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Table 4 Risks for fetal CHD in different maternal hair cobalt concentrations

From: Association between metal cobalt exposure and the risk of congenital heart defect occurrence in offspring: a multi-hospital case-control study

Group

Total hair Co

Hair low n = 197 (< 0.0161 ng/mg)

Hair medium n = 199 (0.0161 ng/mL–0.0435 ng/mg)

Hair high n = 197 (> 0.0435 ng/mg)

Control (n)

325

153

87

85

All cases (n)

268

44

112

112

cOR

1.761***

Reference

4.476***

4.582***

aOR

0.090

Reference

3.035***

1.995*

95% CI

0.004–2.264

 

1.809–5.092

1.116–3.569

Case with septal defects (n)

182

27

78

77

 cOR

1.652

Reference

5.080***

5.133***

 aOR

0.148

Reference

4.183***

2.544**

 95% CI

0.006–3.815

 

2.283–7.664

1.289–5.021

Case with conotruncal defects (n)

133

21

59

53

 cOR

1.528

Reference

4.941***

4.543***

 aOR

0.001

Reference

3.133***

1.885

 95% CI

0.001–1.865

 

1.628–6.029

0.899–3.952

Case with right ventricular outflow tract obstruction (n)

123

16

54

53

 cOR

1.627**

Reference

5.935***

5.962***

 aOR

0.016

Reference

3.657***

2.717***

 95% CI

0.001–7.969

 

1.805–7.408

1.251–5.902

Case with left ventricular outflow tract obstruction (n)

41

5

20

16

 cOR

1.679**

Reference

7.034***

5.760**

 aOR

0.553

Reference

4.168***

2.701

 95% CI

0.020–15.498

 

1.254–13.854

0.719–10.150

Case with anomalous pulmonary venous return (n)

42

8

19

15

 cOR

1.483*

Reference

4.177**

3.375**

 aOR

0.003

Reference

2.585

0.969

 95% CI

0.001–138.136

 

0.991–6.746

0.296–3.174

Case with other heart defects (n)

48

10

18

20

 cOR

1.521**

Reference

3.166**

3.600**

 aOR

0.004

Reference

1.330

1.255

 95% CI

0.001–156.466

 

0.500–3.536

0.424–3.710

  1. n number, aOR adjusted odds ratio, cOR crude odds ratio
  2. Logistic regression was used to calculate odds ratios and 95% CIs; the low-medium-high concentration of cobalt are referring to the tertiles and lose-dose group of cobalt was consider as a reference; all models were adjusted for maternal age, gestational age, education, taking folic acid (yes, no), parental smoking (yes, no), maternal pre-pregnancy BMI and iron, and calcium concentration. Significant differences between the mothers of case and control were indicated by the following: *P < 0.05, **P < 0.01 or ***P < 0.001