Prenatal Exposure to Preeclampsia and Long-Term Ophthalmic Morbidity of the Offspring

Eliel Kedar Sade, Tamar Wainstock, Erez Tsumi, Eyal Sheiner

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

The aim of this population-based study was to evaluate whether prenatal exposure to preeclampsia poses a risk for long-term ophthalmic morbidity. A population-based cohort analysis compared the risk of long-term ophthalmic morbidity among children who were prenatally exposed to preeclampsia and those who were not. The study population was composed of children who were born between the years 1991 and 2014 at a single tertiary medical center. Total ophthalmic hospitalization and time-to-event were both evaluated. A Kaplan-Meier survival curve was conducted to compare cumulative ophthalmic hospitalization incidence based on the severity of preeclampsia. Confounders were controlled using a Cox regression model. A total of 242,342 deliveries met the inclusion criteria, of which 7279 (3%) were diagnosed with mild preeclampsia and 2222 (0.92%) with severe preeclampsia or eclampsia. A significant association was found between severe preeclampsia or eclampsia and the risk of long-term vascular-associated ophthalmic morbidity in the offspring (no preeclampsia 0.3%, mild preeclampsia 0.2% and severe preeclampsia or eclampsia 0.5%, p = 0.008). This association persisted after controlling for maternal age and ethnicity (adjusted hazard ratio (HR) 1.861, 95% CI 1.051-3.295). In conclusion, within our population, prenatal exposure to severe preeclampsia or eclampsia was found to be a risk factor for long-term vascular-associated ophthalmic morbidity in the offspring.

Original languageEnglish
Article number1271
JournalJournal of Clinical Medicine
Volume9
Issue number5
DOIs
StatePublished - 28 Apr 2020

Keywords

  • Long-term morbidity
  • Ophthalmic morbidity
  • Preeclampsia
  • Pregnancy

ASJC Scopus subject areas

  • General Medicine

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