showed a trendp = 0.057
In multivariate analysis, overlap syndromes (OR 1.85, CI 1.42–2.40; p < 0.001), arterial hypertension (OR 1.55, 95% CI 1.16–2.1; p = 0.003), SLE flare (OR 1.77, 95% CI 1.33–2.33; p < 0.001), and vascular events (OR 3.11, 95% CI 1.80–5.38; p < 0.001) remained independently associated with adverse outcomes, while antimalarial use showed a trend towards protection (OR 0.78, 95% CI 0.60–1.01; p = 0.057) ( Table 5 ).