Intrahepatic Cholestasis of Pregnancy： Biochemical Predictors of Adverse Perinatal Outcomes
Summary： This study aimed to identify biochemical predictors of adverse perinatal outcomes in in- trahepatic cholestasis of pregnancy （ICP）. A total of 106 ICP cases were analyzed retrospectively by the combination of receiver operating characteristic curve and binary logistic regression analysis. ＂...
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| Published in | Journal of Huazhong University of Science and Technology. Medical sciences Vol. 33; no. 3; pp. 412 - 417 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
Heidelberg
Huazhong University of Science and Technology
01.06.2013
Department of Obstetrics and Gynecology, Tongji Hosptial, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China Department of Obstetrics, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China%Department of Obstetrics and Gynecology, Tongji Hosptial, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1672-0733 1993-1352 |
| DOI | 10.1007/s11596-013-1133-8 |
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| Abstract | Summary： This study aimed to identify biochemical predictors of adverse perinatal outcomes in in- trahepatic cholestasis of pregnancy （ICP）. A total of 106 ICP cases were analyzed retrospectively by the combination of receiver operating characteristic curve and binary logistic regression analysis. ＂Adverse perinatal outcomes＂ included spontaneous preterm labor, meconium-staining of amniotic fluid, stillbirth and Apgar score ≤7 at 1 or 5 min. Total bile acid （TBA） [AUC=0.658, 95%CI （0.536, 0.781）, P=0.031] was a valuable predictor for adverse perinatal outcomes. The critical value of TBA above which adverse perinatal outcomes were observed was 40.15 μmol/L （Youden＇s index=0.3）. Binary multivariate logistic regression analysis revealed that the risk of adverse perinatal outcomes increased when TBA ≥40.15 /.tmol/L [OR=3.792, 95%CI （1.226, 11.727）, P=0.021]. It is concluded that the risk of adverse perinatal outcomes in ICP increases when maternal TBA ≥40.15 gmol/L. |
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| AbstractList | This study aimed to identify biochemical predictors of adverse perinatal outcomes in intrahepatic cholestasis of pregnancy (ICP). A total of 106 ICP cases were analyzed retrospectively by the combination of receiver operating characteristic curve and binary logistic regression analysis. "Adverse perinatal outcomes" included spontaneous preterm labor, meconium-staining of amniotic fluid, stillbirth and Apgar score ≤7 at 1 or 5 min. Total bile acid (TBA) [AUC=0.658, 95%CI (0.536, 0.781), P=0.031] was a valuable predictor for adverse perinatal outcomes. The critical value of TBA above which adverse perinatal outcomes were observed was 40.15 μmol/L (Youden's index=0.3). Binary multivariate logistic regression analysis revealed that the risk of adverse perinatal outcomes increased when TBA ≥40.15 μmol/L [OR=3.792, 95%CI (1.226, 11.727), P=0.021]. It is concluded that the risk of adverse perinatal outcomes in ICP increases when maternal TBA ≥40.15 μmol/L. This study aimed to identify biochemical predictors of adverse perinatal outcomes in intrahepatic cholestasis of pregnancy (ICP). A total of 106 ICP cases were analyzed retrospectively by the combination of receiver operating characteristic curve and binary logistic regression analysis. "Adverse perinatal outcomes" included spontaneous preterm labor, meconium-staining of amniotic fluid, stillbirth and Apgar score ≤7 at 1 or 5 min. Total bile acid (TBA) [AUC=0.658, 95%CI (0.536, 0.781), P=0.031] was a valuable predictor for adverse perinatal outcomes. The critical value of TBA above which adverse perinatal outcomes were observed was 40.15 μmol/L (Youden's index=0.3). Binary multivariate logistic regression analysis revealed that the risk of adverse perinatal outcomes increased when TBA ≥40.15 μmol/L [OR=3.792, 95%CI (1.226, 11.727), P=0.021]. It is concluded that the risk of adverse perinatal outcomes in ICP increases when maternal TBA ≥40.15 μmol/L.This study aimed to identify biochemical predictors of adverse perinatal outcomes in intrahepatic cholestasis of pregnancy (ICP). A total of 106 ICP cases were analyzed retrospectively by the combination of receiver operating characteristic curve and binary logistic regression analysis. "Adverse perinatal outcomes" included spontaneous preterm labor, meconium-staining of amniotic fluid, stillbirth and Apgar score ≤7 at 1 or 5 min. Total bile acid (TBA) [AUC=0.658, 95%CI (0.536, 0.781), P=0.031] was