Lupus & antiphospholipid syndrome
Epidemiology and outcomes of emergency department visits in systemic lupus erythematosus: Insights from the nationwide emergency department sample (NEDS)
Authors' conclusion
Infection and SLE/CTD were among the top diagnoses associated with ED visits and inpatient admission. Despite comprising a significant proportion of SLE ED visits, Black patients had lower odds of admission.
Study context
- Population
- Adult (≥ 18 years) emergency department (ED) visits in the Nationwide Emergency Department Sample, 2019Systemic lupus erythematosus (SLE) ED visits (0.35%)
- Participants
- 414,139 participants
- Exposure
- SLE ED visits vs non-SLE ED visits
- SLEn = 414,139
- Outcome
- Epidemiology and outcomes of ED visits in SLE; factors associated with inpatient admission
Methodological detailsnationwide database (NEDS 2019), logistic regression
- Nationwide database (NEDS 2019)
- Logistic regression
Main finding
As reported in the abstract
Factors associated with inpatient admission among SLE ED visits
Odds ratio
0.86
P = 0.01
Black race
Odds ratio
0.78
P = 0.003
Lowest income quartile
Observational data: associations, not effects.
Further findings
Characteristics of SLE vs non-SLE ED visits
- SLE ED visits comprised more women, Black patients, ages 31-50 years, Medicare as primary payer, and higher comorbidity burden
Youngest age category (18-30 years) by race among SLE ED visits
- Black and Hispanic patients
- around 20%
- White patients
- less than 10%
Medicaid utilization by race
- Non-White patients
- 27%-32%
- White patients
- 19%
Comorbidity patterns by race
- More White patients with hyperlipidemia and ischemic heart disease (IHD); more Black patients with chronic kidney disease (CKD), hypertension and HF
Most prevalent primary ED diagnosis by race
- SLE/CTD in non-White patients; infection in White patients
Original publication
Epidemiology and outcomes of emergency department visits in systemic lupus erythematosus: Insights from the nationwide emergency department sample (NEDS). Lupus. Published 14 November 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →