Gout & crystal arthritis

Acute coronary syndrome in calcium pyrophosphate deposition disease patients: A US inpatient care cohort study

Semin Arthritis RheumPublished Retrospective cohort study

Main finding · In-hospital mortalityResult — go to the resultOdds ratio 0.77 95 % CI 0.70–0.85

Authors' conclusion

ACS in CPPD patients is associated with higher healthcare utilization, including cost and length of hospital stay, and lower in-hospital mortality than non-CPPD patients.

Study context

Population
Patients admitted for acute coronary syndrome (ACS), US National Inpatient Sample (NIS) Database, 2006–2019admitted for ACS
Participants
17,322,362 patients
Exposure
ACS admissions with CPPD vs without CPPD
  • CPPDn = 7,458
Outcome
In-hospital mortality, LOS, hospital charges and in-hospital complications
Methodological detailsUS National Inpatient Sample (NIS) Database, ICD-9 and −10 codes
  • US National Inpatient Sample (NIS) Database
  • ICD-9 and −10 codes

Main finding

In-hospital mortality

Odds ratio

0.77

95 % CI 0.70–0.85

CPPDvs Non-CPPD
OR 0.77 (95 % CI 0.70–0.85)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95 % CI)
Mean LOS3.35 (3.17–3.53)
Mean total charges1.04 (1.01–1.10)

Age

P < 0.001

CKD

More frequent in CPPD patients

Safety

Acute ischaemic stroke and post-procedural haemorrhage (in-hospital complications)

More frequently seen in CPPD patients

Original publication

Acute coronary syndrome in calcium pyrophosphate deposition disease patients: A US inpatient care cohort study. Semin Arthritis Rheum. Published 17 May 2024. doi:10.1016/j.semarthrit.2024.152464

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