Table 7.
Pre-eclampsia and risk of death from any cause in later life
Study, country | Study design | Exposure | Race | Parity | Definition of exposure | No with pre-eclampsia/No of women | Mean follow up (years) | No of cases | Relative risk (95% CI) | Degree of adjustment* | |
---|---|---|---|---|---|---|---|---|---|---|---|
Minimum SBP, minimum DBP (mm Hg) | Minimum proteinuria g/24 h | ||||||||||
Irgens 2001,w15 Norway | RC | Pre-eclampsia 16-36 weeks; pre-eclampsia ≥37 weeks | White | P | —, 85 | — | 2649; 21 506/626 272 | 13 | 325; 4025 | 2.71 (1.99 to 3.68); 1.04 (0.88 to 1.23) | |
Smith 2001,w16 UK | RC | Pre-eclampsia | White | P | †, † | † | 22 781/129 290 | 16.9 | 1111 | 1.1 (0.96 to 1.25) | Socioeconomic status |
Wilson 2003,w13 UK | RC | Pre-eclampsia and eclampsia | White | P | 90 | 0.3 | 1043/1839 | 32 | 176 | 1.17 (0.83 to 1.64) | Socioeconomic status |
Funai 2005,w17 Israel | RC | Pre-eclampsia | Mixed | Any | 140, 90 | ‡ | 1070/37 061 | 30 | 1900 | 2.13 (1.79 to 2.53) | Socioeconomic status, type 2 diabetes, gestational diabetes |
Total | 49 049/794 462 | 14.5 | 7537 |
SBP=systolic blood pressure; DBP=diastolic blood pressure; RC=retrospective cohort; P=primiparous. All papers adjusted for maternal age, year of birth, and hospital of delivery.
*List of variables used in individual studies to adjust for effect of pre-eclampsia on later risk of chronic disease.
†Hypertension, proteinuria or albuminuria, or both from Scottish morbidity records.
‡Proteinuria (and oedema) must be present, no minimum value specified.