a valuable predictor for adverse perinatal outcomes. The critical value of TBA above which adverse perinatal outcomes were observed was 40.15 μmol/L (Youden's index=0.3). Binary multivariate logistic regression analysis revealed that the risk of adverse perinatal outcomes increased when TBA ≥40.15 μmol/L [OR=3.792, 95%CI (1.226, 11.727), P=0.021]. It is concluded that the risk of adverse perinatal outcomes in ICP increases when maternal TBA ≥40.15 μmol/L. Summary： This study aimed to identify biochemical predictors of adverse perinatal outcomes in in- trahepatic cholestasis of pregnancy （ICP）. A total of 106 ICP cases were analyzed retrospectively by the combination of receiver operating characteristic curve and binary logistic regression analysis. ＂Adverse perinatal outcomes＂ included spontaneous preterm labor, meconium-staining of amniotic fluid, stillbirth and Apgar score ≤7 at 1 or 5 min. Total bile acid （TBA） [AUC=0.658, 95%CI （0.536, 0.781）, P=0.031] was a valuable predictor for adverse perinatal outcomes. The critical value of TBA above which adverse perinatal outcomes were observed was 40.15 μmol/L （Youden＇s index=0.3）. Binary multivariate logistic regression analysis revealed that the risk of adverse perinatal outcomes increased when TBA ≥40.15 /.tmol/L [OR=3.792, 95%CI （1.226, 11.727）, P=0.021]. It is concluded that the risk of adverse perinatal outcomes in ICP increases when maternal TBA ≥40.15 gmol/L. Summary This study aimed to identify biochemical predictors of adverse perinatal outcomes in intrahepatic cholestasis of pregnancy (ICP). A total of 106 ICP cases were analyzed retrospectively by the combination of receiver operating characteristic curve and binary logistic regression analysis. “Adverse perinatal outcomes” included spontaneous preterm labor, meconium-staining of amniotic fluid, stillbirth and Apgar score ≤7 at 1 or 5 min. Total bile acid (TBA) [AUC=0.658, 95%CI (0.536, 0.781), P =0.031] was a valuable predictor for adverse perinatal outcomes. The critical value of TBA above which adverse perinatal outcomes were observed was 40.15 μmol/L (Youden’s index=0.3). Binary multivariate logistic regression analysis revealed that the risk of adverse perinatal outcomes increased when TBA ≥40.15 μmol/L [OR=3.792, 95%CI (1.226, 11.727), P =0.021]. It is concluded that the risk of adverse perinatal outcomes in ICP increases when maternal TBA ≥40.15 μmol/L. |
| Author | 陈慧 周媛 邓东锐 郝海燕 党静 李静 |
| AuthorAffiliation | Department of Obstetrics and Gynecology, Tongji Hosptial, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China Department of Obstetrics, The People＇s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/23771669$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1007/s00404-009-1052-x 10.1016/0020-7292(84)90019-5 10.1080/j.1600-0412.2000.079004323.x 10.1542/peds.2005-1801 10.3748/wjg.14.5781 10.3109/02813431003784001 10.1111/j.1471-0528.2004.00167.x 10.1016/S0029-7844(99)00254-9 10.3109/00016348609158363 10.3748/wjg.15.2049 10.1016/S0002-9378(96)80031-7 10.1007/s00404-010-1506-1 10.1016/S0002-9378(94)70304-3 10.1055/s-2008-1078756 10.1111/j.1471-0528.1988.tb06791.x 10.1016/j.ogc.2010.02.011 10.1042/CS20000164 10.3748/wjg.13.6226 10.1186/1750-1172-2-26 10.1097/01.AOG.0000187951.98401.f7 10.1042/CS20010349 10.1002/hep.20336 10.1016/j.earlhumdev.2007.09.012 10.1016/0028-2243(91)90222-7 10.1542/peds.2007-1220 10.1136/bmj.1.6014.870 10.1002/hep.510260216 10.3390/medicina44050044 10.1016/0002-9378(79)90683-5 10.1016/S0002-9378(16)32430-9 |
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| Notes | Summary： This study aimed to identify biochemical predictors of adverse perinatal outcomes in in- trahepatic cholestasis of pregnancy （ICP）. A total of 106 ICP cases were analyzed retrospectively by the combination of receiver operating characteristic curve and binary logistic regression analysis. ＂Adverse perinatal outcomes＂ included spontaneous preterm labor, meconium-staining of amniotic fluid, stillbirth and Apgar score ≤7 at 1 or 5 min. Total bile acid （TBA） [AUC=0.658, 95%CI （0.536, 0.781）, P=0.031] was a valuable predictor for adverse perinatal outcomes. The critical value of TBA above which adverse perinatal outcomes were observed was 40.15 μmol/L （Youden＇s index=0.3）. Binary multivariate logistic regression analysis revealed that the risk of adverse perinatal outcomes increased when TBA ≥40.15 /.tmol/L [OR=3.792, 95%CI （1.226, 11.727）, P=0.021]. It is concluded that the risk of adverse perinatal outcomes in ICP increases when maternal TBA ≥40.15 gmol/L. Hui CHEN , Yuan ZHOU , Dong-rui DENG , Hai-yan HAO,Jing DANG ,Jing LI（1Department of Obstetrics and Gynecology, Tongji Hosptial, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China 2Department of Obstetrics, The People＇s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China） 42-1679/R cholic acids; intrahepatic cholestasis of pregnancy; pregnancy outcome ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
