Lupus & antiphospholipid syndrome

Diffuse alveolar haemorrhage in systemic lupus erythematosus: A multicentre retrospective study in Singapore

LupusPublished Retrospective cohort study

Authors' conclusion

The overall mortality of DAH in SLE patients remained high. There were no significant differences in patient demographics or clinical characteristics between the survivors and non-survivors. However, better survival appears to be associated with treatment with cyclophosphamide.

Study context

Population
Systemic lupus erythematosus (SLE) patients with diffuse alveolar haemorrhage (DAH) hospitalised in 3 tertiary hospitals in Singapore, January 2007–October 2017
Participants
35 patients
Exposure
Survivors vs non-survivors; survival by treatment group
Outcome
Overall mortality and survival
Methodological detailsmulticentre, 3 tertiary hospitals, medical records review
  • Multicentre
  • 3 tertiary hospitals
  • Medical records review

Main finding

As reported in the abstract

Overall mortality rate
40%
Median survival time
162 days
Remission
26 (74.3%)
Median time to remission after DAH diagnosis, days (IQR 6-46)
12
Mechanical ventilation required
22
Median duration of mechanical ventilation
12 days

Observational data: associations, not effects.

Further findings

Survival by treatment

P = 0.0026

Demographics and clinical characteristics, survivors vs non-survivors

No significant differences between survivors and non-survivors

Original publication

Diffuse alveolar haemorrhage in systemic lupus erythematosus: A multicentre retrospective study in Singapore. Lupus. Published 2 June 2023. doi:10.1177/09612033231180704

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