Table 2.
Hydroxychloroquine Use and Cardiovascular Events According to Hydroxychloroquine Exposure Status Among Patients with Systemic Lupus Erythematosus and Rheumatoid Arthritis
Cases, N | Controls, N | Conditional Odds Ratio (95% CI) | Adjusted Conditional Odds Ratio* (95% CI) | |
---|---|---|---|---|
All Combined CV Events | ||||
Remote HCQ Users | 1305 | 3385 | 1.0 (reference) | 1.0 (reference) |
Recent HCQ users | 244 | 635 | 1.00 (0.85, 1.18) | 0.93 (0.77, 1.13) |
Current HCQ users | 1182 | 3449 | 0.88 (0.81, 0.97) | 0.86 (0.77, 0.97) |
HCQ non-users | 7537 | 22500 | 0.87 (0.81, 0.93) | 0.96 (0.88, 1.04) |
All Myocardial Infarction | ||||
Remote HCQ Users | 566 | 1411 | 1.0 (reference) | 1.0 (reference) |
Recent HCQ users | 98 | 242 | 1.00 (0.78, 1.29) | 1.12 (0.82, 1.53) |
Current HCQ users | 517 | 1495 | 0.85 (0.74, 0.98) | 0.88 (0.74, 1.05) |
HCQ non-users | 3208 | 9753 | 0.81 (0.73, 0.91) | 0.98 (0.85, 1.12) |
All Stroke/TIA | ||||
Remote HCQ Users | 536 | 1474 | 1.0 (reference) | 1.0 (reference) |
Recent HCQ users | 91 | 249 | 0.99 (0.76, 1.29) | 0.83 (0.61, 1.12) |
Current HCQ users | 435 | 1401 | 0.86 (0.74, 0.99) | 0.87 (0.74, 1.03) |
HCQ non-users | 3178 | 9340 | 0.95 (0.85, 1.05) | 1.00 (0.88, 1.13) |
All Venous Thromboembolism | ||||
Remote HCQ Users | 321 | 785 | 1.0 (reference) | 1.0 (reference) |
Recent HCQ users | 60 | 155 | 0.94 (0.68, 1.31) | 0.65 (0.44, 0.98) |
Current HCQ users | 266 | 820 | 0.78 (0.64, 0.95) | 0.74 (0.59, 0.94) |
HCQ non-users | 1475 | 4475 | 0.80 (0.69, 0.93) | 0.90 (0.75, 1.08) |
Additionally adjusted for Charlson comorbidity index, prior CV disease, chronic kidney disease, glucocorticoid use, DMARD use, cardiovascular medication use, anticoagulant use, and healthcare utilization including number of hospitalizations and number of outpatient visits all assessed one year prior to the index date.
CV, cardiovascular; HCQ, hydroxychloroquine; TIA, transient ischemic attack
Exposure classifications: current use- last prescription date covered <90 days before index date; recent use- last prescription date covered 90–365 days before index date; remote use- >365 days before index date