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2012 | 59 | 4 |
Tytuł artykułu

Predictive factors for preeclampsia in pregnant women: a unvariate and multivariate logistic regression analysis

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
 Introduction: Several risk factors have been used to predict preeclampsia. The role of some risk factors as predictors associated with preeclampsia among Iranian women was analyzed in the present study using logistic regression. Materials and Methods: 610 women attending the obstetric ward of Mustafa hospital in Ilam were enrolled in this study. Demographic variables such as age, Body Mass Index (BMI), medical and obstetrics variables such as education, number of pregnancy, abortion and parity from May to September 2010 were analyzed. We used the unvaried and multiple logistic regression analyses to predict preeclampsia. Results: The history of preeclampsia, hypertension, and infertility showed to be good independent predicator variables for preeclampsia using multivariate logistic regression analysis (OR was 5.46, 2.34 and 3.07 respectively). Area Under the Receiver Operation Character (AUROC) was estimated to be 0.67 (95% CI 0.59-0.67, p<0.01) indicating the efficacy of the model for the prediction. Conclusion: The history of preeclampsia, hypertension and infertility predict preeclampsia with an increased odds ratio. Using such variables in regression analysis can help to diagnose preeclampsia beforehand and hence allow timely intervention.
Słowa kluczowe
Wydawca
-
Rocznik
Tom
59
Numer
4
Opis fizyczny
p.673-677,fig.,ref.
Twórcy
  • Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
  • Department of Midwifery, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
autor
  • Department of Immunology, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
autor
  • Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
  • Department of Social Medicine, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran
Bibliografia
  • Aksornphusitaphong A, Phupong V (2012) Risk factors of early and late onset pre-eclampsia. J Obstet Gynaecol Res doi: 10.1111/j.1447-0756.2012.02010.x. 
  • Backes CH, Markham K, Moorehead P, Cordero L, Nankervis CA, Giannone PJ (2011) Maternal preeclampsia and neonatal outcomes. J Pregnancy doi: 10.1155/2011/214365. 
  • Bellamy L, Casas JP, Hingorani AD, Williams DJ (2007) Pre-eclampsia and risk of cardiovascular disease and cancer in later life: systematic review and meta-analysis. BMJ 335: 974. 
  • Conde-Agudelo A, Villar J, Lindheimer M (2008) Maternal infection and risk of preeclampsia: systematic review and metaanalysis. Am J Obstet Gynecol 198: 7-22. 
  • Dekker G, Sibai B (2001) Primary, secondary, and tertiary prevention of pre-eclampsia. Lancet 357: 209-215. 
  • Duckitt K, Harrington D (2005) Risk factors for pre-eclampsia at antenatal booking: systematic review of controlled studies. BMJ 330: 565. 
  • Ganesh KS, Unnikrishnan B, Nagaraj K, Jayaram S (2010) Determinants of pre-eclampsia: a case-control study in a district hospital in South India. Indian J Community Med 35: 502-505. 
  • Gilbert JS, Ryan MJ, LaMarca BB, Sedeek M, Murphy SR, Granger JP (2007) Pathophysiology of hypertension during preeclampsia: linking placental ischemia with endothelial dysfunction. Am J Physiol Heart Circ Physiol 294: H541-H550. 
  • Gonzalez AL, Ulloa Galvan G, Alpuche G, Romero Arauz JF (2000) Risk factors for preeclampsia. Multivariate analysis. Ginecol Obstet Mex 68: 357-362. 
  • Hernández-Díaz S, Werler M, Mitchell A (2007) Gestational hypertension in pregnancies supported by infertility treatments: role of infertility, treatments, and multiple gestations. Fertil Steril 88: 438-445. 
  • Lachmeijer AM, Crusius JB, Pals G, Dekker GA, Arngrimsson R, ten Kate LP (2001) Polymorphisms in the tumor necrosis factor and lymphotoxin-alpha gene region and preeclampsia. Obstet Gynecol 98: 612-619. 
  • Macdonald-Wallis C, Lawlor DA, Heron J, Fraser A, Nelson SM, Tilling K (2011) Relationships of risk factors for pre-eclampsia with patterns of occurrence of isolated gestational proteinuria during normal term pregnancy. PLoS One 6: e22115. 
  • Mostello D, Catlin TK, Roman L, Holcomb WL Jr, Leet T (2002) Preeclampsia in the parous woman: who is at risk? Am J Obstet Gynecol 187: 425-429. 
  • Mostello D, Kallogjeri D, Tungsiripat R, Leet T (2008) Recurrence of preeclampsia: effects of gestational age at delivery of the first pregnancy, body mass index, paternity, and interval between births. Am J Obstet Gynecol 199: 55 e1-e7. 
  • Odegard RA, Vatten LJ, Nilsen ST, Salvesen KA, Austgulen R (2000) Risk factors and clinical manifestations of pre-eclampsia. BJOG 107: 1410-1416. 
  • Paltiel O, Friedlander Y, Tiram E, Barchana M, Xue X, Harlap S (2004) Cancer after pre-eclampsia: follow up of the Jerusalem perinatal study cohort. BMJ 328: 919. 
  • Qiu C, Williams MA, Leisenring WM, Sorensen TK, Frederick IO, Dempsey JC, Luthy DA (2003) Family history of hypertension and type 2 diabetes in relation to preeclampsia risk. Hypertension 41: 408-413. 
  • Shamsi U, Hatcher J, Shamsi A, Zuberi N, Qadri Z, Saleem S (2010) A multicentre matched case control study of risk factors for preeclampsia in healthy women in Pakistan. BMC Womens Health 10: 14. 
  • Sibai B, Dekker G, Kupferminc M (2005) Pre-eclampsia. Lancet 365: 785-799. 
  • Sibai BM (2003) Diagnosis and management of gestational hypertension and preeclampsia. Obstet Gynecol 102: 181-192. 
  • Trogstad L, Magnus P, Moffett A, Stoltenberg C (2009) The effect of recurrent miscarriage and infertility on the risk of pre-eclampsia. BJOG 116: 108-113. 
  • Wagner LK (2004) Diagnosis and management of preeclampsia. Am Fam Physician 70: 2317-2324. 
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Bibliografia
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