Predictors of pregnancy outcomes in APS women
Outcome, models . | Variables . | OR (95%CI) . | P . |
---|---|---|---|
Abortion (embryonic loss) | |||
Univariate | aβ2GP1-M | 0.52 (0.32-0.86) | .013 |
Hypertriglyceridemia | 0.37 (0.08-1.59) | .18 | |
Varicose veins | 0.69 (0.39-1.24) | .21 | |
Multivariate* | aβ2GP1-M | 0.55 (0.30-0.89) | .021 |
Fetal loss | |||
Univariate | Prior fetal loss | 2.10 (1.16-3.79) | .015 |
Familial atherothrombosis | 1.75 (0.82-3.75) | .15 | |
Familial venous thromboembolism | 2.78 (0.68-11.4) | .17 | |
Primary loss | 0.72 (0.42-1.23) | .22 | |
Multivariate* | Prior fetal loss | 2.08 (1.13-3.83) | .019 |
PE | |||
Univariate | Prior fetal loss | 2.73 (1.40-5.34) | .003 |
BMI >30 kg/m2 | 2.22 (1.08-4.54) | .030 | |
Varicose veins | 0.48 (0.22-1.05) | .07 | |
Tobacco smoking | 1.94 (0.87-4.31) | .10 | |
aCL-M | 1.70 (0.85-3.41) | .13 | |
LA | 1.55 (0.85-2.83) | .16 | |
Multivariate* | Prior fetal loss | 2.68 (1.35-5.32) | .005 |
BMI >30 kg/m2 | 2.23 (1.05-4.73) | .037 | |
Varicose veins | 0.50 (0.20-1.10) | .09 | |
Early-onset PE | |||
Univariate | BMI >30 kg/m2 | 2.10 (0.91-4.88) | .08 |
Prior fetal loss | 1.91 (0.90-4.05) | .09 | |
Varicose veins | 0.46 (0.17-1.21) | .11 | |
aCL-M | 1.77 (0.76-4.14) | .19 | |
Tobacco smoking | 1.86 (0.73-4.75) | .20 | |
Multivariate* | Prior fetal loss | 1.99 (0.93-4.26) | .08 |
Varicose veins | 0.42 (0.16-1.13) | .09 | |
Premature birth before 37 WG | |||
Univariate | Prior fetal loss | 3.03 (1.76-5.22) | <.0001 |
aCL-M | 1.63 (0.91-2.91) | .10 | |
Hypertriglyceridemia | 2.10 (0.83-5.31) | .12 | |
aCL-G | 1.41 (0.87-2.29) | .16 | |
Familial atherothrombosis | 0.51 (0.19-1.36) | .18 | |
Age >35 y | 0.26 (0.03-2.08) | .21 | |
Multivariate* | Prior fetal loss | 2.95 (1.69-5.15) | .0001 |
aCL-G | 1.58 (0.95-2.64) | .08 | |
Hypertriglyceridemia | 2.39 (0.88-6.50) | .09 | |
Premature birth before 34 WG | |||
Univariate | Prior fetal loss | 3.21 (1.49-6.90) | .003 |
Varicose veins | 0.56 (0.24-1.30) | .18 | |
Tobacco smoking | 1.85 (0.76-4.51) | .18 | |
aβ2GP1-G | 1.59 (0.79-3.22) | .19 | |
Hypertension | 2.21 (0.58-8.36) | .24 | |
Multivariate* | Prior fetal loss | 3.24 (1.47-7.13) | .004 |
Tobacco smoking | 2.18 (0.86-5.52) | .10 | |
Varicose veins | 0.48 (0.20-1.16) | .10 | |
SGA neonate | |||
Univariate | aCL-M | 2.02 (1.06-3.85) | .033 |
Varicose veins | 0.55 (0.28-1.08) | .08 | |
LA | 1.60 (0.92-2.76) | .10 | |
aβ2GP1-M | 1.43 (0.86-2.39) | .17 | |
Primary loss | 1.47 (0.83-2.58) | .19 | |
Multivariate* | LA | 1.67 (0.97-2.89) | .07 |
Any placenta-mediated complications | |||
Univariate | Prior fetal loss | 1.77 (1.07-2.90) | .025 |
aCL-M | 1.82 (1.03-3.23) | .040 | |
Varicose veins | 0.53 (0.29-0.98) | .041 | |
BMI >30 kg/m2 | 1.56 (0.79-3.08) | .21 | |
LA | 1.33 (0.81-2.18) | .25 | |
Multivariate* | aCL-M | 2.02 (1.09.3.73) | .025 |
Varicose veins | 0.50 (0.27-0.93) | .028 | |
Prior fetal loss | 1.67 (1.01-2.80) | .049 | |
LA | 1.54 (0.91-2.61) | .11 |
Outcome, models . | Variables . | OR (95%CI) . | P . |
---|---|---|---|
Abortion (embryonic loss) | |||
Univariate | aβ2GP1-M | 0.52 (0.32-0.86) | .013 |
Hypertriglyceridemia | 0.37 (0.08-1.59) | .18 | |
Varicose veins | 0.69 (0.39-1.24) | .21 | |
