Avoidable Hospitalizations in Persons With Rheumatoid Arthritis: A Population‐Based Study Using Administrative Data
Main finding · Hospitalization for heart failure and pulmonary edemaResult — go to the resultIncidence rate ratio 1.12 95% CI 1.01–1.25Authors' conclusion
Persons with RA are at a higher risk of potentially avoidable hospitalizations three and five years after diagnosis compared to those without RA.
Study context
- Population
- Persons with rheumatoid arthritis (RA) and age- and sex-matched general population controls, administrative data, 2002 to 2023matched cohort
- Participants
- 83,811 vs 190,304
- Exposure
- RA vs matched general population controls without RA
- RAn = 83,811
- Without RAn = 190,304reference
- Outcome
- Incidence rates of avoidable hospitalizations (hospitalizations for ambulatory care sensitive conditions)
- Follow-up
- Three and five years from the date of diagnosis
Methodological detailsadministrative data, 4 general population controls matched to each RA case by age and sex, multivariable regression adjusted for age, sex and location of residence, Cox proportional hazards model
- Administrative data
- 4 general population controls matched to each RA case by age and sex
- Multivariable regression adjusted for age, sex and location of residence
- Cox proportional hazards model
Main finding
As reported in the abstract
Hospitalization for heart failure and pulmonary edema
Incidence rate ratio
1.12
95% CI 1.01–1.25
RAvs Without RA
IRR 1.12 (95% CI 1.01–1.25)
Observational data: associations, not effects.
Further findings
Predictors of ACSC hospitalizations among RA cases
- Comorbid condition that was an ACSC, HR
- 10.1 (95% CI 7.8-13.0)
- Increasing age, prolonged exposure to GC and having comorbid conditions were significant predictors
- Cox proportional hazards model
Original publication
Avoidable Hospitalizations in Persons With Rheumatoid Arthritis: A Population‐Based Study Using Administrative Data. Arthritis Care Res (Hoboken). Published 2 May 2025. doi:10. 1002/ acr. 25541
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