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15 February 2024: Clinical Research

The Impact of Serum Uric Acid Levels on Hypertensive Disorders of Pregnancy in Advanced Maternal Age Women: A Retrospective Study from a Single Center in China

Li Luo 12ADEFG* , Sulan Huang 2ABCEF** , Zhijie Zhuang 3BE* , Yeping Mo 4BE* , Ning Guo 2CE , Liangqing Ge 12E*

DOI: 10.12659/MSM.942629

Med Sci Monit 2024; 30:e942629

Table 1 Baseline clinical characteristics before and after propensity score matching.

CharacteristicBefore PSMAfter PSM
NUA (N=674)HUA (N=106)SMDP valuesNUA (N=168)HUA (N=84)SMDP values
Age (years)37.00 (35.00–39.00)37.00 (35.00–39.00)00.93338.00 (36.00–40.25)37.50 (35.00–39.00)0.200.130
Gravidity (num)3.00 (2.00–5.00)3.00 (2.00–5.00)0.080.5293.50 (3.00–5.00)3.00 (2.00–5.00)0.100.391
Parity, (num)1.00 (1.00–1.00)1.00 (1.00–1.00)0.100.3381.00 (1.00–1.00)1.00 (1.00–1.00)0.120.476
BMI (kg/m)27.98 (25.76–30.04)28.04 (26.16–30.49)0.080.31127.71 (25.66–29.59)27.89 (26.04–30.04)0.140.273
RDW (%)14.00 (13.30–14.80)14.30 (13.30–15.20)0.190.04414.20 (13.20–15.10)14.30 (13.30–15.20)0.120.359
WBC (10/L)8.83 (7.26–10.49)8.81 (7.11–11.05)0.010.9228.93 (7.20–11.16)8.83 (6.97–11.13)0.050.965
RBC (10/L)3.86 (3.55–4.14)3.79 (3.34–4.23)0.080.8463.90 (3.62–4.19)3.79 (3.45–4.23)0.120.173
Hb (g/L)117.00 (108.00–126.00)116.00 (104.00–129.00)0.010.745117.50 (109.75–127.00)116.50 (104.00–128.00)0.190.291
Platelets (10/L)186.00 (155.00–222.00)169.00 (139.00–211.00)0.280.002185.50 (154.75–230.00)169.50 (146.00–211.00)0.160.009
ALB (g/L)35.30 (33.70–37.40)34.30 (31.30–37.20)0.220.01435.45 (33.98–37.90)34.45 (31.30–37.00)0.180.016
ALT (U/L)14.00 (10.00–20.00)16.00 (11.00–28.00)0.330.00213.00 (10.00–22.00)14.50 (11.00–35.00)0.110.109
AST (U/L)19.00 (16.00–25.00)26.00 (21.00–31.00)0.3919.00 (16.00–27.00)24.00 (20.00–29.00)0.20
BUN (mmol/L)3.25 (2.74–4.03)4.23 (3.58–5.30)0.553.08 (2.58–3.64)4.04 (3.52–4.72)0.14
Creatinine (umol/L)46.00 (40.00–52.00)59.00 (52.00–69.00)1.1738.50 (35.00–53.00)55.00 (49.00–65.00)0.11
Potassium (mmol/L)3.93 (3.78–4.10)4.06 (3.85–4.35)0.523.91 (3.67–4.06)4.08 (3.93–4.34)0.09
TG (mmol/L)3.82 (3.82–3.82)3.82 (3.47–4.78)0.290.0043.82 (3.82–3.82)3.82 (3.47–4.67)0.110.078
TC (mmol/L)6.08 (6.08–6.08)6.08 (5.84–6.80)0.210.0246.08 (6.08–6.08)6.08 (5.87–6.80)0.160.011
HDL (mmol/L)1.83 (1.83–1.83)1.83 (1.66–1.96)0.100.2081.83 (1.83–1.83)1.83 (1.83–1.96)0.010.001
LDL (mmol/L)3.03 (3.03–3.03)3.03 (2.74–3.68)0.200.0913.03 (3.03–3.03)3.03 (2.95–3.68)0.050.025
Blood sugar (mmol/L)4.93 (4.31–5.73)4.98 (4.23–6.06)0.250.3454.99 (4.40–6.08)4.99 (4.09–5.95)0.160.921
SUA (umol/L)304.00 (256.00–346.00)467.00 (439.00–519.00)314291.50 (232.75–323.25)459.50 (435.00–507.00)0.11
ESR (mm/h)37.00(37.00–37.00)37.00(36.00–37.00)0.090.08137.00 (37.00–37.00)37.00 (36.00–37.00)0.150.110
SBP (mmHg)124.00 (112.00–138.00)136.00 (125.00–155.00)0.59124.00 (109.75–141.25)132.50 (123.00–155.00)0.15
DBP (mmHg)79.00 (70.00–89.00)89.00 (79.00–97.00)0.6575.50 (68.50–87.00)86.50 (79.00–96.00)0.16
Heart rate (beats/min)91.00 (84.00–100.00)89.00 (85.00–98.00)110.39391.00 (82.75–101.00)89.50 (85.00–98.00)0.110.692
Gestational week (weeks)18.20 (15.50–19.00)17.40 (14.60–18.50)0.060.01317.50 (14.30–18.50)17.40 (14.60–18.50)0.190.600
GDM, n (%)0.210.0380.060.052
 No486 (72.11%)66 (62.26%)124 (73.81%)52 (61.90%)
 Yes188 (27.89%)40 (37.74%)44 (26.19%)32 (38.10%)
Urine protein, n (%)0.300.0050.170.212
 No366 (54.30%)42 (39.62%)90 (53.57%)38 (45.24%)
 Yes308 (45.70%)64 (60.38%)78 (46.43%)46 (54.76%)
HDP, n (%)0.770.06
 No458 (67.95%)34 (32.08%)112 (66.67%)32 (38.10%)
Gestational hypertension92 (13.65%)32 (30.19%)28 (16.67%)24 (28.57%)
Preeclampsia or eclampsia124 (18.40%)40 (37.74%)28 (16.67%)28 (33.33%)
Data are expressed as median (Q1–Q3) or number (%). SMD – standardized mean difference; BMI– body mass index; WBC – white blood cell; RBC – red blood cell; Hb – haemoglobin; RDW – red blood cell distribution width; ALB – albumin; ALT – alanine transaminase; AST – aspartate transaminase; BUN – urea nitrogen; TC – total cholesterol; TG – triglyceride; HD – high-density lipoprotein; LDL – low density lipoprotein; ESR – erythrocyte sedimentation rate; SBP – systolic blood pressure; DBP – diastolic blood pressure; GDM – gestational diabetes; HDP – hypertensive disorders of pregnancy.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750