类风湿性关节炎患者自身免疫性疾病的人口统计学和临床关联:2019年至2023年沙特阿拉伯一家三级医院的洞察力。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL
SAGE Open Medicine Pub Date : 2024-09-25 eCollection Date: 2024-01-01 DOI:10.1177/20503121241283335
Nouf Alghofaili, Samaher Ismail, Abdullah Aladnani, Abdullah Alfarsi, Sally Aqabawi, Ghofran Shahat, Abeer Zakariyah, Ahmed Alhazmi, Tariq Albeshri
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引用次数: 0

摘要

背景:类风湿性关节炎是一种严重的炎症性关节炎,会对关节和骨骼造成不可逆转的损害,导致畸形和残疾。尽管类风湿关节炎与其他自身免疫性疾病有共同的发病机制,但目前还缺乏对类风湿关节炎患者并发症的人群研究:本研究旨在确定类风湿关节炎患者中自身免疫性疾病的患病率和相关性,并探讨自身免疫性疾病与类风湿关节炎治疗方案之间的关联:这项回顾性研究于2019年至2023年在沙特阿拉伯吉达法赫德国王武装部队医院进行。数据在 Excel 中进行了清理,并使用 IBM SPSS 29 版进行了分析。通过临床表现、实验室检查结果以及与其他自身免疫性疾病的关联来评估疾病的活动性:我们的研究纳入了 365 名类风湿性关节炎患者,其中以女性为主(89%),并观察到不同的人口统计学特征和合并症。常见疾病包括糖尿病(28.2%)、高血压(27.3%)和血脂异常(14.7%)。24.9%的患者患有其他自身免疫性疾病,这些疾病与类风湿关节炎的诊断年龄以及内分泌、风湿病/皮肤病和肺部疾病有显著关联(P > 0.05):我们的研究提供了大量类风湿关节炎患者的总体情况,揭示了人口统计学趋势、合并症、自身免疫性疾病患病率、治疗偏好和相关性。我们注意到类风湿关节炎的诊断年龄与其他自身免疫性疾病之间的关系。治疗方法各不相同,但自身免疫性疾病与特定治疗方法之间没有明显关联。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Demographic and clinical associations of autoimmune diseases in rheumatoid arthritis patients: Insights from a tertiary care hospital in Saudi Arabia from 2019 to 2023.

Background: Rheumatoid arthritis is a severe inflammatory arthritis that causes irreversible damage to joints and bones, resulting in deformities and disabilities. Population-based studies on the co-occurrence in patients with rheumatoid arthritis are lacking despite shared mechanisms with other autoimmune diseases.

Objectives: This study aimed to determine the prevalence and association of autoimmune diseases among patients with rheumatoid arthritis and explore the associations between autoimmune diseases and treatment options for rheumatoid arthritis.

Method: This retrospective study was conducted from 2019 to 2023 at King Fahad Armed Forces Hospitals, Jeddah, Saudi Arabia. Data were cleaned in Excel and analyzed using IBM SPSS version 29. The activity of the disease was assessed through clinical manifestations, laboratory findings, and its associations with other autoimmune diseases.

Results: Our study included 365 patients with rheumatoid arthritis, predominantly female (89%), and observed diverse demographics and comorbidities. Prevalent conditions included diabetes mellitus (28.2%), hypertension (27.3%), and dyslipidemia (14.7%). Other autoimmune diseases were present in 24.9% of patients, with notable associations with age at rheumatoid arthritis diagnosis and endocrine, rheumatology/dermatology, and pulmonary disorders (p < 0.001). Treatment approaches varied, with prednisolone (24.4%) and methotrexate (55.1%) being predominant. No significant associations were observed between autoimmune disorders and specific treatment modalities (p > 0.05).

Conclusion: Our study provides a thorough overview of rheumatoid arthritis in a large cohort, revealing demographic trends, comorbidities, autoimmune disease prevalence, treatment preferences, and associations. Relationships with age at rheumatoid arthritis diagnosis and other autoimmune diseases were noted. Treatment approaches varied, with no significant associations between autoimmune disorders and specific modalities.

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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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