Clinical Predictors Implicated in the Incidence of Acute Pyelonephritis during the Antepartum Period: A Population-Based Cohort Study
Introduction: Acute pyelonephritis (APN) is a common infection during pregnancy that increases the risk of unfavorable maternal and fetal outcomes. However, it has not been clearly elucidated which demographic and clinical characteristics are associated with the incidence of APN during pregnancy. Ob...
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doaj-cda75c738af14d84b62476ca50abc0552020-11-25T03:06:06ZengKarger PublishersKidney & Blood Pressure Research1420-40961423-01432019-12-0111010.1159/000503788503788Clinical Predictors Implicated in the Incidence of Acute Pyelonephritis during the Antepartum Period: A Population-Based Cohort StudyGang Jee KoShin Young AhnJi Eun KimEun Jung ChoKyu-Min LeeHo Yeon KimYoung Joo KwonMin-Jeong OhSung Won HanGeum Joon ChoIntroduction: Acute pyelonephritis (APN) is a common infection during pregnancy that increases the risk of unfavorable maternal and fetal outcomes. However, it has not been clearly elucidated which demographic and clinical characteristics are associated with the incidence of APN during pregnancy. Objective: This population-based cohort study aimed to determine the risk factors for APN during pregnancy. Methods: Using the database of the Health Insurance Review and Assessment Service of South Korea, we enrolled Korean women who delivered infants between 2010 and 2014 in Korea and had complete health examination records within 1 year of pregnancy. We performed multivariate logistic regression analysis to evaluate the risk factors for APN during pregnancy. Results: Of 370,248 women, 2,526 (0.7% of the total participants) were treated for APN while in hospitalization during pregnancy. Younger age, history of previous APN within 1 year of pregnancy, and abnormal results of health examination before pregnancy, such as high fasting glucose level (>100 mg/dL) and proteinuria, were associated with an increased risk of APN during pregnancy. Conclusion: Certain maternal demographic and clinical characteristics were associated with the incidence of APN during pregnancy, and these should be monitored closely during antenatal care.https://www.karger.com/Article/FullText/503788acute pyelonephritisrisk factorsantenatal careproteinuria |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gang Jee Ko Shin Young Ahn Ji Eun Kim Eun Jung Cho Kyu-Min Lee Ho Yeon Kim Young Joo Kwon Min-Jeong Oh Sung Won Han Geum Joon Cho |
spellingShingle |
Gang Jee Ko Shin Young Ahn Ji Eun Kim Eun Jung Cho Kyu-Min Lee Ho Yeon Kim Young Joo Kwon Min-Jeong Oh Sung Won Han Geum Joon Cho Clinical Predictors Implicated in the Incidence of Acute Pyelonephritis during the Antepartum Period: A Population-Based Cohort Study Kidney & Blood Pressure Research acute pyelonephritis risk factors antenatal care proteinuria |
author_facet |
Gang Jee Ko Shin Young Ahn Ji Eun Kim Eun Jung Cho Kyu-Min Lee Ho Yeon Kim Young Joo Kwon Min-Jeong Oh Sung Won Han Geum Joon Cho |
author_sort |
Gang Jee Ko |
title |
Clinical Predictors Implicated in the Incidence of Acute Pyelonephritis during the Antepartum Period: A Population-Based Cohort Study |
title_short |
Clinical Predictors Implicated in the Incidence of Acute Pyelonephritis during the Antepartum Period: A Population-Based Cohort Study |
title_full |
Clinical Predictors Implicated in the Incidence of Acute Pyelonephritis during the Antepartum Period: A Population-Based Cohort Study |
title_fullStr |
Clinical Predictors Implicated in the Incidence of Acute Pyelonephritis during the Antepartum Period: A Population-Based Cohort Study |
title_full_unstemmed |
Clinical Predictors Implicated in the Incidence of Acute Pyelonephritis during the Antepartum Period: A Population-Based Cohort Study |
title_sort |
clinical predictors implicated in the incidence of acute pyelonephritis during the antepartum period: a population-based cohort study |
publisher |
Karger Publishers |
series |
Kidney & Blood Pressure Research |
issn |
1420-4096 1423-0143 |
publishDate |
2019-12-01 |
description |
Introduction: Acute pyelonephritis (APN) is a common infection during pregnancy that increases the risk of unfavorable maternal and fetal outcomes. However, it has not been clearly elucidated which demographic and clinical characteristics are associated with the incidence of APN during pregnancy. Objective: This population-based cohort study aimed to determine the risk factors for APN during pregnancy. Methods: Using the database of the Health Insurance Review and Assessment Service of South Korea, we enrolled Korean women who delivered infants between 2010 and 2014 in Korea and had complete health examination records within 1 year of pregnancy. We performed multivariate logistic regression analysis to evaluate the risk factors for APN during pregnancy. Results: Of 370,248 women, 2,526 (0.7% of the total participants) were treated for APN while in hospitalization during pregnancy. Younger age, history of previous APN within 1 year of pregnancy, and abnormal results of health examination before pregnancy, such as high fasting glucose level (>100 mg/dL) and proteinuria, were associated with an increased risk of APN during pregnancy. Conclusion: Certain maternal demographic and clinical characteristics were associated with the incidence of APN during pregnancy, and these should be monitored closely during antenatal care. |
topic |
acute pyelonephritis risk factors antenatal care proteinuria |
url |
https://www.karger.com/Article/FullText/503788 |
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