NDLI: Preeclampsia and prevalence of microalbuminuria 10 years later.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Sandvik, Miriam Kristine Hallan, Stein Svarstad, Einar Vikse, Bjørn Egil
Spatial Coverage	Norway
Description	Country affiliation: Norway Author Affiliation: Sandvik MK ( Renal Research Group, Institute of Medicine, University of Bergen, Bergen, Norway. miriam.sandvik@med.uib.no)
Abstract	BACKGROUND AND OBJECTIVES: A recent meta-analysis found that about 30% of women with a previous preeclamptic pregnancy had persistent microalbuminuria at follow-up. The analysis was, however, based on small studies, and more data are needed. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Using data from the Medical Birth Registry in Norway, this study identified women with or without preeclampsia in their first pregnancy 9-11 years previously (1998-2000). Women with diabetes, rheumatic disease, essential hypertension, or renal disease before first pregnancy and/or preeclampsia in later pregnancies were excluded. Eighty-nine women with and 69 women without preeclampsia participated in the study. Urinary albumin-to-creatinine ratio (ACR) was measured in three morning urine samples. Estimated GFR (eGFR) was calculated using the CKD-Epidemiology Collaboration formula. RESULTS: Median urinary ACR in follow-up urine samples was 0.53 mg/mmol for women with and 0.50 mg/mmol for women without preeclampsia (P=0.54). Only one woman (1%) with previous preeclampsia had urinary ACR >2.5 mg/mmol in two of three urine samples. Preeclampsia was not associated with urinary ACR above the 75th percentile. Women with preeclampsia did not have significantly higher eGFR than women without preeclampsia (107.9 versus 104.9 ml/min per 1.73 m(2); P=0.12), but preterm preeclampsia was significantly associated with eGFR above the 75th percentile (P=0.03). CONCLUSIONS: In this population-based study of otherwise healthy women, preeclampsia 10 years earlier was not associated with increased risk of persisting microalbuminuria. Estimated GFR was not significantly different between women with and those without preeclampsia, but preterm preeclampsia was associated with high normal eGFR.
File Format	HTM / HTML
ISSN	15559041
e-ISSN	1555905X
DOI	10.2215/CJN.10641012
Journal	Clinical Journal of the American Society of Nephrology
Issue Number	7
Volume Number	8
Language	English
Publisher	American Society of Nephrology
Publisher Date	2013-07-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Blood Pressure Chi-square Distribution Research Support, Non-u.s. Gov't Comparative Study Biological Markers Albuminuria Epidemiology Kidney Time Factors Registries Diagnosis Urine Creatinine Glomerular Filtration Rate Risk Factors Discipline Nephrology Logistic Models Pre-eclampsia Metabolism Physiopathology Pregnancy Serum Albumin Norway
Content Type	Text
Resource Type	Article
Subject	Transplantation Critical Care and Intensive Care Medicine Nephrology Epidemiology

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