Systemic Lupus Erythematosus Delivery Outcomes Are Unchanged Across Three Decades

Autor: April Barnado, Janie Hubbard, Sarah Green, Alex Camai, Lee Wheless, Sarah Osmundson
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: ACR Open Rheumatology, Vol 4, Iss 8, Pp 711-720 (2022)
Druh dokumentu: article
ISSN: 2578-5745
DOI: 10.1002/acr2.11447
Popis: Objective Using a large, de‐identified electronic health record database with over 3.2 million patients, we aimed to identify trends of systemic lupus erythematosus (SLE) medication use during pregnancy and birth outcomes from 1989 to 2020. Methods Using a previously validated algorithm for SLE deliveries, we identified 255 pregnancies in patients with SLE and 604 pregnancies in controls with no known autoimmune diseases. We examined demographics, medications, SLE comorbidities, and maternal and fetal outcomes in SLE and control deliveries. Results Compared with control deliveries, SLE deliveries were more likely to be complicated by preterm delivery (odds ratio [OR]: 6.71; 95% confidence interval [CI]: 4.31‐10.55; P
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