Risk of stroke in SLE: a systematic review and meta-analysis.
Jingya Zhang, Weiman Shi, Yaling Xu et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the risk of stroke in patients with systemic lupus erythematosus (SLE) using data from 25 cohort studies involving 5,220,837 individuals. The analysis found a significantly increased risk of stroke in SLE patients, with a pooled risk ratio of 2.60 (95% CI 2.21 to 3.05, p<0.001).
Key findings
- Pooled risk ratio for stroke in SLE patients was 2.60 (95% CI 2.21 to 3.05).
- Composite stroke risk increased with a risk ratio of 2.83 (95% CI 2.25 to 3.57).
- Ischaemic stroke risk was elevated with a risk ratio of 2.34 (95% CI 1.75 to 3.12).
- Haemorrhagic stroke risk also increased, with a risk ratio of 2.66 (95% CI 1.57 to 4.49).
Why it matters
Understanding the increased risk of stroke in patients with SLE is crucial for clinicians, as it highlights the need for vigilant monitoring and potential preventive strategies in this population.