Characteristic | N | Overall, N = 271 | No GCA-related CIE, N = 257 | GCA-related CIE, N = 14 | p-value |
---|---|---|---|---|---|
Age at diagnosis (years) | 271 | 72 ± 9 | 72 ± 9 | 70 ± 9 | 0.3 |
Follow-up (months) | 271 | 48 (21–81) | 50 (22–84) | 24 (9–31) | 0.02 |
Vascular risk factors | 271 | 207 (76.4%) | 197 (76.6%) | 10 (71.4%) | NS |
 Male | 271 | 89 (33%) | 81 (32%) | 8 (57%) | 0.075 |
 Hypertension | 271 | 151 (56%) | 145 (56%) | 6 (43%) | 0.3 |
 Diabetes | 271 | 54 (20%) | 51 (20%) | 3 (21%) |  > 0.9 |
 Dyslipidemia | 271 | 99 (37%) | 94 (37%) | 5 (36%) |  > 0.9 |
 Smoking | 267 | 83 (31%) | 76 (30%) | 7 (54%) | 0.12 |
 BMI (kg/m2) | 147 | 24.8 (22.1–28.4) | 24.9 (22.3–28.6) | 22.5 (18.0–24.1) | 0.02 |
Vascular history | |||||
 Coronary heart disease | 271 | 11 (4.1%) | 11 (4.3%) | 0 (0%) |  > 0.9 |
 Stroke history | 271 | 24 (8.9%) | 23 (8.9%) | 1 (7.1%) |  > 0.9 |
 Peripheral artery disease | 271 | 20 (7.4%) | 19 (7.4%) | 1 (7.1%) |  > 0.9 |
Atrial fibrillation | 271 | 35 (13%) | 33 (13%) | 2 (14%) | 0.7 |
Positive temporal artery biopsy | 248 | 137 (55%) | 129 (55%) | 8 (57%) | 0.9 |
Clinical features | |||||
 Constitutional symptoms | 263 | 150 (57%) | 141 (56%) | 9 (69%) | 0.4 |
 Fever | 263 | 53 (20%) | 51 (20%) | 2 (15%) |  > 0.9 |
 Headache | 264 | 188 (71%) | 181 (72%) | 7 (54%) | 0.2 |
 Jaw claudication | 263 | 104 (40%) | 98 (39%) | 6 (46%) | 0.6 |
 Scalp tenderness | 262 | 99 (38%) | 97 (39%) | 2 (15%) | 0.087 |
 Limb claudication | 262 | 27 (10%) | 27 (11%) | 0 (0%) | 0.4 |
 Non palpable temporal pulse | 262 | 46 (18%) | 44 (18%) | 2 (15%) |  > 0.9 |
 Polymyalgia rheumatica | 270 | 93 (34%) | 89 (35%) | 4 (29%) | 0.8 |
Ischemic complications | |||||
 Cerebrovascular ischemic events | |||||
  Time from diagnosis to GCA related first CIE (days) | 14 |  − 5 (− 22–0) | - |  − 5 (− 22–0) | - |
  GCA-related recurrent CIE | 14 | 2 (0.7%) | - | 2 (14%) | - |
 Visual involvement | 271 | 77 (28%) | 76 (30%) | 1 (7.1%) | 0.12 |
  AAION | 271 | 41 (15%) | 40 (16%) | 1 (7.1%) | 0.7 |
  Other visual involvement | 271 | 38 (14%) | 38 (15%) | 0 (0%) | 0.2 |
 Aortic involvement | 271 | 9 (3.3%) | 8 (3.1%) | 1 (7.1%) | 0.4 |
Biological parameters | |||||
 CRP (mg/l) | 251 | 70 (35–120) | 70 (35–120) | 44 (24–98) | 0.5 |
 Hemoglobin level (g/dl) | 169 | 11.70 (10.60–12.80) | 11.65 (10.60–12.80) | 12.10 (10.90–13.70) | 0.5 |
Imagery | |||||
 Doppler US | |||||
  Temporal artery involvement | 250 | 74 (30%) | 70 (29%) | 4 (33%) | 0.8 |
  Carotid artery involvement | 251 | 43 (17%) | 41 (17%) | 2 (17%) |  > 0.9 |
  Vertebral artery involvement (hypoechogenic thickening) | 250 | 6 (2.4%) | 5 (2.1%) | 1 (8.3%) | 0.3 |
  Thrombosis of vertebral artery | 251 | 4 (1.6%) | 2 (0.8%) | 2 (17%) | 0.012 |
