Pregnancy outcomes following maternal exposure to statins: A systematic review and meta-analysis

Baris Karadas, Nusret Uysal, Hilal Erol, Selin Acar, Meltem Koc, Tijen Kaya-Temiz, Gideon Koren, Yusuf C. Kaplan

פרסום מחקרי: פרסום בכתב עתמאמרביקורת עמיתים

10 ציטוטים ‏(Scopus)

תקציר

Aims: The objective of this meta-analysis was to determine whether maternal exposure to statins is associated with increased rates of major congenital malformations and other adverse pregnancy outcomes. Methods: PubMed/Medline, Web of Science and Reprotox® databases were searched. Cohort and case control studies with prenatal exposure to statins were included. Results: Analysis of five cohort studies and one case–control study showed no significant increase in rate of major congenital malformations when the exposed group was compared with the control ([OR 1.27; 95% CI 0.80–2.04], [aOR 1.05; 95% CI 0.84–1.31]). A significant increase in heart defect risk was detected in the statin-exposed group when unadjusted ORs were combined (OR 2.47; 95% CI 1.36–4.49). Further analysis of the same outcome by using adjusted ORs showed no significant increase in heart defect risk in the statin-exposed group compared with the controls (aOR 1.24; 95% CI 0.93–1.66). A significantly lower live birth rate (OR 0.60, 95% CI 0.49–0.75) and a higher spontaneous abortion rate (OR 1.36; 95% Cl 1.06–1.75) were detected in the statin-exposed group. Conclusions: Gestational statin exposure was not associated with a significant increase in risk of major congenital malformations, heart defects and other adverse pregnancy outcomes, except spontaneous abortion and live birth rate, which may be associated with maternal comorbidity and other unadjusted risk factors. Further research focusing on particular statins is needed to draw more definitive conclusions.

שפה מקוריתאנגלית
עמודים (מ-עד)3962-3976
מספר עמודים15
כתב עתBritish Journal of Clinical Pharmacology
כרך88
מספר גיליון9
מזהי עצם דיגיטלי (DOIs)
סטטוס פרסוםפורסם - ספט׳ 2022

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