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• W4386600424 abstract "Abstract Background. Improving noninvasive antenatal diagnosis of fetal inflammatory response syndrome (FIRS) can assist in the evaluation of prenatal risk and reduce perinatal outcomes. This study aimed to determine whether soluble urokinase-type plasminogen activator receptor (suPAR) in vaginally collected amniotic fluid is significant in identifying FIRS after preterm premature rupture of membranes before 34 weeks of gestation. Study design. This was a prospective cohort study of 114 pregnant women and their newborns after preterm premature rupture of membranes at 22–34 + 6 weeks of gestation. SuPAR was evaluated using an enzyme-linked immunosorbent assay in vaginally collected amniotic fluid. Patients were classified according to the presence or absence of FIRS. FIRS was defined by umbilical cord blood interleukin-6 level > 11 pg/mL or histological funisitis. The data were analyzed using the R package (R–4.0.5). Results. SuPAR was detected in all amniotic fluid samples with a median of 26.23 ng/mL (interquartile range (IQR), 15.19–51.14). The median level of suPAR was higher in the FIRS group than in the non-FIRS group, 32.36 ng/mL (IQR, 17.27–84.16) vs. 20.46 ng/mL (IQR, 11.49–36.63) (P = 0.011), respectively. The presence of histological chorioamnionitis significantly increased the suPAR concentration in the FIRS group ( P < 0.001). The areas under the curve for FIRS and for FIRS with histological chorioamnionitis were 0.65 and 0.74, respectively, with an optimum cutoff value of 27.60 ng/mL. Controlling for gestational age, the cutoff of suPAR more than 27.60 ng/mL predicted 3-fold higher odds for FIRS and 6-fold higher odds for FIRS with histologic chorioamnionitis. Conclusion. Soluble urokinase-type plasminogen activator receptor in noninvasively obtained amniotic fluid was an independent predictor for FIRS and concomitant histological chorioamnionitis in patients after preterm premature rupture of membranes before 34 weeks of gestation." @default.
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• W4386600424 date "2023-09-11" @default.
• W4386600424 modified "2023-10-16" @default.
• W4386600424 title "Soluble Urokinase Plasminogen Activator Receptor in Vaginally Collected Amniotic Fluid Predicting Fetal Inflammatory Response Syndrome: a prospective cohort study" @default.
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• W4386600424 doi "https://doi.org/10.21203/rs.3.rs-3255455/v1" @default.
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