Lupus & antiphospholipid syndrome

The association of serum magnesium with infection in new-onset systemic lupus erythematosus patients

LupusPublished Retrospective cohort study

Authors' conclusion

Hypermagnesemia was rare in new-onset SLE patients. Hypomagnesemia was common and was associated with an increased risk of infection in new-onset SLE patients.

Study context

Population
Hospitalised new-onset systemic lupus erythematosus (SLE) patients, single centre, 2012–2021 (81.7% female; average age at diagnosis 43.7 years)
Participants
476 patients
Exposure
Infection vs noninfection in hospitalised new-onset SLE
  • Infectionn = 299
  • Noninfectionn = 177reference
Outcome
Association of hypomagnesemia with infection
Methodological detailssingle-centre, logistic regression
  • Single-centre
  • Logistic regression

Main finding

As reported in the abstract

Prevalence of hypomagnesemia (<0.70)

P = 0.001

Hypomagnesemia associated with increased risk of infection (logistic regression)
P = 0.001

Observational data: associations, not effects.

Further findings

Baseline serum magnesium

P = 0.000

OutcomeInfectionNoninfection
Mortality20 events— not stated in the abstract

— not stated in the abstract

Baseline serum magnesium — Overall baseline serum magnesium
0.819 mmol/L
Mortality — Overall mortality
4.4% (21/476)

Magnesium status prevalence in all new-onset SLE: hypomagnesemia (<0.70), normomagnesemia (0.70-1.10), hypermagnesemia (>1.10)

Hypomagnesemia
14.3%
Normomagnesemia
83.4%
Hypermagnesemia
2.3%

Poor prognosis with hypomagnesemia (logistic regression)

Hypomagnesemia associated with poor prognosis
P = 0.015

Original publication

The association of serum magnesium with infection in new-onset systemic lupus erythematosus patients. Lupus. Published 3 January 2023. doi:10.1177/09612033221149884

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