Lupus & antiphospholipid syndrome

Risk factors of pulmonary arterial hypertension in patients with systemic lupus erythematosus: A meta-analysis

LupusPublished Systematic review and meta-analysis

Authors' conclusion

PAH is a serious complication of SLE.

Study context

Population
Patients with Systemic Lupus Erythematosus (SLE); Medline, Embase, Web of Science and Cochrane Library searched up to April 11, 202319 articles
Comparison
Potential risk factors present vs absent for pulmonary arterial hypertension (PAH) in SLE
Outcome
PAH related to SLE
Methodological detailsunivariate and multivariate meta-regression, sensitivity analyses, risk of bias by Newcastle-Ottawa Scale (NOS)
  • Univariate and multivariate meta-regression
  • Sensitivity analyses
  • Risk of bias by NOS

Pooled result

As reported in the abstract

Risk factors for PAH related to SLE (pooled RR)
Relative risk (95% CI)P value
Female gender
1.04(1.02–1.06)
P = 0.0001
ILD
4.36(2.42–7.85)
P = 0.0001
Alopecia
1.39(1.06–1.83)
P = 0.017
RP
1.83(1.41–2.37)
P = 0.0001
Systemic hypertension
1.30(1.07–1.58)
P = 0.007
Serositis
2.29(1.89–2.77)
P = 0.0001
Pericardial effusion
3.33(2.20–5.05)
P = 0.0001
Anti-RNP
1.86(1.19–2.91)
P = 0.006
Anti-SSA
1.28(1.01–1.62)
P = 0.041
Anti-SSB
1.38(1.19–1.60)
P = 0.0001
Anti-U1RNP
1.58(1.07–2.34)
P = 0.023
Thrombocytopenia
1.38(1.14–1.68)
P = 0.001
Current smokers
2.20(1.19–4.06)
P = 0.012

Original publication

Risk factors of pulmonary arterial hypertension in patients with systemic lupus erythematosus: A meta-analysis. Lupus. Published 12 September 2023. doi:10.1177/09612033231202398

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