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

Table S7.

Pooled relative risk and mean likelihood ratios for preterm birth, 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 [1.0, 1.5] I2=94%,
(0.6, 2.5)
0.95 [0.89, 1.00] 1.21 [1.01, 1.43]
Bellad 1.2 [1.0, 1.5] 0.99 [0.97, 1.00] 1.28 [1.03, 1.60]
Greenberg 1.6 [1.4, 1.8] 0.84 [0.80, 0.88] 1.41 [1.31, 1.52]
Hu 0.8 [0.7, 0.9] 1.09[ 1.03, 1.15] 0.86 [0.78, 0.96]
Qureshi 1.0 [0.9, 1.0] 1.01 [0.99, 1.03] 0.94 [0.83, 1.06]
Reddy 1.3 [1.1, 1.4] 0.93 [0.89, 0.97] 1.21 [1.10, 1.32]
Rosner 1.6 [0.9, 2.7] 0.83 [0.65, 1.07] 1.41 [0.96, 2.07]
Sevene 1.1 [0.8, 1.5] 0.98 [0.93, 1.04] 1.14 [0.74, 1.74]
Sutton 2020 1.8 [1.6, 2.0] 0.83 [0.79, 0.87] 1.54 [1.42, 1.67]
Diagnostic threshold: sBP 130mmHg or dBP 80mmHg
Pooled LR Normal + ElevatedBP (<130/80mmHg) 1.5 [1.3, 1.8] I2=98%,
(0.7, 3.3)
0.91 [0.84, 0.96] 1.49 [1.24, 1.77]
Bellad 1.4 [1.1, 1.8] 0.99 [0.98, 1.00] 1.49 [1.11, 2.00]
Bello 2.0 [1.9, 2.1] 0.85 [0.84, 0.86] 1.83 [1.77, 1.90]
Darwin 2.3 [1.9, 2.8] 0.77 [0.71, 0.84] 2.04 [1.74, 2.40]
Duffy 1.2 [1.2, 1.3] 0.95 [0.94, 0.95] 1.18 [1.15, 1.21]
Greenberg 1.9 [1.7, 2.2] 0.88 [0.85, 0.91] 1.78 [1.59, 1.98]
Hu 0.8 [0.7, 1.0] 1.05 [1.01, 1.09] 0.86 [0.75, 0.99]
Huai 1.0 [0.6, 1.7] 1.01 [0.82, 1.24] 0.98 [0.66, 1.47]
McLaren 2.4 [1.2, 5.1] 0.55 [0.31, 0.96] 1.51 [1.16, 1.97]
Qureshi 1.0 [0.9, 1.2] 1.00 [0.98, 1.01] 1.04 [0.89, 1.22]
Reddy 1.4 [1.2, 1.7] 0.94 [0.91, 0.97] 1.38 [1.21, 1.58]
Sabol 2.2 [1.8, 2.6] 0.78 [0.72, 0.84] 1.99 [1.72, 2.30]
Sevene 1.1 [0.8, 1.7] 0.99 [0.95, 1.03] 1.21 [0.66, 2.22]
Sutton 2020 2.3 [2.0, 2.6] 0.87 [0.84, 0.90] 2.12 [1.88, 2.40]
Diagnostic threshold: sBP 140mmHg or dBP 90mmHg
Pooled LR Normal + Elevated BP +Stage 1 (<140/90mmHg) 2.3 [2.0, 2.6] I2=82%,
[1.1, 4.6]
0.95 [0.89, 0.98] 2.52 [2.04, 3.06]
Bello 2.6 [2.5, 2.8] 0.92 [0.91, 0.93] 2.77 [2.60, 2.94]
Bellad 2.2 [1.4, 3.3] 0.99 [0.99, 1.00] 2.67 [1.46, 4.89]
Darwin 2.7 [2.2, 3.3] 0.82 [0.77, 0.87] 2.71 [2.20, 3.35]
Greenberg 2.5 [2.1, 2.9] 0.90 [0.88, 0.93] 2.46 [2.12, 2.85]
Hu 1.0 [0.7, 1.5] 1.00 [0.98, 1.01] 1.04 [0.73, 1.48]
McLaren 4.0 [2.2, 7.6] 0.68 [0.51, 0.90] 3.89 [2.15, 7.05]
Qureshi 1.6 [1.2, 2.0] 0.99 [0.99, 1.00] 2.14 [1.34, 3.43]
Reddy 2.4 [1.8, 3.3] 0.98 [0.97, 0.99] 2.66 [1.85, 3.82]
Rosner 2.1 [0.9, 4.7] 0.94 [0.84, 1.04] 2.25 [0.86, 5.85]
Sabol 2.7 [2.2, 3.2] 0.83 [0.79, 0.87] 2.93 [2.37, 3.62]
Sevene 1.3 [0.7, 2.4] 0.99 [0.97, 1.01] 1.48 [0.52, 4.21]
Sutton 2020 3.2 [2.7, 3.7] 0.89 [0.86, 0.91] 3.19 [2.74, 3.72]

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.