Evidence map›Paper›PMID 31600392›Full record

ArticleRheumatology (Oxford, England)2020

Outcomes of acute cardiovascular events in rheumatoid arthritis and systemic lupus erythematosus: a population-based study.

Chao-Han Lai, Cheng-Yang Hsieh, April Barnado, Li-Ching Huang, Sheau-Chiann Chen, Liang-Miin Tsai, Yu Shyr, Chung-Yi Li

Abstract readEvaluation Study
In one paragraph

Article in Rheumatology (Oxford, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Stroke in autoimmune rheumatic diseases.Rheumatology international · 2026
    Review
  9. Article
  10. Review
  11. Review
  12. Acute Coronary Syndrome and Rheumatic Disease.Journal of clinical medicine · 2025
    Review
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  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Chao-Han LaiDepartment of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Cheng-Yang HsiehDepartment of Neurology, Tainan Sin Lau Hospital, Tainan, Taiwan.
April BarnadoDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Li-Ching HuangCenter for Quantitative Sciences, Vanderbilt University Medical Center, Nashville, TN.
Sheau-Chiann ChenCenter for Quantitative Sciences, Vanderbilt University Medical Center, Nashville, TN.
Liang-Miin TsaiDepartment of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan.
Yu ShyrCenter for Quantitative Sciences, Vanderbilt University Medical Center, Nashville, TN.
Chung-Yi LiDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan.

Funding

Using the electronic health record to risk-stratify patients with systemic lupus erythematosusK08AR072757 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BARNADO, APRIL LYNN · 2018 to 2022
$817k
NIAMS NIH HHS K08 AR072757
6 · The paper itself

Abstract

objectivesPatients with RA and SLE have an excess cardiovascular risk. We aimed to evaluate outcomes of acute cardiovascular events in these patients.

methodsUsing a nationwide database of Taiwan, we identified adult patients who experienced first-time acute myocardial infarction (n = 191 008), intracranial haemorrhage (n = 169 923) and ischaemic stroke (n = 486 890) over a 13-year period. Odds ratios (ORs) of in-hospital mortality and hazard ratios (HRs) of overall mortality and adverse outcomes during long-term follow-up in relation to RA and SLE were estimated with adjustment for potential confounders.

resultsIn each cohort, 748, 410 and 1419 patients had established RA; 256, 292 and 622 patients had SLE. Among acute myocardial infarction patients, RA and SLE were associated with in-hospital mortality (RA: OR 1.61, 95% CI 1.33, 1.95; SLE: OR 2.31, 95% CI 1.62, 3.28) and overall mortality. Additionally, RA (HR 1.28, 95% CI 1.18, 1.38) and SLE (HR 1.46, 95% CI 1.27, 1.69) increased the risk of major adverse cardiac events. After intracranial haemorrhage, patients with RA and SLE had higher risks of in-hospital mortality (RA: OR 1.61, 95% CI 1.26, 2.06; SLE: OR 3.00, 95% CI 2.33, 3.86) and overall mortality. After ischaemic stroke, RA and SLE increased in-hospital mortality (RA: OR 1.45, 95% CI 1.15, 1.83; SLE: OR 2.18, 95% CI 1.57, 3.02), overall mortality and recurrent cerebrovascular events (RA: HR 1.10, 95% CI 1.002, 1.21; SLE: HR 1.31, 95% CI 1.14, 1.51), among which ischaemic stroke (HR 1.39, 95% CI 1.19, 1.62) was more likely to recur in SLE patients.

conclusionBoth RA and SLE are consistently associated with adverse outcomes following acute cardiovascular events, highlighting the necessity of integrated care for affected patients.

Indexed as

Acute DiseaseAdultAgedArthritis, RheumatoidBrain IschemiaCohort StudiesFemaleHospital MortalityHumansLupus Erythematosus, SystemicMaleMiddle AgedMyocardial InfarctionOdds RatioProportional Hazards ModelsRisk Factorsacute myocardial infarctionintracranial haemorrhageischaemic strokeRASLE

Identifiers

PMID31600392
PMCPMC7849999

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.