Table 3.

Risk factors for lower extremity ulcers in patients with rheumatoid arthritis (RA).

VariableValue*HR (95% CI)
At RA incidence
  Age, yrs, per 10-yr increase55.9 (± 15.7)1.73 (1.47, 2.04)**
  Sex, female556 (68)1.22 (0.77, 1.94)
  Calendar year of RA incidence in 1995–2007, vs 1980–1994464 (57)2.14 (1.27, 3.58)**
  ESR at RA incidence date, per 10 mm/h increase32.7 (± 25.7)1.05 (0.94, 1.18)
  Highest ESR in first year of RA, per 10 mm/h increase105 (13)1.03 (0.94, 1.12)
  RF-positive537 (66)1.63 (1.05, 2.53)**
  Current smoker178 (22)1.46 (0.92, 2.34)
  Ever smoker449 (55)1.02 (0.66, 1.58)
At RA incidence or at any time during followup
  History of BMI ≥ 30 kg/m2388 (48)1.12 (0.73, 1.71)
  History of BMI < 20 kg/m2190 (23)1.68 (1.03, 2.75)**
  Rheumatoid nodules267 (33)2.14 (1.39, 3.31)**
  Radiological erosions/destructive changes433 (53)1.59 (1.03, 2.47)**
  Severe extraarticular RA***90 (11)1.96 (1.11, 3.47)**
  Large joint swelling639 (79)1.58 (0.89, 2.82)
  Ever 3 ESR ≥ 60 mm/h105 (13)2.39 (1.40, 4.07)**
  Arthroplasty or synovectomy190 (23)1.36 (0.86, 2.15)
Ever exposure to medications
  Methotrexate469 (58)1.58 (1.01, 2.47)**
  Hydroxychloroquine480 (59)1.09 (0.70, 1.70)
  Other DMARD258 (32)1.36 (0.84, 2.19)
  Biologic agents137 (17)1.95 (0.99, 3.83)
  Systemic glucocorticosteroids627 (77)1.54 (0.93, 2.54)
Comorbidities
  Hypertension709 (87)1.94 (0.76, 4.93)
  Diabetes mellitus154 (19)1.56 (0.96, 2.51)
  Cardiovascular disease231 (28)1.51 (0.92, 2.47)
  Peripheral vascular disease28 (3)1.29 (0.52, 3.25)
  Venous thromboembolism69 (8)2.16 (1.07, 4.36)**
  • * Mean (± SD) or n (%).

  • ** Statistically significant at p < 0.05.

  • *** As defined in Reference 10 (Turesson, et al). ESR: erythrocyte sedimentation rate; RF: rheumatoid factor; BMI: body mass index; DMARD: disease-modifying antirheumatic drugs.