Lupus & antiphospholipid syndrome

Increased frequency of hospital admissions with active systemic lupus erythematosus disease activity defined by two different disease activity indices: A cohort study

LupusPublished Cohort study

Authors' conclusion

In conclusion, disease activity defined by the SLE-DAS, but not SLEDAI-2K was associated with an increased frequency of SLE-related hospitalization.

Study context

Population
Adult patients with SLE, rheumatology outpatient department of a regional hospital in southern Taiwan
Exposure
Moderate/severe vs lower SLE disease activity, defined by Systemic Lupus Erythematosus Disease Activity Score (SLE-DAS) and by SLEDAI-2K
Outcome
Frequency of hospital admissions (all-cause and SLE-related)
Methodological detailssingle regional hospital, generalized linear model with gamma distribution and log-linked function, Cause of admission identified by a rheumatologist from medical records
  • Single regional hospital
  • Generalized linear model with gamma distribution and log-linked function
  • Cause of admission identified by a rheumatologist from medical records

Main finding

As reported in the abstract

Frequency of hospital admissions

Mean frequency of all-cause hospitalization (times per year)

0.34

Mean frequency of SLE-related admission (times per year)

0.21

Observational data: associations, not effects.

Further findings

SLE-related admissions, model including steroid dosage

Moderate/severe activity by SLE-DAS remained significantly associated with SLE-related admissions
P = 0.032

Other factors associated with admission frequency

Steroid dosage, lower educational level and smoking associated with increased frequency
Underweight and alcohol use associated with decreased frequency

Original publication

Increased frequency of hospital admissions with active systemic lupus erythematosus disease activity defined by two different disease activity indices: A cohort study. Lupus. Published 10 May 2023. doi:10.1177/09612033231175268

Composed by AI from the published abstract and checked against it. How Briefs are made →

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