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Table 2 Univariable analysis of factors associated with serum NN and NA levels in patients with SLE

From: Serum nitrated nucleosome levels in patients with systemic lupus erythematosus: a retrospective longitudinal cohort study

Variable

Category/term

Ratio for NN (95% CI)

P-value for NN

Ratio for NA (95% CI)

P-value for NA

Gender *

Female (n = 336)

1

 

1

 
 

Male (n = 61)

2.01 (1.06, 3.81)

0.03

5.00 (2.50,9.98)

<0.001

Disease duration

Ratio given per 5-year increase

0.43 (0.23, 0.79)

0.005

0.32 (0.20,0.51)

<0.001

Age (at diagnosis)

Ratio given per 10-year increase

0.10 (0.02, 0.46)

<0.001

0.04 (0.01,0.16)

0.002

Ethnicity*

Caucasian (n = 182 )

1

 

1

 
 

Afro-Caribbean (n = 146 )

0.75 (0.47, 1.22)

 

2.07 (1.26,3.40)

 
 

Other (n = 69)

0.33 (0.17, 0.63)

0.003

3.75 (1.86,7.56)

<0.001

Any ENA**

No (n = 165)

1

 

1

 
 

Yes (n = 232)

3.43 (2.19, 5.37)

<0.001

3.19 (1.93,5.27)

<0.001

Anti-Ro**

No (n = 226)

1

 

1

 
 

Yes (n = 171)

1.70 (1.12, 2.59)

0.01

1.81 (1.14,2.89)

0.01

Anti-La**

No (n = 345)

1

 

1

 
 

Yes (n = 52)

0.79 (0.41, 1.50)

0.47

0.46 (0.20,1.06)

0.07

Anti-Sm**

No (n = 298)

1

 

1

 
 

Yes (n = 99)

5.63 (3.66, 8.67)

<0.001

6.25 (3.84,10.2)

<0.001

Anti-RNP**

No (n = 288)

1

 

1

 
 

Yes (n = 109)

1.08 (0.69, 1.70)

0.74

1.72 (1.06,2.79)

0.03

Anti-dsDNA level

<50 IU/ml (n = 177)

1

 

1

 
 

≥50 IU/ml (n = 170)

0.76 (0.26, 1.13)

0.17

1.32 (0.66,2.65)

0.43

C3 level

<0.9 g/l (n = 139)

1

 

1

 
 

≥0.9 g/l (n = 208)

0.83 (0.57, 1.20)

0.32

1.26 (0.86,1.87)

0.24

Disease activity in general system§

A, B (n = 31)

1

 

1

 
 

C, D, E (n = 344)

0.96 (0.60, 1.54)

0.87

1.19 (0.71,2.00)

0.52

Disease activity in mucocutaneous system

A, B (n = 41)

1

 

1

 
 

C, D, E (n = 334)

0.99 (0.63, 1.56)

0.95

1.32 (0.76,2.29)

0.33

Disease activity in neuropsychiatric system

A, B (n = 18)

1

 

1

 
 

C, D, E (n = 357)

0.56 (0.13, 2.38)

0.44

1.04 (0.50,2.19)

0.91

Disease activity in musculoskeletal system

A, B (n = 47)

1

 

1

 
 

C, D, E (n = 328)

1.20 (0.47, 3.04)

0.71

0.68 (0.43,1.05)

0.08

Disease activity in cardiorespiratory system

A, B (n = 13)

1

 

1

 
 

C, D, E (n = 362)

0.43 (0.24, 0.78)

0.006

1.40 (0.22,8.70)

0.72

Disease activity in vascular system

A, B (n = 12)

1

 

1

 
 

C, D, E (n = 363)

0.33 (0.17, 0.63)

0.001

0.39 (0.19,0.82)

0.01

Disease activity in renal system

A, B (n = 41)

1

 

1

 
 

C, D, E (n = 329)

1.09 (0.40, 2.97)

0.86

4.28 (2.13,8.58)

<0.001

Disease activity in hematological system

A, B (n = 95)

1

 

1

 
 

C, D, E (n = 280)

1.21 (0.84, 1.74)

0.30

1.44 (0.95,2.17)

0.08

Overall disease activity over last four assessments

Persistently low (n = 166)

1

 

1

 
 

Persistently mod/high (n = 209)

0.91 (0.66, 1.25)

0.57

0.66 (0.47,0.92)

0.01

Hydroxychloroquine

No (n = 223)

1

 

1

 
 

Yes (n = 174)

3.52 (2.40, 5.17)

<0.001

3.21 (2.08,4.95)

<0.001

Immunosuppression

No (n = 200)

1

 

1

 
 

Yes (n = 197)

1.66 (1.17, 2.34)

0.004

1.33 (0.89,1.98)

0.16

Oral corticosteroids

≤7.5 mg/day (n = 101)

1

 

1

 
 

>7.5 mg/day (n = 296)

0.81 (0.59, 1.13)

0.22

1.00 (0.69,1.44)

0.99

Albumin

Ratio given per 5 g/l increase

1.38 (1.20,1.59)

<0.001

1.42 (1.22,1.65)

<0.001

  1. *For gender, n values refer to the numbers of samples taken from female and male subjects, rather than the numbers of females and males in the cohort of patients. A similar stipulation applies to ethnicity where n values refer to the number of samples taken from patients of each ethnic group.
  2. For the complex associations with disease duration and age, we carried out analysis of both linear and squared terms. The figures in the table refer to linear terms. The ratios for squared terms for NN are 0.66 (95% CI: 0.51, 0.85) for disease duration and 1.56 (95% CI: 1.20, 2.03) for age. The ratios for squared terms for NA are 0.59 (95% CI: 0.46, 0.75) for disease duration and 1.72 (95% CI: 1.32, 2.24) for age.
  3. **For ENA, anti-Ro, anti-La and anti-Sm we did not have results from the date of every sample but it is assumed that positivity and negativity for these antigens generally remain stable.
  4. §“Disease activity in general system” refers to the BILAG score (A, B, C, D or E) in the General Category of the BILAG index on the day when each sample was taken. The same principle applies to the remaining organ systems listed in the table, which are the eight different categories recorded in BILAG. Bold type indicates statistically significant P-values (P <0.05).