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

Table S5.

Pooled relative risk and mean likelihood ratios for serious maternal complications, 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 (<120/80mmHg) 1.2 [0.9, 1.8] I2=51%, (0.4, 3.7) 0.97 [0.89, 1.04] 1.19 [0.86, 1.62]
Bellad 1.5 [1.0, 2.2] 0.97 [0.95, 1.00] 1.49 [1.02, 2.17]
Qureshi 1.6 [1.3, 2.1] 0.91 [0.86, 0.96] 1.55 [1.27, 1.89]
Reddy 0.7 [0.4, 1.3] 1.07 [0.96, 1.20] 0.79 [0.52, 1.22]
Rosner 0.4 [0.0, 9.3] 1.21 [0.72, 2.01] 0.54 [0.04, 6.79]
Sevene 0.4 [0.1, 2.8] 1.05 [0.94, 1.18] 0.57 [0.12, 2.73]
Sutton 2020 2.3 [0.5, 10.1] 0.75 [0.41, 1.38] 1.76 [0.80, 3.86]
Diagnostic threshold: sBP 130mmHg or dBP 80mmHg

Pooled Normal + Elevated BP (<130/80mmHg) 1.6 [1.3, 1.9] I2=29%,(1.1, 2.2) 0.93 [0.89, 0.96] 1.47 [1.28, 1.69]

Bellad 1.8 [1.1, 2.9] 0.98 [0.95, 1.00] 1.81 [1.12, 2.92]
Duffy 1.5 [1.3, 1.6] 0.90 [0.87, 0.94] 1.31 [1.21, 1.43]
McLaren 5.0 [0.6, 42.2] 0.33 [0.05, 1.97] 1.69 [1.16, 2.48]
Qureshi 1.8 [1.4, 2.4] 0.93 [0.89, 0.97] 1.75 [1.36, 2.27]
Reddy 0.7 [0.3, 1.5] 1.04 [0.96, 1.12] 0.75 [0.39, 1.45]
Sabol 2.9 [1.1, 7.8] 0.71 [0.46, 1.10] 2.10 [1.20, 3.67]
Sevene 0.8 [0.1, 5.7] 1.01 [0.92, 1.11] 0.79 [0.11, 5.45]
Sutton 2020 1.4 [0.2, 11.2] 0.96 [0.71, 1.30] 1.30 [0.21, 8.00]
Diagnostic threshold: sBP 140mmHg or dBP 90mmHg

Pooled Normal + Elevated BP + Stage 1 HTN (<140/90mmHg) 3.5 [2.5, 4.9] I2=0%,(2.3, 5.3) 0.93 [0.86, 0.97] 3.33 [2.23, 4.80]

Bellad 2.9 [1.3, 6.7] 0.99 [0.98, 1.00] 3.36 [1.39, 8.09]
McLaren 1.3 [0.2, 10.6] 0.91 [0.62, 1.34] 1.58 [0.37, 6.76]
Qureshi 4.3 [2.7, 6.6] 0.96 [0.94, 0.99] 5.17 [3.00, 8.90]
Reddy 1.9 [0.5, 7.7] 0.98 [0.94, 1.02] 2.33 [0.68, 7.96]
Rosner 3.3 [0.2, 66.9] 0.88 [0.53, 1.47] 2.91 [0.22, 37.83]
Sabol 2.8 [0.9, 8.8] 0.82 [0.62, 1.09] 2.54 [1.14, 5.64]
Sevene 2.5 [0.4, 17.7] 0.95 [0.85, 1.06] 3.58 [0.70, 18.28]
Sutton 2020 2.8 [0.3, 23.6] 0.86 [0.62, 1.20] 3.39 [0.80, 14.36]

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

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.