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Different systemic rheumatic diseases as risk factors for COVID-19-related mortality
George E Fragoulis1, Vasiliki-Kalliopi Bournia2, Petros P Sfikakis2
1First Department of Propedeutic and Internal Medicine, Joint Academic Rheumatology Program, 75 Mikras Asias Str, 11527, Athens, Greece. geofragoul@yahoo.gr.
Insights
The impact of COVID-19 on mortality in patients with systemic rheumatic diseases (SRDs) remains debated. Individualized risk assessment considering disease specifics is crucial for managing COVID-19 outcomes in SRD patients.
Area of Science:
- Rheumatology
- Infectious Diseases
- Epidemiology
Background:
- COVID-19 has led to significant global morbidity and mortality.
- The increased mortality risk in patients with systemic rheumatic diseases (SRDs) due to COVID-19 is still under investigation.
- Existing nationwide studies suggest a potential increase in adverse COVID-19 outcomes and mortality among SRD patients.
Purpose of the Study:
- To address the ongoing debate regarding COVID-19-related mortality in patients with SRDs.
- To highlight the need for an individualized approach in assessing COVID-19 risks for SRD patients.
- To emphasize the importance of considering disease-specific factors in risk stratification.
Main Methods:
- Review of existing nationwide studies on COVID-19 outcomes in SRD patients.
- Analysis of factors influencing COVID-19 mortality in SRD populations.
- Discussion of the need for multinational, data-driven studies.
Main Results:
- Conflicting results exist regarding COVID-19 mortality in SRD patients.
- Evidence suggests variations in mortality rates across different SRDs.
- Disease activity, duration, medication, and comorbidities appear to influence COVID-19 outcomes in SRD patients.
Conclusions:
- An individualized risk assessment is necessary for SRD patients contracting COVID-19.
- Factors such as SRD type, disease activity, and comorbidities must be incorporated into risk calculations.
- Further multinational research is warranted to comprehensively understand and stratify COVID-19 risks in diverse SRD populations.
Abstract:
COVID-19 has been associated with increased morbidity and mortality, globally. Whether COVID-19-related mortality is increased in patients with systemic rheumatic diseases (SRDs) is still debatable. Although results are somewhat conflicting, there are a handful of nationwide studies published indicating that, in individuals with SRD, there is signal for increased adverse COVID-19-related outcomes and higher mortality. It appears that there are differences in COVID-19-related mortality across various SRDs. Besides, certain disease-specific (disease activity, disease duration, medication received) and/or other features (e.g. comorbidities) seem to also affect COVID-19-related mortality in SRD patients. Herein, we wanted to highlight that a more individualized approach taking into consideration the effect of the aforementioned factors into the risk calculation for COVID-19 adverse outcomes, including mortality, in SRD patients is warranted. A multinational study based on nationwide data, examining all common SRDs and stratifying accordingly, would be of interest, toward this direction. Key Points • It is still debatable whether Covid-19-related mortality is increased in patients with sytemic rheumatic diseases (SRD). • Disease-specific risk factors (e.g. type of SRD, disease activity) should be taken into account in risk assessment for Covid-19-releted outcomes in SRD patients.
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