Vasculitis & polymyalgia rheumatica

Risks and treatment related aspects of COVID-19 infection in patients with anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis

Scand J RheumatolPublished Retrospective cohort study

Authors' conclusion

Our findings highlight risks and suggest that more attention should be given to optimal AAV treatment in a pandemic situation.

Study context

Population
Well-characterized AAV cohorts in Stockholm and Uppsala, Sweden, March 2020 to May 2021
Participants
310 participants
Exposure
AAV patients with COVID-19 vs without COVID-19
  • COVID-19n = 29
Outcome
Risk factors and outcomes of COVID-19 (severe COVID-19: need for non-invasive ventilation, ICU care, and/or death)
Methodological detailsmulticentre (Stockholm and Uppsala, Sweden), medical-record review
  • Multicentre (Stockholm and Uppsala, Sweden)
  • Medical-record review

Main finding

As reported in the abstract

COVID-19 and severe COVID-19
Diagnosed with COVID-19
29 (9%)
Severe COVID-19
9/29 (31%)
Deaths attributed to COVID-19
4
Risk factor for severe COVID-19: impaired kidney function
p = 0.01
Risk factor for severe COVID-19: more intense immunosuppressive therapy
p = 0.02
Trend for age
p = 0.07

Observational data: associations, not effects.

Further findings

On prednisolone

On prednisolone — Significantly higher prednisolone doses in COVID-19 patients
p < 0.01

Ongoing induction therapy

More prevalent in the COVID-19 group
P < 0.01

Original publication

Risks and treatment related aspects of COVID-19 infection in patients with ANCA-associated vasculitis. Scand J Rheumatol. Published 20 September 2022. doi:10.1080/03009742.2022.2109337

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.