Evidence map›Paper›PMID 36645234›Full record

Observational studyRheumatology (Oxford, England)2023

COVID-19 admissions and mortality in patients with early inflammatory arthritis: results from a UK national cohort.

Maryam A Adas, Mark D Russell, Emma Cook, Edward Alveyn, Jennifer Hannah, Sathiyaa Balachandran, Sarah Oyebanjo, Paul Amlani-Hatcher, Joanna Ledingham, Sam Norton and 1 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Rheumatology (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 54% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Observational
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

11 authors at 3 institutions in 1 country.

Maryam A AdasCentre for Rheumatic Disease, King's College London, London, UK.ORCID 0000-0002-5560-6603
Mark D RussellCentre for Rheumatic Disease, King's College London, London, UK.ORCID 0000-0001-8171-7772
Emma CookCentre for Rheumatic Disease, King's College London, London, UK.
Edward AlveynCentre for Rheumatic Disease, King's College London, London, UK.
Jennifer HannahCentre for Rheumatic Disease, King's College London, London, UK.ORCID 0000-0002-3491-6653
Sathiyaa BalachandranCentre for Rheumatic Disease, King's College London, London, UK.
Sarah OyebanjoBritish Society for Rheumatology, NEIAA, London, UK.
Paul Amlani-HatcherBritish Society for Rheumatology, NEIAA Patient Panel, London, UK.
Joanna LedinghamRheumatology Department, Portsmouth Hospitals University NHS Trust, Portsmouth, UK.
Sam NortonCentre for Rheumatic Disease, King's College London, London, UK.ORCID 0000-0003-1714-9963
James B GallowayCentre for Rheumatic Disease, King's College London, London, UK.
King's College London · GBBritish Society for Rheumatology · GBPortsmouth Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the risks and predictors of coronavirus disease 2019 (COVID-19) hospitalization and mortality among patients with early inflammatory arthritis (EIA), recruited to the National Early Inflammatory Arthritis Audit (NEIAA).

methodsNEIAA is an observational cohort. We included adults with EIA from Feb 2020 to May 2021. Outcomes of interest were hospitalization and death due to COVID-19, using NHS Digital linkage. Cox proportional hazards were used to calculate hazard ratios for outcomes according to initial treatment strategy, with adjustment for confounders.

resultsFrom 14 127 patients with EIA, there were 143 hospitalizations and 47 deaths due to COVID-19, with incidence rates per 100 person-years of 0.93 (95% CI 0.79, 1.10) for hospitalization and 0.30 (95% CI 0.23, 0.40) for death. Increasing age, male gender, comorbidities and ex-smoking were associated with increased risk of worse COVID-19 outcomes. Higher baseline DAS28 was not associated with COVID-19 admissions [confounder adjusted hazard ratio (aHR) 1.10; 95% CI 0.97, 1.24] or mortality (aHR 1.11; 95% CI 0.90, 1.37). Seropositivity was not associated with either outcome. Higher symptom burden on patient-reported measures predicted worse COVID-19 outcomes. In unadjusted models, CS associated with COVID-19 death (HR 2.29; 95% CI 1.02, 5.13), and SSZ monotherapy associated with COVID-19 admission (HR 1.92; 95% CI 1.04, 3.56). In adjusted models, associations for CS and SSZ were not statistically significant.

conclusionPatient characteristics have stronger associations with COVID-19 than the initial treatment strategy in patients with EIA. An important limitation is that we have not looked at treatment changes over time.

Indexed as

Arthritis, RheumatoidCOVID-19AdultCohort StudiesFemaleHospitalizationHumansMaleUnited Kingdomankylosing spondylitiscorticosteroidsCOVID-19COVID-19 admissionsCOVID-19 mortalityDMARDearly inflammatory arthritisinflammatory arthritispsoriatic arthritisrheumatoid arthritis

Identifiers

PMID36645234
PMCPMC10473194
OpenAlexW4316494580

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.