Lupus & antiphospholipid syndrome

Occurrence of venous thromboembolism in SLE: findings from a nationwide cohort and a clinical cohort in Sweden

Lupus Sci MedPublished Cohort study

Main finding · Incident VTE, nationwide cohortResult — go to the resultHazard ratio 3.3 95% CI 2.9–3.8

Authors' conclusion

SLE is associated with an over threefold increased risk of VTE, in particular soon after SLE diagnosis, underscoring the need for individualised VTE risk assessment.

Study context

Population
Newly diagnosed patients with SLE (nationwide cohort, Sweden) and established patients with SLE at Karolinska University Hospital (mean age 49 years; 83% female in nationwide cohort)nationwide cohort
Participants
4,335 participants
Exposure
SLE vs matched general population comparators
  • SLEn = 4,335
Outcome
Incident VTE
Methodological detailsnationwide register-based, matched on age, sex and residence, Cox models, flexible parametric survival models
  • Nationwide register-based
  • Matched on age, sex and residence
  • Cox models
  • Flexible parametric survival models

Main finding

Incident VTE, nationwide cohort

Hazard ratio

3.3

95% CI 2.9–3.8

By group

SLEvs Comparators
HR 3.3 (95% CI 2.9–3.8)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Incident VTE, Karolinska cohort (N=784)4.9 (3.7–6.5)

Venous thromboembolism (VTE) risk over time

VTE risk highest in the first few years after SLE diagnosis

VTE by lupus nephritis (LN) and aPL positivity (Karolinska cohort)

aPL positivity associated with a higher hazard (non-significant; attenuated after excluding prior VTE)
60%
LN not significantly associated with VTE

Original publication

Occurrence of venous thromboembolism in SLE: findings from a nationwide cohort and a clinical cohort in Sweden. Lupus Sci Med. Published 6 August 2026. doi:10.1136/lupus-2026-002058

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