Table 3.
Baseline characteristics associated with early-onset heart failure
Unadjusted | Adjusted | |||||
---|---|---|---|---|---|---|
OR | 95% CI | p-value | OR | 95% CI | p-value | |
Demographics | ||||||
Age of SLE onset | ||||||
25–44 years old | - | - | - | - | - | - |
18–24 years old | 1.5 | [1.0, 2.2] | 0.06 | 1.7 | [1.1, 2.8] | 0.02 |
5–17 years old | 0.6 | [0.3, 1.2] | 0.14 | 0.5 | [0.2, 1.3] | 0.14 |
Male sex | 1.3 | [0.9, 1.8] | 0.18 | - | - | - |
Race/ethnicity | ||||||
White | - | - | - | - | - | - |
Black | 2.0 | [1.4, 2.9] | <0.01 | 1.5 | [1.0, 2.2] | 0.03 |
Hispanic | 0.8 | [0.5, 1.2] | 0.28 | 0.7 | [0.4, 1.2] | 0.24 |
Asian | 0.8 | [0.3, 1.7] | 0.51 | 0.9 | [0.4, 2.1] | 0.82 |
Region | ||||||
Midwest | - | - | - | - | - | - |
Northeast | 0.5 | [0.3, 0.9] | 0.02 | 0.4 | [0.2, 0.8] | 0.01 |
South | 1.0 | [0.7, 1.4] | 0.87 | 0.9 | [0.6, 1.3] | 0.44 |
Pacific | 0.7 | [0.4, 1.2] | 0.18 | 0.7 | [0.4, 1.2] | 0.23 |
Higher household education† | 0.7 | [0.5, 1.0] | 0.03 | |||
Initial SLE Characteristics | ||||||
Myopericarditis | 7.6 | [4.9, 11.8] | <0.01 | 4.0 | [2.3, 6.9] | <0.01 |
Endocarditis/valve insufficiency | 3.3 | [2.4, 4.6] | <0.01 | 2.2 | [1.5, 3.2] | <0.01 |
APLS/VTE* | 3.1 | [2.1, 4.4] | <0.01 | 1.9 | [1.3, 3.0] | <0.01 |
Nephritis | 3.8 | [2.6, 5.5] | <0.01 | 2.0 | [1.3, 3.0] | <0.01 |
Cerebrovascular event | 1.7 | [1.1, 2.8] | 0.02 | |||
Seizure | 1.9 | [1.2, 3.1] | 0.01 | |||
Pyschiatric diagnosis | 0.8 | [0.6, 1.1] | 0.26 | 0.7 | [0.5, 1.0] | 0.04 |
Traditional Cardiovascular Risk factors | ||||||
Hypertension | 3.7 | [2.8, 4.9] | <0.01 | 2.3 | [1.6, 3.2] | <0.01 |
Diabetes | 2.3 | [1.5, 3.5] | <0.01 | 1.5 | [1.0, 2.4] | 0.08 |
Obesity | 1.4 | [0.9, 2.0] | 0.11 | |||
Hyperlipidemia | 1.4 | [1.1, 1.9] | 0.02 | |||
Current/prior tobacco use | 1.5 | [1.0, 2.2] | 0.05 | |||
Coronary artery disease | 5.0 | [2.6, 9.5] | <0.01 | |||
Initial Medication Use | ||||||
Hydroxychloroquine | 0.3 | [0.2, 0.5] | <0.01 | 0.3 | [0.2, 0.5] | <0.01 |
Glucocorticoids | 1.0 | [0.8, 1.4] | 0.76 | |||
Other immunosuppressants | 0.9 | [0.6, 1.5] | 0.79 |
Univariable and multivariable logistic regression models estimating associations between baseline characteristics in SLE patients age < 45 and early-onset heart failure (n=198) occurring ≤ 6 months after SLE diagnosis. Covariates were assessed until the first HF diagnosis or 6 months after SLE diagnosis, whichever occurred first.
Some bachelor level education or more
Antiphospholipid antibody syndrome / venous thromboembolism