{"id":22337,"date":"2021-08-19T09:07:20","date_gmt":"2021-08-19T09:07:20","guid":{"rendered":"https:\/\/evaggelatos.com\/?p=22337"},"modified":"2021-08-19T09:07:20","modified_gmt":"2021-08-19T09:07:20","slug":"people-with-raird-had-a-54-increased-risk-of-covid19-infection-and-more-than-twice-the-risk-of-covid19-related-death-compared-to-the-general-population","status":"publish","type":"post","link":"https:\/\/evaggelatos.com\/?p=22337","title":{"rendered":"People with RAIRD had a 54% increased risk of COVID19 infection and more than twice the risk of COVID19 related death compared to the general population."},"content":{"rendered":"<div class=\"panel-pane pane-highwire-article-citation\">\n<div class=\"pane-content\">\n<div id=\"node396743\" class=\"highwire-article-citation highwire-citation-type-highwire-article\" data-node-nid=\"396743\" data-pisa=\"medrxiv;2021.08.17.21260846v1\" data-pisa-master=\"medrxiv;2021.08.17.21260846\" data-apath=\"\/medrxiv\/early\/2021\/08\/18\/2021.08.17.21260846.atom\" data-hw-author-tooltip-instance=\"\">\n<div class=\"highwire-cite highwire-cite-highwire-article highwire-citation-medrxiv-article-top clearfix has-author-tooltip\">\n<h1 id=\"page-title\" class=\"highwire-cite-title\">COVID-19 infection, hospitalisation and death Amongst People with Rare Autoimmune Rheumatic Disease in England. Results from the RECORDER Project.<\/h1>\n<div class=\"highwire-cite-authors\"><span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first hw-author-orcid-logo-wrapper\" data-delta=\"0\"><a class=\"hw-author-orcid-logo link-icon-only link-icon\" href=\"http:\/\/orcid.org\/0000-0002-1522-9620\" target=\"_blank\" rel=\"noopener\"> <span class=\"title element-invisible\">View ORCID Profile<\/span><\/a><span class=\"nlm-given-names\">Megan<\/span> <span class=\"nlm-surname\">Rutter<\/span><\/span>, <span class=\"highwire-citation-author hw-author-orcid-logo-wrapper has-tooltip hasTooltip\" data-delta=\"1\" data-hasqtip=\"4\"><a class=\"hw-author-orcid-logo link-icon-only link-icon\" href=\"http:\/\/orcid.org\/0000-0002-9855-6802\" target=\"_blank\" rel=\"noopener\"> <span class=\"title element-invisible\">View ORCID Profile<\/span><\/a><span class=\"nlm-given-names\">Peter C<\/span> <span class=\"nlm-surname\">Lanyon<\/span><\/span>, <span class=\"highwire-citation-author hw-author-orcid-logo-wrapper has-tooltip hasTooltip\" data-delta=\"2\" data-hasqtip=\"1\"><a class=\"hw-author-orcid-logo link-icon-only link-icon\" href=\"http:\/\/orcid.org\/0000-0001-7181-4042\" target=\"_blank\" rel=\"noopener\"> <span class=\"title element-invisible\">View ORCID Profile<\/span><\/a><span class=\"nlm-given-names\">Matthew J<\/span> <span class=\"nlm-surname\">Grainge<\/span><\/span>, <span class=\"highwire-citation-author hw-author-orcid-logo-wrapper\" data-delta=\"3\"><a class=\"hw-author-orcid-logo link-icon-only link-icon\" href=\"http:\/\/orcid.org\/0000-0003-3063-0356\" target=\"_blank\" rel=\"noopener\"> <span class=\"title element-invisible\">View ORCID Profile<\/span><\/a><span class=\"nlm-given-names\">Richard<\/span> <span class=\"nlm-surname\">Hubbard<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"4\"><span class=\"nlm-given-names\">Emily<\/span> <span class=\"nlm-surname\">Peach<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"5\"><span class=\"nlm-given-names\">Mary<\/span> <span class=\"nlm-surname\">Bythell<\/span><\/span>, <span class=\"highwire-citation-author has-tooltip hasTooltip\" data-delta=\"6\" data-hasqtip=\"3\"><span class=\"nlm-given-names\">Peter<\/span> <span class=\"nlm-surname\">Stilwell<\/span><\/span>, <span class=\"highwire-citation-author has-tooltip hasTooltip\" data-delta=\"7\" data-hasqtip=\"2\"><span class=\"nlm-given-names\">Jeanette<\/span> <span class=\"nlm-surname\">Ashton<\/span><\/span>, <span class=\"highwire-citation-author\" data-delta=\"8\"><span class=\"nlm-given-names\">Sarah<\/span> <span class=\"nlm-surname\">Stevens<\/span><\/span>, <span class=\"highwire-citation-author hw-author-orcid-logo-wrapper has-tooltip