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Bachiller-Corral J, Boteanu A, Garcia-Villanueva MJ, de la Puente C, Revenga M, Diaz-Miguel MC, Rodriguez-Garcia A, Morell-Hita JL, Valero M, Larena C, Blazquez-Cañamero M, Guillen-Astete CA, Garrote S, Sobrino C, Medina-Quiñones C, Vazquez-Diaz M. Risk of Severe COVID-19 Infection in Patients With Inflammatory Rheumatic Diseases. J Rheumatol 2021; 48:1098-1102. [PMID: 33722949 DOI: 10.3899/jrheum.200755] [Citation(s) in RCA: 40] [Impact Index Per Article: 13.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/01/2021] [Indexed: 01/28/2023]
Abstract
OBJECTIVE To describe the cohort of patients with inflammatory rheumatic diseases (IRD) hospitalized due to SARS-CoV-2 infection in the Ramón y Cajal Hospital, and to determine the increased risk of severe coronavirus disease 2019 (COVID-19) in patients with no IRD. METHODS This is a retrospective single-center observational study of patients with IRD actively monitored in the Department of Rheumatology who were hospitalized due to COVID-19. RESULTS Forty-one (1.8%) out of 2315 patients admitted due to severe SARS-CoV-2 pneumonia suffered from an IRD. The admission OR for patients with IRD was 1.91 against the general population, and it was considerably higher in patients with Sjögren syndrome, vasculitis, and systemic lupus erythematosus. Twenty-seven patients were receiving treatment for IRD with corticosteroids, 23 with conventional DMARDs, 12 with biologics (7 rituximab [RTX], 4 anti-tumor necrosis factor [anti-TNF], and 1 abatacept), and 1 with Janus kinase inhibitors. Ten deaths were registered among patients with IRD. A higher hospitalization rate and a higher number of deaths were observed in patients treated with RTX (OR 12.9) but not in patients treated with anti-TNF (OR 0.9). CONCLUSION Patients with IRD, especially autoimmune diseases and patients treated with RTX, may be at higher risk of severe pneumonia due to SARS-CoV-2 compared to the general population. More studies are needed to analyze this association further in order to help manage these patients during the pandemic.
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Affiliation(s)
- Javier Bachiller-Corral
- J. Bachiller-Corral, MD, Assistant Head, A. Boteanu, MD, Assistant Head, M. Vazquez-Diaz, MD, Department Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, and Irycis (Instituto Ramón y Cajal de investigación sanitaria), Madrid;
| | - Alina Boteanu
- J. Bachiller-Corral, MD, Assistant Head, A. Boteanu, MD, Assistant Head, M. Vazquez-Diaz, MD, Department Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, and Irycis (Instituto Ramón y Cajal de investigación sanitaria), Madrid
| | - Maria Jesus Garcia-Villanueva
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Carlos de la Puente
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Marcelino Revenga
- M. Revenga, MD, PhD, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid, and Facultad de Medicina. Universidad de Alcalá, Alcalá de Henares, Spain
| | - M Consuelo Diaz-Miguel
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Ana Rodriguez-Garcia
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Jose Luis Morell-Hita
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Marta Valero
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Carmen Larena
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Maria Blazquez-Cañamero
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Carlos A Guillen-Astete
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Sandra Garrote
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Cristina Sobrino
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Carmen Medina-Quiñones
- M.J. Garcia-Villanueva, MD, Assistant Head, C. de la Puente, MD, Assistant Head, M.C. Diaz-Miguel, MD, Assistant Head, A. Rodriguez-Garcia, MD, Assistant Head, J.L. Morell-Hita, MD, Assistant Head, M. Valero, MD, Assistant Head, C. Larena, MD, Assistant Head, M. Blazquez-Cañamero, MD, Assistant Head, C.A. Guillen-Astete, MD, PhD, Assistant Head, S. Garrote, MD, Assistant Head, C. Sobrino, MD, Assistant Head, C. Medina-Quiñones, MD, Assistant Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, Madrid
| | - Mónica Vazquez-Diaz
- J. Bachiller-Corral, MD, Assistant Head, A. Boteanu, MD, Assistant Head, M. Vazquez-Diaz, MD, Department Head, Department of Rheumatology, Hospital Universitario Ramón y Cajal, and Irycis (Instituto Ramón y Cajal de investigación sanitaria), Madrid
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