Multivariate* | aβ2GP1-M | 0.55 (0.30-0.89) | .021 |
Fetal loss | |||
Univariate | Prior fetal loss | 2.10 (1.16-3.79) | .015 |
Familial atherothrombosis | 1.75 (0.82-3.75) | .15 | |
Familial venous thromboembolism | 2.78 (0.68-11.4) | .17 | |
Primary loss | 0.72 (0.42-1.23) | .22 | |
Multivariate* | Prior fetal loss | 2.08 (1.13-3.83) | .019 |
PE | |||
Univariate | Prior fetal loss | 2.73 (1.40-5.34) | .003 |
BMI >30 kg/m2 | 2.22 (1.08-4.54) | .030 | |
Varicose veins | 0.48 (0.22-1.05) | .07 | |
Tobacco smoking | 1.94 (0.87-4.31) | .10 | |
aCL-M | 1.70 (0.85-3.41) | .13 | |
LA | 1.55 (0.85-2.83) | .16 | |
Multivariate* | Prior fetal loss | 2.68 (1.35-5.32) | .005 |
BMI >30 kg/m2 | 2.23 (1.05-4.73) | .037 | |
Varicose veins | 0.50 (0.20-1.10) | .09 | |
Early-onset PE | |||
Univariate | BMI >30 kg/m2 | 2.10 (0.91-4.88) | .08 |
Prior fetal loss | 1.91 (0.90-4.05) | .09 | |
Varicose veins | 0.46 (0.17-1.21) | .11 | |
aCL-M | 1.77 (0.76-4.14) | .19 | |
Tobacco smoking | 1.86 (0.73-4.75) | .20 | |
Multivariate* | Prior fetal loss | 1.99 (0.93-4.26) | .08 |
Varicose veins | 0.42 (0.16-1.13) | .09 | |
Premature birth before 37 WG | |||
Univariate | Prior fetal loss | 3.03 (1.76-5.22) | <.0001 |
aCL-M | 1.63 (0.91-2.91) | .10 | |
Hypertriglyceridemia | 2.10 (0.83-5.31) | .12 | |
aCL-G | 1.41 (0.87-2.29) | .16 | |
Familial atherothrombosis | 0.51 (0.19-1.36) | .18 | |
Age >35 y | 0.26 (0.03-2.08) | .21 | |
Multivariate* | Prior fetal loss | 2.95 (1.69-5.15) | .0001 |
aCL-G | 1.58 (0.95-2.64) | .08 | |
Hypertriglyceridemia | 2.39 (0.88-6.50) | .09 | |
Premature birth before 34 WG | |||
Univariate | Prior fetal loss | 3.21 (1.49-6.90) | .003 |
Varicose veins | 0.56 (0.24-1.30) | .18 | |
Tobacco smoking | 1.85 (0.76-4.51) | .18 | |
aβ2GP1-G | 1.59 (0.79-3.22) | .19 | |
Hypertension | 2.21 (0.58-8.36) | .24 | |
Multivariate* | Prior fetal loss | 3.24 (1.47-7.13) | .004 |
Tobacco smoking | 2.18 (0.86-5.52) | .10 | |
Varicose veins | 0.48 (0.20-1.16) | .10 | |
SGA neonate | |||
Univariate | aCL-M | 2.02 (1.06-3.85) | .033 |
Varicose veins | 0.55 (0.28-1.08) | .08 | |
LA | 1.60 (0.92-2.76) | .10 | |
aβ2GP1-M | 1.43 (0.86-2.39) | .17 | |
Primary loss | 1.47 (0.83-2.58) | .19 | |
Multivariate* | LA | 1.67 (0.97-2.89) | .07 |
Any placenta-mediated complications | |||
Univariate | Prior fetal loss | 1.77 (1.07-2.90) | .025 |
aCL-M | 1.82 (1.03-3.23) | .040 | |
Varicose veins | 0.53 (0.29-0.98) | .041 | |
BMI >30 kg/m2 | 1.56 (0.79-3.08) | .21 | |
LA | 1.33 (0.81-2.18) | .25 | |
Multivariate* | aCL-M | 2.02 (1.09.3.73) | .025 |
Varicose veins | 0.50 (0.27-0.93) | .028 | |
Prior fetal loss | 1.67 (1.01-2.80) | .049 | |
LA | 1.54 (0.91-2.61) | .11 |
Results are restricted to putative predictors with P value < .25 in the univariate analysis and to those with a P value < .10 in the multivariate analysis, adjusted for predictors with P < .25 in the univariate analysis.
aβ2GP1-G, positive for anti-β2-glycoprotein I IgG; aβ2GP1-M, positive anti-β2-glycoprotein I IgM; aCL-G, positive for anticardiolipin IgG; aCL-M, positive for anticardiolipin IgM; LA, positive for lupus anticoagulant.
Adjusted for the individual variables identified as significant by univariate analysis.