Gout & crystal arthritis

Prevalence, Risk Factors, and Outcomes of Gout Flare in Patients Hospitalized for PCR-Confirmed COVID-19: A Multicenter Retrospective Cohort Study

J RheumatolPublished Retrospective cohort study

Authors' conclusion

Gout flare occurred in 18% of patients with comorbid gout hospitalized for COVID-19 and added up to 3 days to hospital length of stay.

Study context

Population
Adults with comorbid gout hospitalised for PCR-confirmed COVID-19, March 2020–December 2021, 3 hospitals in Thailandof 8697 hospitalised for COVID-19
Participants
146 adults
Exposure
Gout flare vs no gout flare
  • Gout flaren = 26
Outcome
Prevalence of gout flare
Methodological detailsmulticentre, LASSO selection and multivariate logistic regression, multivariate linear regression
  • Multicentre
  • LASSO selection and multivariate logistic regression
  • Multivariate linear regression

Main finding

As reported in the abstract

Gout flare prevalence

Gout flare

18%

26

Observational data: associations, not effects.

Further findings

Factor associated with gout flare: GOUT-36 rule ≥ 2

OR (95% CI)
GOUT-36 rule ≥ 2Only factor associated with gout flare5.46 (1.18–25.37)

Hospital LOS

Gout flare independently associated with hospital LOS; added 3 days

Baseline characteristics

Gout flare: higher baseline sUA and lower use of ULT and flare prophylaxis vs without flare

Flare treatment

One-third of flare episodes treated with ≥ 2 anti-inflammatory medications

Original publication

Prevalence, Risk Factors, and Outcomes of Gout Flare in Patients Hospitalized for PCR-Confirmed COVID-19: A Multicenter Retrospective Cohort Study. J Rheumatol. Published 15 November 2022. doi:10.3899/jrheum.220762

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