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| Publisher | Huazhong University of Science and Technology Department of Obstetrics and Gynecology, Tongji Hosptial, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China Department of Obstetrics, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China%Department of Obstetrics and Gynecology, Tongji Hosptial, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China |
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issue: 11 year: 1988 ident: 1133_CR3 publication-title: Br J Obstet Gynecol doi: 10.1111/j.1471-0528.1988.tb06791.x – volume: 142 start-page: 621 issue: 6Pt1 year: 1982 ident: 1133_CR17 publication-title: Am J Obstet Gynecol doi: 10.1016/S0002-9378(16)32430-9 – volume: 22 start-page: 91 issue: 2 year: 1984 ident: 1133_CR25 publication-title: Int J Gynaecol Obstet doi: 10.1016/0020-7292(84)90019-5 – volume: 84 start-page: 337 issue: 5 year: 2008 ident: 1133_CR30 publication-title: Early Hum Dev doi: 10.1016/j.earlhumdev.2007.09.012 – volume: 14 start-page: 5781 issue: 38 year: 2008 ident: 1133_CR1 publication-title: World J Gastroenterol doi: 10.3748/wjg.14.5781 – volume: 42 start-page: 211 issue: 3 year: 1991 ident: 1133_CR33 publication-title: Eur J Obstet Gynecol Reprod Biol doi: 10.1016/0028-2243(91)90222-7 – volume: 50 start-page: 313 year: 1977 ident: 1133_CR26 publication-title: Obstet Gynecol – volume: 113 start-page: 528 issue: 2Pt2 year: 2009 ident: 1133_CR29 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Am J Obstet Gynecol. 1994 Mar;170(3):890-5 – reference: 6145644 - Int J Gynaecol Obstet. 1984 Apr;22(2):91-4 – reference: 19322574 - Arch Gynecol Obstet. 2009 Dec;280(6):975-9 – reference: 7065033 - Am J Obstet Gynecol. 1982 Mar 15;142(6 Pt 1):621-5 – reference: 896101 - Obstet Gynecol. 1977 Sep;50(3):313-8 – reference: 20429741 - Scand J Prim Health Care. 2010 Jun;28(2):102-7 – reference: 1083274 - Br Med J. 1976 Apr 10;1(6014):870-2 – reference: 17928172 - Early Hum Dev. 2008 May;84(5):337-41 – reference: 20521062 - Arch Gynecol Obstet. 2011 Jun;283(6):1219-25 – reference: 17535422 - Orphanet J Rare Dis. 2007 May 29;2:26 – reference: 11256973 - Clin Sci (Lond). 2001 Apr;100(4):363-9 – reference: 9252146 - Hepatology. 1997 Aug;26(2):358-64 – reference: 10746851 - Acta Obstet Gynecol Scand. 2000 Apr;79(4):323-5 – reference: 12149111 - Clin Sci (Lond). 2002 Aug;103(2):191-200 – reference: 15198757 - BJOG. 2004 Jul;111(7):676-81 – reference: 10432125 - Obstet Gynecol. 1999 Aug;94(2):189-93 – reference: 18069764 - World J Gastroenterol. 2007 Dec 14;13(46):6226-30 – reference: 3727939 - Acta Obstet Gynecol Scand. 1986;65(2):107-13 – reference: 21067031 - J Ayub Med Coll Abbottabad. 2009 Oct-Dec;21(4):76-8 – reference: 15368452 - Hepatology. 2004 Aug;40(2):467-74 – reference: 8885754 - Am J Obstet Gynecol. 1996 Oct;175(4 Pt 1):957-60 – reference: 18855975 - World J Gastroenterol. 2008 Oct 14;14(38):5781-8 |
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| Snippet | Summary： This study aimed to identify biochemical predictors of adverse perinatal outcomes in in- trahepatic cholestasis of pregnancy （ICP）. A total of 106 ICP... Summary This study aimed to identify biochemical predictors of adverse perinatal outcomes in intrahepatic cholestasis of pregnancy (ICP). A total of 106 ICP... This study aimed to identify biochemical predictors of adverse perinatal outcomes in intrahepatic cholestasis of pregnancy (ICP). A total of 106 ICP cases were... |
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| SubjectTerms | Abortion, Induced Adult Bile Acids and Salts - analysis Biomarkers - metabolism China Cholestasis, Intrahepatic - diagnosis Cholestasis, Intrahepatic - metabolism Female Humans logistic回归分析 Medicine Medicine & Public Health Pregnancy Pregnancy Complications - diagnosis Pregnancy Complications - metabolism Prognosis Reproducibility of Results Risk Assessment Sensitivity and Specificity Stillbirth Thiobarbituric Acid Reactive Substances - analysis Young Adult 围产期 妊娠期 淤积 生化 肝 胆汁酸 预测 |
| Title | Intrahepatic Cholestasis of Pregnancy： Biochemical Predictors of Adverse Perinatal Outcomes |
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