Prognosis of COVID-19 in patients with rheumatoid arthritis

Background and Aim: Rheumatoid arthritis is an autoimmune, chronic and multisystem disorder. The present study was conducted with the aim of determining the prognosis of COVID-19 in patients with rheumatoid arthritis. Methods: This cross-sectional study was conducted on 241 rheumatoid arthritis pati...

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Bibliographic Details
Main Authors: Sahar Soleimani, Kamal Esalatmanesh, Azam Ziluochian-Moghaddam, Roozbeh Esalatmanesh
Format: Article
Language:fas
Published: Kashan University of Medical Sciences and Health Services 2023-08-01
Series:Fiyz̤
Subjects:
Online Access:http://feyz.kaums.ac.ir/article-1-4893-en.html
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Summary:Background and Aim: Rheumatoid arthritis is an autoimmune, chronic and multisystem disorder. The present study was conducted with the aim of determining the prognosis of COVID-19 in patients with rheumatoid arthritis. Methods: This cross-sectional study was conducted on 241 rheumatoid arthritis patients with covid-19 who had referred to medical centers in Kashan and Tabriz cities, Iran, in 2021. Rheumatoid arthritis disease activity score was measured based on the DAS28-ESR system. The prognosis of Covid-19 was calculated based on the CALL scoring system. Results: The mean age of the patients was 53.06±13.37 years and 82.2% were women. Based on the disease activity score, most patients (61.8%) were in the remission phase at the time of Covid-19 diagnosis. The underlying diseases of diabetes and hypertension and DAS28 score had a significant relationship with the prognosis of patients (P<0.05). Moreover, 92% of patients who were in the active phase of rheumatoid arthritis at the time of Covid-19 diagnosis had a poor prognosis, this percentage was significantly lower in patients who were in other phases of the rheumatoid arthritis disease (P<0.001). Conclusion: The results of the present study show that the prognosis of COVID-19 in rheumatoid arthritis patients with severe activity was worse than those whose disease was inactive or had mild or moderate activity.
ISSN:1029-7855
2008-9821