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Table 2 Univariate and multivariate analysis for risk factors for the development of digital ulcers

From: Risk of digital ulcers occurrence in systemic sclerosis: a cross-sectional study

Variable

Active ulcers

Univariate

Multivariate

 

Yes (n = 14)

No (n = 56)

P value

P value

Odds Ratio (95%CI)

Age (years), mean ± SD

41.21 ± 13.97

48.18 ± 11.86

0.078

  

Gender (F/M), n

11/3

54/2

0.020

  

RP duration (years)

3.86 ± 5.36

5.41 ± 6.34

0.533

  

Disease duration

7.50 ± 6.29

9.89 ± 6.21

0.089

  

Cutaneous subset (Diffuse/Limited), n

11/3

14/42

0.003

  

Modified Rodnan score, mean ± SD

24.29 ± 11.44

10.32 ± 8.30

< 0.001

  

Calcinosis, n (%)

2 (14.3)

11 (19.6)

0.004

  

Puffy fingers, n (%)

2 (14.3)

11 (19.6)

0.645

  

Digital pitting scars, n (%)

14 (100.0)

14 (25.0)

< 0.001

  

Necrosis or amputation, n (%)

3 (21.4)

1 (1.8)

0.005

  

Telangiectasia, n (%)

8 (57.1)

30 (53.6)

0.810

  

Arthritis, n (%)

4 (28.6)

16 (28.6)

1.000

  

Hand flexion contracture, n (%)

5 (35.7)

5 (8.9)

0.010

  

Esophageal involvement, n (%)

11 (78.6)

42 (75.0)

0.780

  

Interstitial lung involvement, n (%)

3 (21.4)

31 (55.4)

0.023

  

PAH, n (%)

0 (0.0)

7 (12.5)

0.163

  

Diastolic dysfunction, n (%)

7 (50.0)

10 (17.9)

0.012

  

Renal crisis, n (%)

0 (0.0)

3 (5.4)

0.376

  

ACA, n (%)

2 (14.3)

25 (44.6)

0.037

  

Anti-Scl-70, n (%)

11 (78.6)

10 (17.9)

< 0.001

0.024

7.96 (1.32–47.99)

Anti-RNA polymerase III, n (%)

2 (14.3)

3 (5.4)

0.246

  

IgG anti-annexin V, n (%)

3 (21.4)

8 (14.3)

0.669

  

IgM anti-annexin V, n (%)

1 (7,1)

9 (16.1)

0.866

  

Endothelin-1 serum levels (pg/ml)

2.56 ± 1.09

1.91 ± 1.89

0.003

  

ESR (mmHg)

34.00 ± 14.16

29.63 ± 20.14

0.163

  

C-reactive protein (mg/L)

10.53 ± 8.51

8.38 ± 9.10

0.209

  

Summed MDSS score (range 0–10)

9.21 ± 2.00

5.09 ± 2.74

< 0.001

  

RCS (score 0–10)

7.93 ± 0.62

4.61 ± 2.03

< 0.001

  

Duration of RP attacks (minutes)

51.43 ± 25.19

16.57 ± 9.70

< 0.001

  

Number of RP attacks

4.85 ± 1.88

2.21 ± 1.33

< 0.001

  

HAQ-DI (score 0–3)

1.42 ± 0.34

0.61 ± 0.43

< 0.001

0.023

55.77 (1.76–1764.28)

SHAQ VAS for RP

7.93 ± 0.61

4.61 ± 0.62

< 0.001

  

SHAQ VAS for digital ulcers

6.57 ± 0.85

2.63 ± 1.84

< 0.001

  
  1. Results are presented as mean ± standard deviation or absolute frequency (relative frequency)
  2. RP: Raynaud’s phenomenon; PAH: pulmonary arterial hypertension; ACA: anticentromere; ESR: erythrocyte sedimentation rate; MDSS: Medsger Disease Severity Scale; RCS: Raynaud Condition Score; HAQ-DI: Health assessment questionnaire disability index; SHAQ: Scleroderma Health assessment questionnaire; VAS: analogic visual scale