hasTooltip\" data-delta=\"9\" data-hasqtip=\"0\"><a class=\"hw-author-orcid-logo link-icon-only link-icon\" href=\"http:\/\/orcid.org\/0000-0003-2884-1998\" target=\"_blank\" rel=\"noopener\"> <span class=\"title element-invisible\">View ORCID Profile<\/span><\/a><span class=\"nlm-given-names\">Fiona A<\/span> <span class=\"nlm-surname\">Pearce<\/span><\/span><\/span><\/div>\n<div class=\"highwire-cite-metadata\"><span class=\"highwire-cite-metadata-doi highwire-cite-metadata\"><span class=\"label\">doi:<\/span> https:\/\/doi.org\/10.1101\/2021.08.17.21260846 <\/span><\/p>\n<div class=\"pub_jnl\"><a href=\"https:\/\/www.medrxiv.org\/content\/what-unrefereed-preprint\" target=\"_blank\" rel=\"noopener\">This article is a preprint and has not been certified by peer review [what does this mean?]. It reports new medical research that has yet to be evaluated and so should <em>not<\/em> be used to guide clinical practice.<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"panel-separator\"><\/div>\n<div class=\"panel-pane pane-highwire-panel-tabs pane-panels-ajax-tab-tabs panels-ajax-tabs-once-processed\">\n<div class=\"pane-content\">\n<div class=\"item-list\"><\/div>\n<\/div>\n<\/div>\n<div class=\"panel-pane pane-highwire-panel-tabs-container\">\n<div class=\"pane-content\">\n<div id=\"panels-ajax-tab-container-highwire_article_tabs\" class=\"panels-ajax-tab-container\" data-panels-ajax-tab-preloaded=\"biorxiv_tab_art\">\n<div class=\"panels-ajax-tab-wrap-biorxiv_tab_art\">\n<div class=\"panel-display panel-1col clearfix\">\n<div class=\"panel-panel panel-col\">\n<div>\n<div class=\"panel-pane pane-highwire-markup\">\n<div class=\"pane-content\">\n<div class=\"highwire-markup\">\n<div id=\"content-block-markup\" data-highwire-cite-ref-tooltip-instance=\"highwire_reflinks_tooltip\">\n<div class=\"article abstract-view \">\n<div id=\"abstract-1\" class=\"section abstract\">\n<h2>Abstract<\/h2>\n<p id=\"p-2\">Objectives: To calculate the rates of COVID19 infection and COVID19 related death among people with rare autoimmune rheumatic diseases (RAIRD) during the first wave of the COVID19 pandemic in England compared to the general population. Methods: We used Hospital Episode Statistics to identify all people alive 01 March 2020 with ICD10 codes for RAIRD from the whole population of England. We used linked national health records (demographic, death certificate, admissions and PCR testing data) to calculate rates of COVID19 infection and death up to 31 July 2020. Our primary definition of COVID19 related death was mention of COVID19 on the death certificate. General population data from Public Health England and the Office for National Statistics were used for comparison. We also describe COVID19 related hospital admissions and all cause deaths. Results: We identified a cohort of 168,680 people with RAIRD, of whom 1874 (1.11%) had a positive COVID19 PCR test. The age standardised infection rate was 1.54 (95% CI 1.50, 1.59) times higher than in the general population. 713 (0.42%<strong>) people with RAIRD died with COVID19 on their death certificate and the age sex standardised mortality rate for COVID19 related death was 2.41 (2.30, 2.53) times higher than in the general population.<\/strong> There was no evidence of an increase in deaths from other causes in the RAIRD population. Conclusions: During the first wave of COVID19 in England, <span style=\"font-size: 18pt;\"><strong>people with RAIRD had a 54% increased risk of COVID19 infection and more than twice the risk of COVID19 related death compared to the general population.<\/strong><\/span> These increases were seen despite shielding policies.<\/p>\n<\/div>\n<h3>Competing Interest Statement<\/h3>\n<p id=\"p-3\">Competing Interest Statement: FP and PCL are recipients of a grant from Vifor pharma. Vifor pharma had no influence on the design, conduct or interpretation of this study.