Venous thromboembolism events among RA patients.

C-Reactive Protein Rheumatoid arthritis autoimmune diseases deep vein thrombosis thrombosis venous thromboembolism

Journal

Mediterranean journal of rheumatology
ISSN: 2529-198X
Titre abrégé: Mediterr J Rheumatol
Pays: Greece
ID NLM: 101730166

Informations de publication

Date de publication:
Mar 2019
Historique:
received: 17 12 2018
revised: 29 12 2018
accepted: 07 01 2019
entrez: 19 3 2020
pubmed: 19 3 2020
medline: 19 3 2020
Statut: epublish

Résumé

Rheumatoid arthritis (RA) is associated with an increased risk for venous thromboembolism. However, so far, relatively few and small size-based studies have been conducted. We aimed to investigate the link between RA and venous thromboembolism utilizing a large sample of subjects originating from a large data base. The study was performed utilizing the medical database of Clalit Health Services, the largest healthcare provider in Israel. We enrolled all patients with RA and age- and gender-matched controls. Chi-square and t-tests were used for univariate analysis and a logistic regression model was used for a multivariate analysis. RA patients were compared to controls regarding the proportion of venous thromboembolic events (defined as deep vein thrombosis, pulmonary embolism or both). Multivariate logistic regression was employed to assess factors associated with thromboembolic events. The study included 11,782 patients with RA and 57,973 age- and gender-matched controls. RA patients had a higher rate of venous thromboembolism events compared with controls (6.92% vs. 3.18%, respectively, p<0.001). RA and mean C-reactive protein levels were found to be independently associated with the proportion of thromboembolic events (OR 2.27 for RA and 1.07 for each 1 mg/dL increment of mean C-reactive protein, respectively). RA and C-reactive protein levels are independently associated with venous thromboembolic events. Physicians should be aware of such findings and have a lower threshold for suspecting detecting such events in patients with RA, mainly those with mean high levels of C-reactive protein.

Sections du résumé

BACKGROUND BACKGROUND
Rheumatoid arthritis (RA) is associated with an increased risk for venous thromboembolism. However, so far, relatively few and small size-based studies have been conducted. We aimed to investigate the link between RA and venous thromboembolism utilizing a large sample of subjects originating from a large data base.
MATERIALS AND METHODS METHODS
The study was performed utilizing the medical database of Clalit Health Services, the largest healthcare provider in Israel. We enrolled all patients with RA and age- and gender-matched controls. Chi-square and t-tests were used for univariate analysis and a logistic regression model was used for a multivariate analysis. RA patients were compared to controls regarding the proportion of venous thromboembolic events (defined as deep vein thrombosis, pulmonary embolism or both). Multivariate logistic regression was employed to assess factors associated with thromboembolic events.
RESULTS RESULTS
The study included 11,782 patients with RA and 57,973 age- and gender-matched controls. RA patients had a higher rate of venous thromboembolism events compared with controls (6.92% vs. 3.18%, respectively, p<0.001). RA and mean C-reactive protein levels were found to be independently associated with the proportion of thromboembolic events (OR 2.27 for RA and 1.07 for each 1 mg/dL increment of mean C-reactive protein, respectively).
CONCLUSION CONCLUSIONS
RA and C-reactive protein levels are independently associated with venous thromboembolic events. Physicians should be aware of such findings and have a lower threshold for suspecting detecting such events in patients with RA, mainly those with mean high levels of C-reactive protein.

Identifiants

pubmed: 32185341
doi: 10.31138/mjr.30.1.38
pii: MJR-30-1-38
pmc: PMC7045915
doi:

Types de publication

Journal Article

Langues

eng

Pagination

38-43

Informations de copyright

© 2019 The Mediterranean Journal of Rheumatology (MJR).

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Auteurs

Ribhi Mansour (R)

Department of Medicine 'B', Sheba Medical Center, Israel.
Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Israel.
Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Shir Azrielant (S)

Department of Medicine 'B', Sheba Medical Center, Israel.
Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Israel.
Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Abdulla Watad (A)

Department of Medicine 'B', Sheba Medical Center, Israel.
Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Israel.
Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Shmuel Tiosano (S)

Department of Medicine 'B', Sheba Medical Center, Israel.
Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Israel.
Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Yarden Yavne (Y)

Department of Medicine 'B', Sheba Medical Center, Israel.
Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Israel.
Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Doron Comaneshter (D)

Department of Quality Measurements and Research, Chief Physician's Office, Clalit Health Services, Tel Aviv, Israel.

Arnon D Cohen (AD)

Department of Quality Measurements and Research, Chief Physician's Office, Clalit Health Services, Tel Aviv, Israel.
Siaal Research Center for Family Medicine and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

Howard Amital (H)

Department of Medicine 'B', Sheba Medical Center, Israel.
Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Israel.
Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.

Classifications MeSH