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Table 1 Characteristics of the included studies

From: Effect of HELLP syndrome on acute kidney injury in pregnancy and pregnancy outcomes: a systematic review and meta-analysis

Author, Year

Study Design

Country

HELLP was defined

AKI (ARF) was defined

Sample size of patients with AKI in patients with HELLPa

Sample size of patients with AKI in patients without HELLP a

Major clinical outcomes

Quality score

Gul 2004 [7]

RC

Turkey

The criteria of Sibai

creatinine level ≥ 1.2 mg/dL and/or oliguria < 400 mL/24 h

132 (20/112)

156 (10/146)

Kidney outcome、

6

Zuberi 1998 [14]

RC

Pakistan

The criteria of Sibai

Not clear

38 (4/34)

38 (1/37)

Kidney outcome、Fetal outcome、

5

Yildirim 2011 [15]

RC

Turkey

Not clear

a creatinine clearance ≤ 20 mL/min was present with an elevated serum creatinine level ≥ 2 mg/dL

196 21/175

903

14/889

Kidney outcome、Fetal outcome

6

F. Abroug 1992 [16]

PC

Tunisia

hemolysis, increased liver enzymes and thrombocytopenia.

diagnosed on an increased creatinine level over 160 umol/1

12 (8/4)

50 (15/35)

Kidney outcome, Fetal outcome

6

Haddad 2000 [5]

RC

USA

The criteria of Sibai

oligouria or anuria in association with creatinine clearance ≤ 20 mL/min and an elevated serum creatinine level ≥ 2 mg/dL

30 (1/29)

30 (0/30)

Kidney outcome

6

Liu 2006 [17]

RC

China taiwan

Hemolysis, elevated liver enzymes, low platelet count

severe reduction in renal function with elevated serum

creatinine greater than 120 μmol/L (> 1.4 mg/dL).

52 (14/38)

212 (7/205)

Kidney outcome

7

Martin 1993 [18]

RC

USA

the presence of thrombocytopenia, hepatic dysfunction, and haemolysis

Not clear

62 (2/60)

55 (0/55)

Kidney outcome

6

Turgut 2010 [19]

RC

Turkey

the presence of thrombocytopenia, hepatic dysfunction, and haemolysis

creatinine clearance of ≤ 20 mL/min and an elevated serum creatinine level of ≥ 2 mg/dL

111 (9/102)

467 (11/456)

Kidney outcome

6

  1. The criteria of Sibai: hemolysis, elevated lactate dehydrogenase (LDH > 600 IU/L), aspartate (AST > 40 IU/L), and/or alanine aminotransferase (ALT > 40 IU/L) and low platelet (Plt) count as class III (Plt:100–150 × 10 3 /mL), class II (Plt:50–99 × 10 3 /mL), and class I (Plt < 50 × 10 3 /mL)
  2. Abbreviations: CC indicates case–control, RC retrospective cohort, PC prospective cohort, CV cardiovascular
  3. AKI Acute kidney injury,
  4. a Expressed as total number of patients (number in HELLP group/number in control group)