<\/p>\n<h3>Funding Statement<\/h3>\n<p id=\"p-4\">Funding Statement: MR is funded by Vasculitis UK (patient charity) and the British Society for Rheumatology, and would like to thank them for their help and support. FP and PCL are recipients of a grant from Vifor pharma. Vifor pharma had no influence on the design, conduct or interpretation of this study.<\/p>\n<h3>Author Declarations<\/h3>\n<p id=\"p-5\">I confirm all relevant ethical guidelines have been followed, and any necessary IRB and\/or ethics committee approvals have been obtained.<\/p>\n<p id=\"p-6\">Yes<\/p>\n<p id=\"p-7\">The details of the IRB\/oversight body that provided approval or exemption for the research described are given below:<\/p>\n<p id=\"p-8\">This study received a favourable opinion from the Camden and Kings Cross Research Ethics Committee, study reference 20 HRA 2076, on 18 June 2020. The legal basis to access the data is predominantly covered by NCARDRS Section 251 approval, Reference CAG 10 02d 2015. Where the work extends beyond Section 251 approval, it has been approved under Regulation 3,4 of the Health Service Control of Patient Information Regulations 2002, COPI, allowing the processing of confidential patient information for the purposes of protecting public health and managing the COVID19 outbreak. For quality assurance the data extraction and analysis were re-conducted by an independent analyst from the National Disease Registration Service.<\/p>\n<p id=\"p-9\">All necessary patient\/participant consent has been obtained and the appropriate institutional forms have been archived.<\/p>\n<p id=\"p-10\">Yes<\/p>\n<p id=\"p-11\">I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).<\/p>\n<p id=\"p-12\">Yes<\/p>\n<p id=\"p-13\">I have followed all appropriate research reporting guidelines and uploaded the relevant EQUATOR Network research reporting checklist(s) and other pertinent material as supplementary files, if applicable.<\/p>\n<p id=\"p-14\">Yes<\/p>\n<p>Paper in collection <b><a href=\"http:\/\/connect.medrxiv.org\/relate\/content\/181\">COVID-19 SARS-CoV-2 preprints from medRxiv and bioRxiv<\/a><\/b><\/p>\n<p>Source:https:\/\/www.medrxiv.org\/content\/10.1101\/2021.08.17.21260846v1<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>COVID-19 infection, hospitalisation and death Amongst People with Rare Autoimmune Rheumatic Disease in England. Results from the RECORDER Project. View ORCID ProfileMegan Rutter, View ORCID ProfilePeter C Lanyon, View ORCID ProfileMatthew J Grainge, View ORCID ProfileRichard Hubbard, Emily Peach, Mary Bythell, Peter Stilwell, Jeanette Ashton, Sarah Stevens, View ORCID ProfileFiona A Pearce doi: https:\/\/doi.org\/10.1101\/2021.08.17.21260846 This &hellip; <\/p>\n<p><a class=\"more-link btn\" href=\"https:\/\/evaggelatos.com\/?p=22337\">\u03a3\u03c5\u03bd\u03ad\u03c7\u03b5\u03b9\u03b1 \u03b1\u03bd\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\u03c2<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[85],"tags":[275],"class_list":["post-22337","post","type-post","status-publish","format-standard","hentry","category-85","tag-medical-articles","item-wrap"],"_links":{"self":[{"href":"https:\/\/evaggelatos.com\/index.php?rest_route=\/wp\/v2\/posts\/22337","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/evaggelatos.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/evaggelatos.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/evaggelatos.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/evaggelatos.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=22337"}],"version-history":[{"count":2,"href":"https:\/\/evaggelatos.com\/index.php?rest_route=\/wp\/v2\/posts\/22337\/revisions"}],"predecessor-version":[{"id":22636,"href":"https:\/\/evaggelatos.com\/index.php?rest_route=\/wp\/v2\/posts\/22337\/revisions\/22636"}],"wp:attachment":[{"href":"https:\/\/evaggelatos.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=22337"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/evaggelatos.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=22337"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/evaggelatos.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=22337"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}