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

Table S27.

Pooled relative risk and mean likelihood ratios for Cesarean, 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) 1.3 [1.2, 1.4] I2=0%, (1.0, 1.6) 0.96 [0.93, 0.98] 1.28 [1.13, 1.45]
Bellad 1.3 [1.2, 1.5] 0.98 [0.97, 0.99] 1.44 [1.21, 1.71]
Qureshi 1.2 [1.1, 1.4] 0.96 [0.94, 0.99] 1.23 [1.08, 1.40]
Rosner 1.3 [0.9, 1.8] 0.88 [0.75, 1.04] 1.29 [0.95, 1.76]
Sevene 0.9 [0.3, 2.6] 1.01 [0.90, 1.13] 0.94 [0.37, 2.43]
Diagnostic threshold: sBP 130mmHg or dBP 80mmHg
Pooled Normal + ElevatedBP (<130/80 mmHg) 1.3 [1.1, 1.6] I2=99%, (1.0, 1.9) 0.94 [0.90, 0.97] 1.46 [1.26, 1.69]
Bellad 1.5 [1.3, 1.8] 0.98 [0.97, 0.99] 1.66 [1.32, 2.08]
Bello 1.5 [1.5, 1.5] 0.90 [0.89, 0.90] 1.64 [1.60, 1.68]
Darwin 1.4 [1.3, 1.6] 0.89 [0.85, 0.93] 1.52 [1.32, 1.75]
Duffy 1.1 [1.1, 1.1] 0.97 [0.96, 0.97] 1.12 [1.10, 1.13]
Qureshi 1.2 [1.1, 1.4] 0.98 [0.96, 0.99] 1.26 [1.06, 1.49]
Sabol 1.4 [1.3, 1.6] 0.88 [0.84, 0.92] 1.57 [1.37, 1.80]
Sevene 0.2 [0.0, 3.5] 1.05 [1.01, 1.09] 0.22 [0.01, 3.43]
Diagnostic threshold: sBP 140mmHg or dBP 90mmHg
Pooled Normal + Elevated BP +Stage 1 HTN (<140/90 mmHg) 1.7 [1.6, 1.8] I2=27%, (1.5, 1.9) 0.96 [0.93, 0.98] 2.31 [2.06, 2.55]
Bellad 2.1 [1.6, 2.8] 0.99 [0.99, 1.00] 2.89 [1.76, 4.74]
Bello 1.7 [1.7, 1.8] 0.95 [0.95, 0.96] 2.30 [2.18, 2.41]
Darwin 1.6 [1.4, 1.8] 0.91 [0.88, 0.94] 1.84 [1.51, 2.24]
Qureshi 1.5 [1.1, 2.1] 0.99 [0.99, 1.00] 1.77 [1.11, 2.81]
Rosner 1.1 [0.6, 2.1] 0.99 [0.93, 1.05] 1.22 [0.52, 2.86]
Sabol 1.6 [1.4, 1.8] 0.91 [0.89, 0.94] 2.07 [1.68, 2.55]
Sevene 0.8 [0.0, 11.9] 1.00 [0.97, 1.04] 0.74 [0.04, 12.12]

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.