Lupus & antiphospholipid syndrome

Hypertension is associated with global and renal damage accrual in patients with systemic lupus erythematosus. Data from the Almenara Lupus Cohort

LupusPublished Prospective cohort study

Main finding · Damage accrual (SDI)Result — go to the resultIncidence rate ratio 1.645 95% CI 1.187–2.280

Authors' conclusion

Hypertension was associated with subsequent greater damage in our SLE patients.

Study context

Population
Systemic lupus erythematosus (SLE) patients of the Almenara Lupus Cohort, January 2012 to January 2020 (93% women)
Participants
314 patients1,695 visits
Exposure
Hypertension vs no hypertension
Outcome
Damage accrual (SLICC/ACR DI)
Methodological detailsgeneralized estimating equations, multivariable analysis adjusted for demographic, disease-related factors and treatment
  • Generalized estimating equations
  • Multivariable analysis adjusted for demographic, disease-related factors and treatment

Main finding

Damage accrual (SDI)

Incidence rate ratio

1.645

95% CI 1.187–2.280

P = 0.003

Hypertensionvs No hypertension
IRR 1.645 (95% CI 1.187–2.280); P = 0.003

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
Renal damage (per-domain analysis)Multivariable model4.331 (1.547–12.126)P = 0.005

Prevalence of hypertension at least once during follow-up

Prevalence of hypertension
56.4%

Baseline damage (SDI) at first visit and increase at subsequent visit

Baseline SDI, mean (SD)
0.8 (SD: 1.2)
Increase at subsequent follow-up visit (SD)
0.15 (SD: 0.46)

Original publication

Hypertension is associated with global and renal damage accrual in patients with systemic lupus erythematosus. Data from the Almenara Lupus Cohort. Lupus. Published 8 February 2025. doi:10.1177/09612033251319397

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