Lupus & antiphospholipid syndrome

Early recognition of catastrophic antiphospholipid syndrome in patients with antiphospholipid syndrome based on a Chinese cohort study

Clin Exp RheumatolPublished Retrospective cohort study

Authors' conclusion

A predictive model of CAPS was developed with hypertension, anaemia, elevated LDH and proteinuria.

Study context

Population
Antiphospholipid Syndrome (APS) patients referred to Peking Union Medical College Hospital, May 2013 to October 202127 catastrophic antiphospholipid syndrome (CAPS)
Participants
226 patients
Exposure
High-risk vs Low risk
Outcome
CAPS (predictive model for early recognition)
Methodological detailssingle-centre, binary logistic regression, prediction model development, internal validation
  • Single-centre
  • Binary logistic regression
  • Prediction model development
  • Internal validation

Main finding

As reported in the abstract

Odds ratio (95% CI)
Hypertension historyscore 1 point
5.091(1.119–23.147)
Anaemiascore 3 points
116.231(10.512–1285.142)
Elevated LDHscore 3 points
59.743(7.439–479.815)
Proteinuriascore 2 points
11.265(2.118–59.930)
CAPS incidence
11.9%
Sensitivity
0.963
Specificity
0.886
AUC
0.971
Nagelkerke's R2
0.739
Omnibus test (χ2 =109.231, df=4)
P = 0.000

Observational data: associations, not effects.

Original publication

Early recognition of catastrophic antiphospholipid syndrome in patients with antiphospholipid syndrome based on a Chinese cohort study. Clin Exp Rheumatol. Published 5 May 2022. doi:10.55563/clinexprheumatol/e0voi7

Composed by AI from the published abstract and checked against it. How Briefs are made →

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