52

0.33

Emergency C section (%)

4 (25.0)

8 (61.5)

0.07

4.80

0.98–23.5

0.05

Height at birth (cm)

46.9 [45.2, 47.4]

49.5 [46.5, 50.5]

0.10

NA

NA

NA

Weight at birth (g)

2627.5 [2438.0, 2770.3]

2914.0 [2812.0, 3025.0]

0.03

NA

NA

NA

Low birth weight (%)

6 (37.5)

2 (15.4)

0.24

0.30

0.05–1.86

0.20

SGA (%)

1 (6.2)

2 (15.4)

0.57

2.73

0.22–34

0.44

Apgar score (1 min)

8.0 [8.0, 8.0]

8.0 [8.0, 8.0]

0.77

NA

NA

NA

Apgar score (5 min)

9.0 [9.0, 9.0]

9.0 [9.0, 9.0]

0.88

NA

NA

NA

Major malformation (%)

0 (0.0)

1 (7.7)

0.45

NA

NA

NA

Death of neonate (%)

0 (0.0)

0 (0.0)

NA

NA

NA

NA

  1. APO adverse pregnancy outcome, CI confidence interval, DM diabetes mellitus, NA not available, HELLP hemolysis, elevated liver enzymes and low platelets, OR odds ratio, PROMISSE Predictors of Pregnancy Outcome: Biomarkers in Antiphospholipid Antibody Syndrome and Systemic Lupus Erythematosus, PROM Premature rupture of membranes, PS propensity score, SGA small for gestational age