Lupus & antiphospholipid syndrome

The impact of Libman-sacks endocarditis on inpatient outcomes with systemic lupus erythematosus: A retrospective study

LupusPublished Retrospective cohort study

Main finding · Inpatient mortalityResult — go to the resultAdjusted odds ratio 9.74 CI 1.12–84.79

Authors' conclusion

Patients who develop LSE were found to have significantly higher risks of inpatient mortality and cerebrovascular accidents.

Study context

Population
Adult patients hospitalised with Systemic Lupus Erythematosus (SLE), 2019–2020, National Inpatient Sample
Participants
150,411 patients
Exposure
SLE with Libman-Sacks Endocarditis (LSE) vs SLE without LSE
  • SLE with LSEn = 349
Outcome
Inpatient mortality
Methodological detailsNational Inpatient Sample database
  • National Inpatient Sample database

Main finding

As reported in the abstract

Adjusted odds ratio

9.74

CI 1.12–84.79

p 0.04

SLE with LSEvs SLE without LSE
aOR 9.74 (CI 1.12–84.79); p 0.04

Observational data: associations, not effects.

Further findings

OutcomeaOR (CI)P value
Acute HF1.18 (0.13–11.07)p 0.88
AF4.45 (0.77–25.57)p 0.10
Cerebrovascular accidents141.43 (16.59–1205.52)P < 0.01

Original publication

The impact of Libman-sacks endocarditis on inpatient outcomes with systemic lupus erythematosus: A retrospective study. Lupus. Published 2 April 2024. doi:10.1177/09612033241243179

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