Lupus & antiphospholipid syndrome

Risk factors for severe COVID-19 among patients with systemic lupus erythematosus: a real-world analysis of a large representative US administrative claims database, 2020–2021

RMD OpenPublished Retrospective cohort study

Authors' conclusion

Certain chronic comorbidities and SLE medications increase the odds of progression to severe COVID-19 among patients with SLE, but vaccination confers significant protection.

Study context

Population
Adults with systemic lupus erythematosus (SLE) and a COVID-19 diagnosis between 1 April 2020 and 31 December 2021, Merative MarketScan Databases (US)
Participants
2,890 adults
Outcome
Severe COVID-19 (hospitalisation with a COVID-19 diagnosis)
Methodological detailsadministrative claims database, backward stepwise logistic regression
  • Administrative claims database
  • Backward stepwise logistic regression

Main finding

As reported in the abstract

Odds of progression to severe COVID-19
Odds ratio (95% CI)
Rituximab
2.92(1.67–5.12)
Renal failure
2.15(1.56–2.97)
Medicaidvs Commercial
2.01(1.58–2.57)
Complicated hypertension
1.96(1.38–2.77)
Vaccination
0.68(0.54–0.87)

Observational data: associations, not effects.

Original publication

Risk factors for severe COVID-19 among patients with systemic lupus erythematosus: a real-world analysis of a large representative US administrative claims database, 2020–2021. RMD Open. Published 17 August 2023. doi:10.1136/rmdopen-2023-003250

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

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.