Role of CA-125 Level as a Marker in the Management of Severe Pre-Eclampsia Article Swipe
Oana Balint
,
Cristina Secoșan
,
Laurențiu Pirtea
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/healthcare10122474
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.3390/healthcare10122474
Background and Objectives: Hypertensive disorders of pregnancy remain one of the leading causes of morbidity and mortality in maternal–fetal medicine worldwide, particularly in low-resource settings. Despite extensive research in the last decades, pre-eclampsia prediction and, thus, effective prevention remains an unsolved problem. Current evidence suggests that CA-125, an already recognised tumoral marker and, lately, a valuable severity marker of heart failure, can be used to evaluate pre-eclampsia severity and thus improve the identification and management of high-risk patients; Materials and Methods: This is a case–control study involving 100 pregnant patients over 25 weeks of gestation, grouped based on the severity of hypertension in gestational hypertension (n = 22), non-severe pre-eclampsia (n = 11), severe pre-eclampsia (n = 17), and a control group (normotensive) (n = 50). Clinical and biochemical parameters recommended by the international guidelines for evaluating hypertensive pregnant patients were gathered from every patient in addition to CA-125 levels. The correlation was analysed. Results: Mean CA-125 levels increased with the severity of hypertension from a mean of 8.97 U/mL (±2.84) in the normotensive group to a mean of 21.23 U/mL (±11.18) in the severe pre-eclampsia group. Significant differences were observed between each group. The correlation of CA-125 levels with the assessed clinical and biochemical parameters showed positive correlations with MAP, 24 h proteinuria, and LDH values and negative correlations with platelet count, gestational age at birth, and birth weight Conclusions: The reported results support this marker’s promising role as a severity marker and its potential to improve pre-eclampsia management allowing a better selection of high-risk patients, aiding in decision making related to hospitalisation and/or timing of birth. Further studies are needed to improve the accuracy of the obtained results, identify an accurate cut-off and an optimal time of measurement, and achieve standardisation in measuring the marker.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/healthcare10122474
- https://www.mdpi.com/2227-9032/10/12/2474/pdf?version=1670424886
- OA Status
- gold
- Cited By
- 3
- References
- 35
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4311951206
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4311951206Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/healthcare10122474Digital Object Identifier
- Title
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Role of CA-125 Level as a Marker in the Management of Severe Pre-EclampsiaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
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2022-12-07Full publication date if available
- Authors
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Oana Balint, Cristina Secoșan, Laurențiu PirteaList of authors in order
- Landing page
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https://doi.org/10.3390/healthcare10122474Publisher landing page
- PDF URL
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https://www.mdpi.com/2227-9032/10/12/2474/pdf?version=1670424886Direct link to full text PDF
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2227-9032/10/12/2474/pdf?version=1670424886Direct OA link when available
- Concepts
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Eclampsia, Psychology, Obstetrics, Medicine, Pregnancy, Biology, GeneticsTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 1, 2024: 1, 2023: 1Per-year citation counts (last 5 years)
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35Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| referenced_works | https://openalex.org/W2960659672, https://openalex.org/W2341276202, https://openalex.org/W2524116126, https://openalex.org/W2152401910, https://openalex.org/W2590816843, https://openalex.org/W4211032164, https://openalex.org/W6780326746, https://openalex.org/W2268198215, https://openalex.org/W2132932170, https://openalex.org/W2044434705, https://openalex.org/W3121118670, https://openalex.org/W2003969441, https://openalex.org/W182356710, https://openalex.org/W1992878875, https://openalex.org/W2078300272, https://openalex.org/W68554369, https://openalex.org/W2004329026, https://openalex.org/W1997559559, https://openalex.org/W1987517527, https://openalex.org/W2094269851, https://openalex.org/W2036612899, https://openalex.org/W2039169548, https://openalex.org/W2011126665, https://openalex.org/W2028338597, https://openalex.org/W6644129431, https://openalex.org/W2004619662, https://openalex.org/W2109155665, https://openalex.org/W2067187780, https://openalex.org/W3088571551, https://openalex.org/W2061146801, https://openalex.org/W2313708709, https://openalex.org/W71058652, https://openalex.org/W2999436389, https://openalex.org/W3040106153, https://openalex.org/W1976232467 |
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