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  • Tan, Eng Hooi (author)

COVID-19 in patients with autoimmune diseases: characteristics and outcomes in a multinational network of cohorts across three countries.

  • Article/chapterEnglish2021

Publisher, publication year, extent ...

  • 2021-03-16
  • Oxford University Press (OUP),2021

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/311141
  • https://gup.ub.gu.se/publication/311141URI
  • https://doi.org/10.1093/rheumatology/keab250DOI

Supplementary language notes

  • Language:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Patients with autoimmune diseases were advised to shield to avoid coronavirus disease 2019 (COVID-19), but information on their prognosis is lacking. We characterized 30-day outcomes and mortality after hospitalization with COVID-19 among patients with prevalent autoimmune diseases, and compared outcomes after hospital admissions among similar patients with seasonal influenza.A multinational network cohort study was conducted using electronic health records data from Columbia University Irving Medical Center [USA, Optum (USA), Department of Veterans Affairs (USA), Information System for Research in Primary Care-Hospitalization Linked Data (Spain) and claims data from IQVIA Open Claims (USA) and Health Insurance and Review Assessment (South Korea). All patients with prevalent autoimmune diseases, diagnosed and/or hospitalized between January and June 2020 with COVID-19, and similar patients hospitalized with influenza in 2017-18 were included. Outcomes were death and complications within 30days of hospitalization.We studied 133589 patients diagnosed and 48418 hospitalized with COVID-19 with prevalent autoimmune diseases. Most patients were female, aged ≥50years with previous comorbidities. The prevalence of hypertension (45.5-93.2%), chronic kidney disease (14.0-52.7%) and heart disease (29.0-83.8%) was higher in hospitalized vs diagnosed patients with COVID-19. Compared with 70660 hospitalized with influenza, those admitted with COVID-19 had more respiratory complications including pneumonia and acute respiratory distress syndrome, and higher 30-day mortality (2.2-4.3% vs 6.32-24.6%).Compared with influenza, COVID-19 is a more severe disease, leading to more complications and higher mortality.

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  • Sena, Anthony G (author)
  • Prats-Uribe, Albert (author)
  • You, Seng Chan (author)
  • Ahmed, Waheed-Ul-Rahman (author)
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  • Vizcaya, David (author)
  • Lai, Lana Y H (author)
  • Nyberg, Fredrik,1961Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine(Swepub:gu)xnybef (author)
  • Morales, Daniel R (author)
  • Posada, Jose D (author)
  • Shah, Nigam H (author)
  • Gong, Mengchun (author)
  • Vivekanantham, Arani (author)
  • Abend, Aaron (author)
  • Minty, Evan P (author)
  • Suchard, Marc (author)
  • Rijnbeek, Peter (author)
  • Ryan, Patrick B (author)
  • Prieto-Alhambra, Daniel (author)
  • Göteborgs universitetInstitutionen för medicin, avdelningen för samhällsmedicin och folkhälsa (creator_code:org_t)

Related titles

  • In:Rheumatology (Oxford, England): Oxford University Press (OUP)60:SI1462-03321462-0324

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