Evidence map›Paper›PMID 35377457›Full record

Observational studyRheumatology (Oxford, England)2022

Autoimmune disease and COVID-19: a multicentre observational study in the United Kingdom.

Deepa J Arachchillage, Indika Rajakaruna, Charis Pericleous, Philip L R Nicolson, Mike Makris, Mike Laffan, CA-COVID-19 Study Group

Open access · hybridAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Rheumatology (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. A case of severeRespiratory medicine case reports · 2026
    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

7 authors at 5 institutions in 2 countries.

Deepa J ArachchillageCentre for Haematology, Department of Immunology and Inflammation, Imperial College London.ORCID 0000-0001-5993-4850
Indika RajakarunaDepartment of Computer Science, University of East London.
Charis PericleousNational Heart and Lung Institute, Imperial College London, London.
Philip L R NicolsonInstitute of Cardiovascular Sciences, University of Birmingham, Edgbaston, Birmingham.
Mike MakrisSheffield Teaching Hospitals NHS Foundation Trust, Department of Haematology, Royal Hallamshire Hospital, Broomhall, Sheffield, UK.
Mike LaffanCentre for Haematology, Department of Immunology and Inflammation, Imperial College London.
CA-COVID-19 Study Group
Imperial College Healthcare NHS Trust · GBUniversity of Birmingham · GBLung Institute · USRoyal Hallamshire Hospital · GBUniversity of East London · GB

Funding

Medical Research Council MR/V037633/1Versus Arthritis 21223
6 · The paper itself

Abstract

objectiveTo establish the demographic characteristics, laboratory findings and clinical outcomes in patients with autoimmune disease (AD) compared with a propensity-matched cohort of patients without AD admitted with COVID-19 to hospitals in the UK.

methodsThis is a multicentre observational study across 26 NHS Trusts. Data were collected both retrospectively and prospectively using a predesigned standardized case record form. Adult patients (≥18 years) admitted between 1 April 2020 and 31 July 2020 were included.

resultsOverall, 6288 patients were included to the study. Of these, 394 patients had AD prior to admission with COVID-19. Of 394 patients, 80 patients with SLE, RA or aPL syndrome were classified as severe rheumatologic AD. A higher proportion of those with AD had anaemia [240 (60.91%) vs 206 (52.28%), P = 0.015], elevated LDH [150 (38.08%) vs 43 (10.92%), P < 0.001] and raised creatinine [122 (30.96%) vs 86 (21.83%), P = 0.01], respectively. A significantly higher proportion of patients with severe rheumatologic AD had elevated CRP [77 (96.25%) vs 70 (87.5%), P = 0.044] and LDH [20 (25%) vs 6 (7.5%), P = 0.021]. Patients with severe rheumatologic AD had significantly higher mortality [32/80 (40%)] compared with propensity matched cohort of patients without AD [20/80 (25%), P = 0.043]. However, there was no difference in 180-day mortality between propensity-matched cohorts of patients with or without AD in general (P = 0.47).

conclusionsPatients with severe rheumatologic AD had significantly higher mortality. Anaemia, renal impairment and elevated LDH were more frequent in patients with any AD while elevated CRP and LDH were more frequent in patients with severe rheumatologic AD both of which have been shown to associate with increased mortality in patients with COVID-19.

Indexed as

Arthritis, RheumatoidAutoimmune DiseasesCOVID-19AdultHumansRetrospective StudiesUnited KingdomAPSautoimmune rheumatologic diseasebleedingCOVID-19mortalityRASLEthrombosis

Identifiers

PMID35377457
PMCPMC8992350
OpenAlexW4223544801

What OpenQuestion holds

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LicenceCC BY
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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.