Table 4.
Mild and late PE during the 2nd pregnancy (N = 1143) | Severe and late PE during the 2nd pregnancy (N = 632) | Mild and early PE during the 2nd pregnancy (N = 209) | Severe and early PE during the 2nd pregnancy (N = 463) | Total PE during the 2nd pregnancy (N = 2,447) | ||||||
---|---|---|---|---|---|---|---|---|---|---|
N | aIRR | N | aIRR | N | aIRR | N | aIRR | N | adjusted IRR | |
Aspirin purchases | ||||||||||
No aspirin | 378 | Ref | 213 | Ref | 64 | Ref | 155 | Ref | 810 | Ref |
At least one | 765 | 1.06 (0.92–1.22) | 419 | 0.98 (0.82–1.18) | 145 | 0.92 (0.67–1.27) | 308 | 0.77 (0.62–0.95) | 1637 | 0.98 (0.90–1.08) |
≤ 16 WG | 691 | 1.04 (0.90–1.20) | 365 | 0.94 (0.78–1.14) | 131 | 0.92 (0.66–1.27) | 267 | 0.71 (0.57–0.89) | 1454 | 0.93 (0.85–1.01) |
≤ 16 WG and PDC ≥ 80% | 500 | 1.08 (0.92–1.27) | 266 | 0.96 (0.78–1.19) | 91 | 0.84 (0.59–1.21) | 175 | 0.60 (0.47–0.77) | 1032 | 0.93 (0.86–1.01) |
Mean daily dose | ||||||||||
No aspirin | 378 | Ref | 213 | Ref | 64 | Ref | 155 | Ref | 810 | Ref |
0–75 mg/j | 213 | 1.02 (0.86–1.21) | 113 | 0.95 (0.75–1.20) | 41 | 1.04 (0.70–1.55) | 108 | 1.10 (0.85–1.41) | 475 | 1.03 (0.92–1.16) |
75–100 mg/j | 176 | 1.05 (0.87–1.26) | 98 | 1.01 (0.79–1.29) | 31 | 0.93 (0.60–1.45) | 59 | 0.77 (0.56–1.04) | 364 | 0.99 (0.87–1.12) |
≥ 100 mg/j | 376 | 1.03 (0.88–1.21) | 208 | 0.99 (0.81–1.22) | 73 | 0.86 (0.60–1.23) | 141 | 0.67 (0.53–0.85) | 798 | 0.95 (0.85–1.05) |
The IRRs were estimated using Poisson regression models adjusted for the characteristics of the first and second pregnancies. This analysis was performed in women with early and/or severe pre-eclampsia during the 1st pregnancy, as this was the only indication for aspirin treatment in French guidelines
IRR incidence risk ratio, PDC proportion of days covered (by aspirin), PE pre-eclampsia, WG weeks of gestation