Systemic sclerosis & Raynaud's

Does the Impact of COVID‐19 on Patients With Systemic Sclerosis Change Over Time?

Arthritis Care Res (Hoboken)Published Registry-based cohort study

Authors' conclusion

The outcome of patients with both SSc and COVID-19 improved significantly over time because of intrinsic and extrinsic factors.

Study context

Population
Patients with both systemic sclerosis (SSc) and COVID-19 registered in EUSTAR, April 2020–April 2021
Participants
333 patients
Exposure
COVID-19 waves 2 and 3 vs wave 1
Outcome
Severe outcome: death, ICU stay, or ventilatory support
Methodological detailsmulticentre, EUSTAR registry, multivariate logistic regression
  • Multicentre
  • EUSTAR registry
  • Multivariate logistic regression

Main finding

As reported in the abstract

Severe COVID-19 (death, ICU stay or ventilatory support)

P < 0.001

Severe outcome, overall
57 (17%)

Observational data: associations, not effects.

Further findings

Hospitalization — Wave 1 vs Waves 2 and 3

P < 0.001

Ventilatory support — Wave 1 vs Waves 2 and 3

P = 0.001

Death — Wave 1 vs Waves 2 and 3

P = 0.011

Death — Deaths, overall
30 (9%)

Patient characteristics and treatment over waves 1 to 3

Patients significantly younger, more often men, less frequent arterial hypertension and less SSc cardiac involvement over waves 1 to 3
Significantly less medium to high doses of corticosteroids

Original publication

Does the Impact of COVID‐19 on Patients With Systemic Sclerosis Change Over Time? Arthritis Care Res (Hoboken). Published 11 December 2023. doi:10.1002/acr.25226

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