Across rheumatic diseases

Risk of interstitial lung disease following COVID-19 infection in patients with autoimmune diseases: a retrospective cohort study

Rheumatology (Oxford)Published Retrospective cohort study

Main finding · Newly diagnosed ILDResult — go to the resultHazard ratio 1.23 95% CI 1.10–1.36

Authors' conclusion

COVID-19 infection was identified as a risk factor for the development of ILD in patients with autoimmune diseases

Study context

Population
Individuals with autoimmune rheumatic diseases, TriNetX U.S. Collaborative Network, 1 January 2020 to 31 December 2022two matched cohorts of 26,763
Participants
174,256 individuals
Exposure
COVID-19 infection vs no COVID-19 infection in patients with autoimmune rheumatic diseases
  • COVID-19n = 26,768
  • Controln = 147,488reference
Outcome
Newly diagnosed ILD
Methodological detailspropensity score matching, Cox proportional hazards regression
  • Propensity score matching
  • Cox proportional hazards regression

Main finding

As reported in the abstract

follow-up period

Hazard ratio

1.23

95% CI 1.10–1.36

COVID-19vs Control
HR 1.23 (95% CI 1.10–1.36)

Observational data: associations, not effects.

Further findings

Interstitial lung disease (ILD) in subgroups by age, sex and autoimmune disease

Consistently higher risks in the COVID-19 group than in the control group

Original publication

Risk of interstitial lung disease following COVID-19 infection in patients with autoimmune diseases: a retrospective cohort study. Rheumatology (Oxford). Published 5 May 2026. doi:10.1093/rheumatology/keag228

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