Across rheumatic diseases

Long-Term Autoimmune Inflammatory Rheumatic Outcomes of COVID-19 : A Binational Cohort Study

Ann Intern MedPublished Retrospective cohort study

An erratum to this article was published (Ann Intern Med, Jul 2024 ↗)

Authors' conclusion

SARS-CoV-2 infection was associated with increased risk for incident AIRD compared with matched patients without SARS-CoV-2 infection or with influenza infection. The risk for incident AIRD was higher with greater severity of acute COVID-19.

Study context

Population
Patients aged 20 years or older in nationwide claims-based databases in South Korea (K-COV-N cohort) and Japan (JMDC cohort)10,027,506 Korean, 12,218,680 Japanese
Exposure
COVID-19 vs uninfected controls and vs influenza-infected controls
Outcome
Onset of AIRD (per ICD-10 codes) after COVID-19 or influenza infection or matched index date
Follow-up
1, 6, and 12 months
Methodological detailsbinational, longitudinal, propensity-matched, nationwide claims-based databases
  • Binational
  • Longitudinal
  • Propensity-matched
  • Nationwide claims-based databases

Main finding

As reported in the abstract

Incident AIRD beyond the first 30 days after infection (Korean cohort, after propensity score matching)
Adjusted hazard ratio (95% CI)
COVID-19vs Uninfected
1.25(1.18–1.31)
COVID-19vs Influenza
1.30(1.02–1.59)

Observational data: associations, not effects.

Further findings

Incident AIRD by severity of acute COVID-19

The risk for incident AIRD was higher with more severe acute COVID-19

Japanese cohort

Similar patterns were observed in the Japanese cohort

Original publication

Long-Term Autoimmune Inflammatory Rheumatic Outcomes of COVID-19 : A Binational Cohort Study. Ann Intern Med. Published 5 March 2024. doi:10.7326/m23-1831

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

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