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. 2023 Apr;228(4):418–429.e34. doi: 10.1016/j.ajog.2022.10.004

Table S23.

Pooled relative risk and mean likelihood ratios for maternal ICU admission, according to BP cut-offs at <20 weeks, determined by ACC/AHA BP categories

COMPARATOR
BP measured at <20 weeks Ref RR [95%CI] I2, (95% PI) -LR +LR
Diagnostic threshold: sBP 120mmHg (with dBP <80mmHg)
Pooled Normal (<120/80 mmHg) 1.5 [1.1, 2.0] I2= 0%, (0.8, 2.9) 0.86 [0.79, 0.92] 2.02 [1.31, 3.06]
Bellad 2.5 [0.3, 20.5] 0.92 [0.71, 1.20] 2.34 [0.37, 14.66]
Greenberg 1.5 [1.1, 2.0] 0.89 [0.79, 0.99] 1.29 [1.06, 1.57]
Qureshi 3.8 [0.6, 22.6] 0.71 [0.34, 1.44] 2.67 [0.91, 7.83]
Sevene 2.6 [0.3, 24.4] 0.85 [0.48, 1.49] 2.81 [0.40, 12.04]
Diagnostic threshold: sBP 130mmHg or dBP 80mmHg
Pooled Normal + ElevatedBP (<130/80mmHg) 2.3 [1.7, 3.1] I2= 0%, (1.1, 4.6) 0.94 [0.84, 0.99] 1.78 [1.28, 2.35]
Bellad 1.9 [0.1, 32.9] 0.97 [0.83, 1.14] 1.85 [0.12, 27.40]
Greenberg 2.3 [1.7, 3.2] 0.84 [0.77, 0.92] 1.98 [1.56, 2.51]
Qureshi 0.9 [0.1, 16.7] 1.01 [0.79, 1.28] 0.93 [0.07, 13.25]
Sevene 1.7 [0.1, 31.6] 0.96 [0.72, 1.28] 1.65 [0.12, 23.14]
Diagnostic threshold: sBP 140mmHg or dBP 90mmHg
Pooled Normal + Elevated BP + Stage 1 HTN (<140/90 mmHg) 4.0 [2.8, 5.6] I2= 0%, (1.9, 8.4) 0.91 [0.84, 0.96] 6.34 [3.55, 10.50]
Bellad 3.9 [2.7, 5.5] 0.83 [0.77, 0.90] 3.34 [2.53, 4.41]
Greenberg 10.7 [0.6, 182.8] 0.95 [0.81, 1.11] 10.12 [0.68, 151.30]
Qureshi 8.0 [0.4, 143.0] 0.93 [0.73, 1.18] 7.39 [0.52, 105.91]
Sevene 5.6 [0.3, 100.3] 0.92 [0.69, 1.23] 5.14 [0.35, 74.41]

ACC (American College of Cardiology), AHA (American Heart Association), BP (blood pressure), dBP (diastolic BP), -LR- (negative likelihood ratio), +LR (positive likelihood ratio), sBP (systolic BP), CI (confidence interval), PI (prediction interval)

Slade. The diagnostic accuracy of American College of Cardiology-American Heart Association blood pressure categories for identification of women and babies at risk. Am J Obstet Gynecol 2023.