Resumen

RODRIGUEZ-MEJIAS, Marcos D.; RODRIGUEZ.GUZMAN, José A.  y  FUENTES-SILVA, Yurilís J.. Associated comorbidities of patients with Rheumatoid Arthritis in external consulation. Rev. parag. reumatol. [online]. 2022, vol.8, n.1, pp.34-40. ISSN 2413-4341.  https://doi.org/10.18004/rpr/2022.08.01.34.

Introduction: Rheumatoid arthritis (RA), is a chronic, autoimmune, systemic inflammatory disease that affects the articular system with polyarthritis, but also affects other extra-articu- lar tissues and organs. The aim of this study was to investigate the comorbidities of patients with RA in a rheumatology practice.

Methodology: cross-sectional study in adults with a diagnosis of RA, in a rheumatology outpatient clinic. Centro Clínico Universitario de Oriente, during the period December 2011 to December 2019 in Ciudad Bolivar, Venezuela.

Results: 94 patients with RA participated, the predominant sex was female with 87.2%; the average age was 52.5±13.1 years. The time of evolution of the patients was 8.2±9.2 years, with a follow-up time in consultation of 12.2±17.3 months. Regarding the cumulative treatment received by the patients, steroids, prednisone and deflazacort, were initially used in 64.9%. In the sample studied the mean initial DAS-28 was 5.4±1.4. The most frequent co- morbidity was high blood pressure (HBP) with 27.7% and according to the Charlson index, 5.2% had heart failure.

Conclusions: Consistent with previous studies, cardiovascular morbidity was the most frequent in this study, taking into account that patients with variability in the time of RA evolution were included. It is important to emphasize RA as a disease of high cardiovascular risk and to redirect strategies that address this risk factor.

Palabras clave : rheumatoid arthritis; polyarthritis; Charlson index.

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