O7 High incidence of both spontaneous and indicated preterm birth in women with systemic lupus erythematosus: a systematic review and meta-analysis
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Notice bibliographique
Résumé
<h3>Objective</h3> Preterm birth (PTB) is a frequent complication of pregnancy in women with systemic lupus erythematosus (SLE). The high indicated PTB rate due to hypertensive disorders of pregnancy and/or fetal growth restriction in women with SLE is well known. Preventive measures are taken and screening for early detection are performed, but the risk of spontaneous PTB is less well recognized. The objective of this study is to determine the rates of both spontaneous and indicated PTB in pregnancies of women with SLE. <h3>Methods</h3> A systematic literature search using Pubmed, Embase, Web of Science and Google Scholar was performed in June 2021. Studies on pregnant women with SLE reporting spontaneous and indicated PTB (birth <37 weeks) rates were selected. Original research articles in English published from 1995 to June 2021 were included. Quality and risk of bias of the included studies were assessed using the Newcastle-Ottawa Quality Assessment Scale (NOS). To estimate the pooled event rates and 95% confidence intervals, meta-analyses of single proportions with a random-effects model were performed. <h3>Results</h3> We included 21 articles, containing data of 8157 ongoing pregnancies in women with SLE. Fifteen out of the 21 included studies were of good quality according to the NOS. From the ongoing pregnancies, 31% (95% CI [0.26; 0.35]) resulted in PTB, of which 46% (95% CI [0.39; 0.54]) were spontaneous, and 53% (95% CI [0.44; 0.61]) were indicated; in 1% the cause of PTB was unknown. The incidence of spontaneous PTB in all pregnancies was 14% (95% CI [0.11; 0.16]) and of indicated PTB 16% (95% CI [0.12; 0.19]). <h3>Conclusion</h3> In pregnant women with SLE, spontaneous as well as indicated PTB rates are high. This information should be applied in (pre-pregnancy) counselling and management in pregnancy. The knowledge obtained by this review and meta-analysis paves the way for further research of associated risk factors and development of interventions to reduce spontaneous PTB rate in SLE pregnancies. <h3>Funding</h3> None.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,011 | 0,001 |
| Bibliométrie | 0,002 | 0,003 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle