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DOI: 10.1016/j.reumae.2021.02.007
Available online 14 September 2021
Causes of mortality associated with autoimmune rheumatic disease in a referral hospital
Causas de mortalidad asociadas a enfermedad reumática autoinmune en un hospital de referencia
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Herberth Leonardoa,b, Miriam Carrascosaa,b, Ricardo Arreolaa,b, Maynor Herrera-Méndeza,b,
Corresponding author
drherreram@gmail.com

Corresponding author.
a Unidad de Reumatología, Departamento de Medicina Interna, Hospital Roosevelt, Ciudad de Guatemala, Guatemala
b Facultad de Ciencias Médicas, Escuela de Estudios de Postgrado, Universidad de San Carlos de Guatemala, Ciudad de Guatemala, Guatemala
Received 21 September 2020. Accepted 03 February 2021
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Table 1. Demographic characteristics distributed by ARD.
Table 2. Main causes of mortality distributed by ARD.
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Abstract

The causes of mortality among rheumatic diseases vary widely between geographic areas and cannot be generalized, however, they are frequently associated with the aggressiveness of the clinical presentation and the secondary effects of the therapy used. The main purpose of this study was to characterize the causes of death in a group of patients with autoimmune rheumatic disease. For this purpose, a retrospective study was carried out over a period of 10 years (2009–2019), deceased patients were included from a referral centre in Guatemala City, the records were reviewed in search of demographic and clinical variables. In total, 185 deceased patients were identified from 898 admissions during that period, 85.9% were women and the main disease reported was systemic lupus erythematosus in 49.7% of the cases. Among the causes of mortality, infections were reported in 53% and those attributed to disease activity in 15% of cases. The main conclusion is that that most of the deaths were of infectious origin.

Keywords:
Rheumatic mortality
Autoimmune rheumatic disease
Systemic lupus erythematosus
Cause of death
Resumen

Las causas de mortalidad entre las enfermedades reumáticas varían ampliamente entre áreas geográficas, y no puede generalizarse sobre las mismas, sin embargo, frecuentemente se asocian a la agresividad de la presentación clínica y a los efectos secundarios de la terapéutica utilizada. El propósito principal de este estudio fue caracterizar en un grupo de pacientes con enfermedad reumática autoinmune las causas de muerte. Para el efecto se realizó un estudio retrospectivo en un periodo de 10 años (2009 a 2019), se incluyeron pacientes fallecidos en un centro de referencia en la ciudad de Guatemala, y se revisaron los registros en busca de variables demográficas y clínicas. En total fueron identificados 185 pacientes muertos de 898 ingresos durante ese periodo, el 85,9% fueron mujeres y la principal enfermedad reportada fue lupus eritematoso sistémico con el 49,7% de los casos. Dentro de las causas de mortalidad, las infecciones se reportaron en el 53% y las atribuidas a la actividad de la enfermedad en el 15% de los casos. La principal conclusión es el origen infeccioso como la causa más frecuente de muerte.

Palabras clave:
Mortalidad reumática
Enfermedad reumática autoinmune
Lupus eritematoso sistémico
Causa de muerte

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