Lupus & antiphospholipid syndrome

The association of trauma with self-reported flares and disease activity in systemic lupus erythematosus (SLE)

Rheumatology (Oxford)Published Cohort study

Main finding · Any flareResult — go to the resultOdds ratio 2.27 95% CI 1.24–4.17

Authors' conclusion

In this cohort, those with a history of trauma reported more flares and greater disease activity.

Study context

Population
Patients with SLE in the California Lupus Epidemiology Study (CLUES)multivariable analyses
Participants
252 patients
Exposure
Trauma exposure vs no trauma exposure
Outcome
Self-reported flares (any flare; flare with medical care) and disease activity (Systemic Lupus Activity Questionnaire (SLAQ))
Methodological detailsmultivariable regression
  • Multivariable regression

Main finding

Any flare

Odds ratio

2.27

95% CI 1.24–4.17

Any traumatic eventvs No trauma
OR 2.27 (95% CI 1.24–4.17)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeaOR (CI)
Any flare, both BTQ and ACE exposuresBTQ and ACE exposuresvs No trauma5.91 (2.21–15.82)
Flare with medical care, both BTQ and ACE exposuresBTQ and ACE exposuresvs No trauma4.69 (1.56–14.07)
Outcomeβ (CI)
SLAQ scoreAny traumatic event vs No trauma2.31 (0.86–3.76)
SLAQ scoreBTQ and ACE exposures vs No trauma5.22 (3.00–7.44)

≥1 trauma exposure (excluding serious illness)

Proportion reporting ≥1 trauma exposure
63.4%

Original publication

The association of trauma with self-reported flares and disease activity in systemic lupus erythematosus (SLE). Rheumatology (Oxford). Published 8 December 2022. doi:10.1093/rheumatology/keac690

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