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. 2021 May 5;8(1):e000472. doi: 10.1136/lupus-2020-000472

Table 2.

Primary and secondary outcomes for patients with SLE/APS in both cohorts

Pregnancies (n) SLE
(±secondary APS)
Primary APS
(thrombotic+obstetric)
Pathway
N=16
Historical
N=43
Pathway
N=25
Historical
N=28
Disease outcomes
SLE flare 2 (12.5) 17 (39.5)
 Major SLE flare 1 (6.3) 7 (16.3)
  Kidney 0/1 (0.0) 6/7 (85.7)
  Heart/Lungs 1/1 (100.0) 0/7 (0.0)
  Nervous system 0/1 (0.0) 0/7 (0.0)
  Haematological 0/1 (0.0) 2/7 (28.6)
 Minor SLE flare 1 (6.3) 10 (23.3)
  Joints 1/1 (100.0) 8/10 (80.0)
  Skin 0/1 (0.0) 4/10 (40.0)
SLEPDAI* 7 (6–8) 4 (2–16)
Thromboembolic events 0 (0.0) 0 (0.0) 1 (4.0) 3 (10.7)
Maternal outcomes
Miscarriage 0 (0.0) 3 (7.0) 10 (40.0) 14 (50.0)
 <10 weeks 0 (0.0) 3 (7.0) 10 (40.0) 9 (32.1)
 10–16 weeks 0 (0.0) 0 (0.0) 0 (0.0) 5 (17.9)
Gestational hypertension† 1 (6.3) 2 (5.0) 2 (13.3) 0 (0.0)
Severe hypertensive disease† 5 (31.3) 13 (32.5) 4 (26.7) 4 (28.6)
Vaginal delivery† 11 (68.8) 25 (62.5) 7 (46.7) 9 (64.3)
Fetal outcomes
Perinatal death† 1 (6.3) 1 (2.5) 0 (0.0) 0 (0.0)
FGR (EFW <p10)† 3 (18.8) 8 (20.0) 1 (6.7) 1 (7.1)
Preterm birth <37 weeks† 6 (37.5) 15 (37.5) 6 (40.0) 3 (21.4)
Preterm birth <32 weeks† 1 (6.3) 5 (12.5) 1 (6.7) 2 (14.3)
Congenital heart block† 0 (0.0) 1 (2.5) 0 (0.0) 0 (0.0)
NICU admission† 2 (12.5) 7 (17.5) 1 (6.7) 2 (14.3)

Data depicted as number of pregnancies (% of cohort).

Severe hypertensive disease=pre-eclampsia, eclampsia or HELLP.

*Median (minimum, maximum).

†For calculations miscarriages were excluded.

APS, antiphospholipid syndrome; EFW, estimated fetal weight; FGR, fetal growth restriction; HELLP, haemolysis elevated liver enzymes low platelets; NICU, neonatal intensive care unit; SLEPDAI, Systemic Lupus Erythematosus Pregnancy Disease Activity Index.