Table 3. Prognostic factors associated and not associated with systemic sclerosis-associated pulmonary arterial hypertension
Prognostic factorEstimateRef.
Factors associated with survival
    HLA DRw6RR 54.52 (p=0.01)[63]
    HLA DRw52RR not reported (p=0.02)[63]
    Elevated mean PraHR 20.7 (p=0.0001)[40]
    Higher mixed venous oxygen saturationHR 0.17, 95% CI 0.09–0.33[44]
    PVRNo difference in Kaplan–Meier curves in patients with a change in PVR <20%, 20–34% or[40]
≥35% (p=0.8)[55]
HR 1.10, 95% CI 1.03–1.18 (p<0.01)[51]
PVR index: HR 1.05, 95% CI 1.01–1.09 (p<0.01)[56]
HR 1.20, 95% CI 1.02–1.41 (p=0.02)
    SVIHR 0.94, 95% CI 0.89–0.99 (p=0.02)[55]
    Pulmonary artery capacitanceHR 0.43, 95% CI 0.20–0.91 (p=0.03)[55]
    Functional classLower functional class has better survival:[44]
HR 2.26, 95% CI 1.02–4.97[56]
NYHA classes III/IV: HR 4.54, 95% CI 1.37–8.33 (p=0.01)[55]
WHO classes III/IV have worse survival than classes I/II:
log rank test p=0.02
    SexMales have worse survival: HR 2.02, 95% CI 0.65–6.20[64]
Females have better survival: HR 2.20, 95% CI 1.36–3.55[44]
    Age yrsAge >50 yrs has worse survival: HR 2.34, 95% CI 0.54–10.2[64]
Younger age has better survival: HR 0.66, 95% CI 0.34–1.29[44]
    Estimated glomerular filtration rate#HR 2.63, 95% CI 1.29–5.37 (p<0.01)+[55]
    Signs of right heart failureHR 2.56, 95% CI 1.02–14.28 (p=0.04)[56]
Factors not associated with survival
    Anti-centromere antibodyHR 1.67, 95% CI 0.66–4.26[64]
No effect on survival: data not reported[44]
    Anti-Scl-70HR 0.28, 95% CI 0.03–1.99[64]
No effect on survival: data not reported[44]
  • HLA: human leukocyte antigen; Pra: right atrial pressure; PVR: pulmonary vascular resistance; SVI: stroke volume index; NYHA: New York Heart Association; WHO: World Health Organization. #: <60 mL·min−1·1.73 m−2; : estimate was suggestive but not statistically significant; +: estimate from univariate analysis. Multivariate models including different haemodynamic parameters estimate HR 2.56–3.41.