Lupus & antiphospholipid syndrome

Triple positive profile in antiphospholipid syndrome: prognosis, relapse and management from a retrospective multicentre study

RMD OpenPublished Retrospective cohort study

Main finding · Relapse (new thrombotic and/or adverse obstetrical event)Result — go to the resultHazard ratio 1.63 95% CI 1.04–2.55

Authors' conclusion

The triple-positivity is associated with a higher risk of relapse and obstetrical complications.

Study context

Population
Patients with primary or secondary antiphospholipid syndrome (APS) meeting the Sydney criteria with at least one thrombotic and/or obstetrical complication122 (59.8%) primary APS
Participants
204 patients
Exposure
Triple-positive vs non-triple-positive APS
  • Triple-positiven = 68
  • Single or double positiven = 136reference
Outcome
Relapse (new thrombotic event and/or new adverse obstetrical event)
Methodological detailsmulticentre, multivariate analysis
  • Multicentre
  • Multivariate analysis

Main finding

As reported in the abstract

Relapse (new thrombotic and/or adverse obstetrical event)

Hazard ratio

1.63

95% CI 1.04–2.55

P = 0.031

By group

Triple-positive

63.2%

Triple-positivevs Non-triple-positive
HR 1.63 (95% CI 1.04–2.55); P = 0.031

Observational data: associations, not effects.

Further findings

Obstetrical APS

P = 0.010

Placental complications

P = 0.001

Non-criteria events

P = 0.002

Sneddon syndrome

P = 0.028

  • Obstetrical APS: 67 patients (32.8%) overall

Thrombotic APS

No difference between triple-positive and others (170 patients [83.3%] overall)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Triple positive profile in antiphospholipid syndrome: prognosis, relapse and management from a retrospective multicentre study. RMD Open. Published 31 March 2023. doi:10.1136/rmdopen-2022-002534

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.