Lupus & antiphospholipid syndrome

Infection-related hospitalisation in young adults with systemic lupus erythematosus: data from the National Inpatient Sample

Lupus Sci MedPublished Retrospective cross-sectional study of the National Inpatient Sample

Authors' conclusion

YA- SLE had similar rates of SIH to adults with SLE.

Study context

Population
Hospital admissions with SLE in patients aged ≥18 years, National Inpatient Sample, 2010–2019hospital admissions with SLE
Participants
1,720,883 admissions
Exposure
Young adults with SLE vs adults with SLE and vs young adults without SLE
Outcome
Rate of serious infection-related hospitalisation (SIH; sepsis, pneumonia, UTI, skin and soft tissue infections, opportunistic infections) in YA-SLE vs adults with SLE and vs YA-no SLE
Methodological detailsNational Inpatient Sample 2010–2019, time trends 2000–2019
  • National Inpatient Sample 2010–2019
  • Time trends 2000–2019

Main finding

As reported in the abstract

Rate of SIH

Young adults with SLE (YA-SLE) vs Adults with SLE: P = 0.12 · YA-SLE vs YA-no SLE: P < 0.001

Observational data: associations, not effects.

Further findings

Factors associated with SIH in YA-SLE

Only race/ethnicity among sociodemographic factors was associated with SIH
Comorbid lupus nephritis and pleuritis more prevalent in young adults than adults with SLE and SIH; both associated with SIH in YA-SLE

Time trends of SIH · 2000-2019

Increasing rates of SIH over time, driven by sepsis

Most common SIH diagnosis among SLE with SIH

Sepsis, followed by pneumonia

Original publication

Infection-related hospitalisation in young adults with systemic lupus erythematosus: data from the National Inpatient Sample. Lupus Sci Med. Published 5 April 2023. doi:10.1136/lupus-2022-000851

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