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COVID-19 Hospitalizations, Intensive Care Unit Stays, Ventilation, and Death Among Patients With Immune-mediated Inflammatory Diseases Compared to Controls.
Eder, Lihi; Croxford, Ruth; Drucker, Aaron M; Mendel, Arielle; Kuriya, Bindee; Touma, Zahi; Johnson, Sindhu R; Cook, Richard; Bernatsky, Sasha; Haroon, Nigil; Widdifield, Jessica.
  • Eder L; L. Eder, MD PhD, Women's College Research Institute, University of Toronto, Toronto, Ontario.
  • Croxford R; R. Croxford, MSc, ICES, Toronto, Ontario.
  • Drucker AM; A.M. Drucker, MD, ScM, Women's College Research Institute, ICES, University of Toronto, Toronto, Ontario.
  • Mendel A; A. Mendel, MD, MSc, S. Bernatsky, MD, PhD, Research Institute of the McGill University Health Centre, McGill University, Montreal, Quebec.
  • Kuriya B; B. Kuriya, MD, MPH, Sinai Health System, University of Toronto, Toronto, Ontario.
  • Touma Z; Z. Touma, MD, PhD, Toronto Western Hospital, University of Toronto, Toronto, Ontario.
  • Johnson SR; S.R. Johnson, MD, PhD, Toronto Western Hospital, Mount Sinai Hospital, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario.
  • Cook R; R. Cook, PhD, University of Waterloo, Waterloo, Ontario.
  • Bernatsky S; A. Mendel, MD, MSc, S. Bernatsky, MD, PhD, Research Institute of the McGill University Health Centre, McGill University, Montreal, Quebec.
  • Haroon N; N. Haroon, MD, PhD, Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto Western Hospital, University of Toronto, Toronto, Ontario.
  • Widdifield J; J. Widdifield, PhD, Sunnybrook Research Institute, ICES, Institute of Health Policy, Management, & Evaluation, University of Toronto, Toronto, Ontario, Canada.
J Rheumatol ; 49(5): 523-530, 2022 05.
Article in English | MEDLINE | ID: covidwho-1674900
ABSTRACT

OBJECTIVE:

To investigate coronavirus disease 2019 (COVID-19) hospitalization risk in patients with immune-mediated inflammatory diseases (IMIDs) compared with matched non-IMID comparators from the general population.

METHODS:

We conducted a population-based, matched cohort study using health administrative data from January to July 2020 in Ontario, Canada. Cohorts for each of the following IMIDs were assembled rheumatoid arthritis (RA), psoriasis, psoriatic arthritis (PsA), ankylosing spondylitis, systemic autoimmune rheumatic diseases (SARDs), multiple sclerosis (MS), iritis, inflammatory bowel disease, polymyalgia rheumatica, and vasculitis. Each patient was matched with 5 non-IMID comparators based on sociodemographic factors. We compared the cumulative incidence of hospitalizations for COVID-19 and their outcomes between IMID and non-IMID patients.

RESULTS:

A total of 493,499 patients with IMID (417 hospitalizations) and 2,466,946 non-IMID comparators (1519 hospitalizations) were assessed. The odds of being hospitalized for COVID-19 were significantly higher in patients with IMIDs compared with their matched non-IMID comparators (matched unadjusted odds ratio [OR] 1.37, adjusted OR 1.23). Significantly higher risk of hospitalizations was found in patients with iritis (OR 1.46), MS (OR 1.83), PsA (OR 2.20), RA (OR 1.42), SARDs (OR 1.47), and vasculitis (OR 2.07). COVID-19 hospitalizations were associated with older age, male sex, long-term care residence, multimorbidity, and lower income. The odds of complicated hospitalizations were 21% higher among all IMID vs matched non-IMID patients, but this association was attenuated after adjusting for demographic factors and comorbidities.

CONCLUSION:

Patients with IMIDs were at higher risk of being hospitalized with COVID-19. This risk was explained in part by their comorbidities.
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Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Arthritis, Rheumatoid / Vasculitis / Arthritis, Psoriatic / Iritis / COVID-19 / Multiple Sclerosis Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Humans / Male Country/Region as subject: North America Language: English Journal: J Rheumatol Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Arthritis, Rheumatoid / Vasculitis / Arthritis, Psoriatic / Iritis / COVID-19 / Multiple Sclerosis Type of study: Cohort study / Observational study / Prognostic study Topics: Long Covid Limits: Humans / Male Country/Region as subject: North America Language: English Journal: J Rheumatol Year: 2022 Document Type: Article