Prognostic biomarkers of eclampsia: A meta-analysis


Mugazov M.M. Omertayeva D.E. Vasiliyev D.V. Vasiliyeva N.N. Khoroshavtseva L.A. Romashkova A.K.
1 April 2025Kaz Med Print LLP

Reproductive Medicine (Central Asia)
2025#2025Issue 134 - 40 pp.

Relevance: Eclampsia is a life-threatening pregnancy complication characterized by seizures and loss of consciousness on the background of preeclampsia. The WHO estimates that 10–15% of maternal mortality is associated with hypertensive disorders, including eclampsia. The study aimed to comprehensively analyze key biomarkers for predicting eclampsia based on high-quality studies from the last 10 years. Materials and Methods: he study included 40 research papers from the PubMed, Scopus, and Cochrane Library databases focusing on biomarkers such as sFlt-1/PlGF, cell-free DNA (cfDNA), and genetic markers of inflammation. Data analysis was performed using the PRISMA method, with odds ratios (OR) and 95% confidence intervals (CI) calculations. Results: The sFlt-1/PlGF ratio was the most accurate predictor of eclampsia (OR = 7.5; 95% CI: 5.6-9.9; p < 0.001). Levels of cfDNA (OR = 6.3; 95% CI: 4.7-8.4; p < 0.001) and polymorphisms of the IL-10 and TNF-α genes (OR = 3.9; 95% CI: 2.8-5.4; p < 0.001) were also significant. Conclusion: The combined use of sFlt-1/PlGF, cfDNA, and genetic tests enhances the accuracy of eclampsia prediction and presents significant clinical potential.

biomarker , eclampsia , prediction , preeclampsia , pregnancy

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Emergency Care, Anesthesiology and Resuscitation Department, Karaganda Medical University, Karaganda, Kazakhstan
Obstetrics, Gynecology and Perinatology Department, Karaganda, Kazakhstan

Emergency Care
Obstetrics

10 лет помогаем публиковать статьи Международный издатель

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