  Subclavian artery involvement | 251 | 37 (15%) | 35 (15%) | 2 (17%) | 0.7 |
  Axillary artery involvement | 251 | 43 (17%) | 43 (18%) | 0 (0%) | 0.2 |
 PET/CT | |||||
  PET/CT delay from diagnosis (days) | 171 | 1 (− 7–20) | 2 (− 7–24) | 0 (− 9–0) | 0.14 |
  Temporal artery involvement | 171 | 8 (4.7%) | 8 (5.0%) | 0 (0%) |  > 0.9 |
  Carotid artery involvement | 171 | 55 (32%) | 51 (32%) | 4 (36%) | 0.7 |
  Vertebral artery involvement | 171 | 38 (22%) | 35 (22%) | 3 (27%) | 0.7 |
  Subclavian artery involvement | 171 | 85 (50%) | 78 (49%) | 7 (64%) | 0.4 |
  Axillary artery involvement | 171 | 38 (22%) | 32 (20%) | 6 (55%) | 0.016 |
  Femoral artery involvement | 171 | 39 (23%) | 37 (23%) | 2 (18%) |  > 0.9 |
  Aortitis | 171 | 92 (54%) | 86 (54%) | 6 (55%) |  > 0.9 |
  Polymyalgia rheumatica | 171 | 36 (21%) | 35 (22%) | 1 (9.1%) | 0.5 |
 CTA/MRA | |||||
  CTA/MRA carotid artery involvement | 193 | 31 (16%) | 26 (15%) | 5 (36%) | 0.053 |
  CTA/MRA vertebral artery involvement | 193 | 13 (6.7%) | 6 (3.4%) | 7 (50%) |  < 0.001 |
  CTA/MRA axillary artery involvement | 172 | 12 (7.0%) | 12 (7.5%) | 0 (0%) |  > 0.9 |
  CTA/MRA subclavian artery involvement | 172 | 38 (22%) | 36 (22%) | 2 (17%) |  > 0.9 |
  CTA/MRA aortitis | 172 | 72 (42%) | 68 (42%) | 4 (33%) | 0.8 |
  CTA/MRA cerebral artery involvement | 71 | 8 (11%) | 1 (1.8%) | 7 (50%) |  < 0.001 |
  CTA cerebral artery involvement | 13 | 4 (31%) | 0 (0%) | 4 (57%) | 0.070 |
  MRA cerebral artery involvement | 69 | 7 (10%) | 1 (1.8%) | 6 (43%) |  < 0.001 |
Treatments | |||||
 Pulse glucocorticoids | 265 | 71 (27%) | 62 (25%) | 9 (69%) | 0.001 |
 Initial oral glucocorticoid dosage (mg/day) | 264 | 55 (45–60) | 50 (45–60) | 60 (55–80) | 0.017 |
 Aspirin | 270 | 216 (80%) | 204 (80%) | 12 (86%) | 0.7 |
 Tocilizumab | 265 | 33 (12%) | 29 (12%) | 4 (29%) | 0.081 |
 Methotrexate | 270 | 74 (27%) | 72 (28%) | 2 (14%) | 0.4 |
Ischemic vascular events during follow-up | 270 | 32 (12%) | 30 (12%) | 2 (14%) | 0.7 |
 Ischemic vascular event type | 32 |  |  |  |  > 0.9 |
  Non GCA-related CIE |  | 19 (59%) | 17 (57%) | 2 (100%) |  |
  Myocardial infarction |  | 9 (28%) | 9 (30%) | 0 (0%) |  |
  Limb ischemia |  | 4 (12%) | 4 (13%) | 0 (0%) |  |
 Time from diagnosis to non GCA-related CIE (days) | 18 | 1,499 (717–1,723) | 1,378 (626–1,636) | 3,073 (2,830–3,316) | 0.052 |
 Non GCA-related CIE etiology | 18 |  |  |  | 0.8 |
  Atherosclerosis |  | 2 (11%) | 2 (12%) | 0 (0%) |  |
  Cardioembolism |  | 6 (33%) | 5 (31%) | 1 (50%) |  |
  Small vessel disease |  | 3 (17%) | 2 (12%) | 1 (50%) |  |
  Septic |  | 1 (5.6%) | 1 (6.2%) | 0 (0%) |  |
  Undetermined |  | 6 (33%) | 6 (38%) | 0 (0%) |  |
Mortality | 271 | 33 (12%) | 29 (11%) | 4 (29%) | 0.075 |