Evidence map›Paper›PMID 41699290›Full record

ArticleHypertension research : official journal of the Japanese Society of Hypertension2026

Association of first trimester peripheral blood count-derived immune markers with the risk of incident hypertensive disorders of pregnancy: a retrospective cohort study.

Xiangjie Kong, Zhenxiu Guo, Jianhong Dong, Bing Hao, Yutong Jiao, Jingyi Wang, Yili Wu, Shan Kang

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Article in Hypertension research : official journal of the Japanese Society of Hypertension, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xiangjie KongDepartment of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao, China.
Zhenxiu GuoClinical laboratory, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, China.
Jianhong DongClinical laboratory, Qingdao Women and Children's Hospital, Qingdao University, Qingdao, China.
Bing HaoDepartment of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao, China.
Yutong JiaoDepartment of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao, China.
Jingyi WangDepartment of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao, China.
Yili WuDepartment of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao, China.
Shan KangDepartment of Epidemiology and Health Statistics, School of Public Health, Qingdao University, Qingdao, China. kangshan@qdu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging evidence links maternal immune dysregulation to hypertensive disorders of pregnancy (HDP), yet gestational immune alterations preceding symptom onset remain unclear. This study aimed to evaluate the associations between first-trimester immune biomarkers and incident HDP risk across clinical subtypes. This retrospective cohort study enrolled pregnant women aged ≥18 years undergoing first-trimester antenatal screening at a tertiary hospital from March to November 2023. First-trimester peripheral immune markers-neutrophils, monocytes, lymphocytes, and platelets-were measured, with derived indices including neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), systemic immune-inflammation index (SII), and aggregate index of systemic inflammation (AISI). Outcomes included HDP, gestational hypertension (GHTN), and preeclampsia confirmed via electronic medical records. Multivariable logistic regression models were performed to evaluate the relationship between peripheral immune markers and outcomes. Among the 2739 pregnant women who met inclusion criteria, 195 developed HDP, including 96 GHTN and 99 preeclampsia. Multivariable logistic regression demonstrated that first-trimester neutrophils, monocytes, platelets, lymphocytes, SII, and AISI were independently and positively associated with HDP risk in a linear dose-response manner (all FDR P < 0.05), with platelets exhibiting the strongest association (OR

Indexed as

Hypertension, Pregnancy-InducedPregnancy Trimester, FirstAdultBiomarkersBlood Cell CountFemaleHumansPre-EclampsiaPregnancyRetrospective StudiesBiomarkersGestational hypertensionHypertensive disorders of pregnancyPeripheral immune markersPreeclampsia

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.