Rheumatoid arthritis

Time-varying risks of infection in patients as they proceed through the phases of ‘pre-RA’: results from the Scottish Early RA inception cohort

RMD OpenPublished Inception cohort study

Main finding · Infection (antibiotic prescriptions), 0-6 months prior to symptom onsetResult — go to the resultIncidence rate ratio 1.28 95% CI 1.15–1.42

Authors' conclusion

Antibiotic risk is increased in patients with 'pre-RA' at least 6 months before symptoms develop, and this persists throughout the symptomatic pre-RA phase.

Study context

Population
Scottish Early RA inception cohort: patients with newly diagnosed RA
Exposure
Patients with newly diagnosed RA vs age- and sex-matched controls
Outcome
Incidence of infection (community antibiotic prescriptions) during sequential pre-RA and early arthritis phases
Methodological detailsage- and sex-matched controls
  • Age- and sex-matched controls

Main finding

As reported in the abstract

Infection (antibiotic prescriptions), 0-6 months prior to symptom onset

Incidence rate ratio

1.28

95% CI 1.15–1.42

RAvs Controls
IRR 1.28 (95% CI 1.15–1.42)

Observational data: associations, not effects.

Further findings

OutcomeIRR (95% CI)
Infection (antibiotic prescriptions), symptomatic pre-RAPersisted into 'early arthritis'1.33 (1.18–1.49)
Hospital admissions (serious infections)Early arthritis1.82 (1.32–2.46)

Hospital admissions (serious infections)

Numerically greater in 'pre-RA'

Original publication

Time-varying risks of infection in patients as they proceed through the phases of ‘pre-RA’: results from the Scottish Early RA inception cohort. RMD Open. Published 23 November 2023. doi:10.1136/rmdopen-2023-003224

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