Lupus & antiphospholipid syndrome

National trends in hospitalisation, in-hospital mortality and resource use for SLE in Spain from 2016 to 2022

Lupus Sci MedPublished Retrospective, nationwide, repeated cross-sectional study

Authors' conclusion

SLE-related healthcare episodes increased in Spain from 2016 to 2022, but in-hospital mortality remained stable. SLE episodes involved longer hospital and ICU stays than other episodes.

Study context

Population
Healthcare episodes with SLE as principal diagnosis in Spain's National Hospital Discharge Registry, 2016–2022
Participants
24,151 SLE episodes
Exposure
SLE episodes vs all other hospitalisation episodes; temporal trends 2016–2022
  • SLE episodesn = 24,151
Outcome
SLE episodes per year
Follow-up
2016 to 2022

Main finding

As reported in the abstract

SLE episodes, 2016
3002 (6.5/100 000 population)
SLE episodes, 2022
4226 (8.8/100 000 population)
Increase, p
p<0.001

Observational data: associations, not effects.

Further findings

Hospital LOS

P < 0.001

ICU stay

P = 0.031

In-hospital mortality · unadjusted comparisons

P < 0.001

In-hospital deaths in individuals aged 15-65 years (proportion of deaths)

P < 0.001

OutcomeP value
In-hospital mortality in SLE episodes by sexMen vs Women · unadjusted comparisonsP < 0.001
  • In-hospital mortality in SLE episodes by sex: Men 0.7%
  • In-hospital mortality in SLE episodes by sex: Women 0.3%

LN episodes · 2016 to 2022

LN episodes, 2016
525 (1.13/100 000 population)
LN episodes, 2022
956 (2.0/100 000 population)
Increase, p
P < 0.001

In-hospital mortality

In-hospital mortality was low and stable

In-hospital mortality in SLE episodes by sex

More deaths occurred in women

Original publication

National trends in hospitalisation, in-hospital mortality and resource use for SLE in Spain from 2016 to 2022. Lupus Sci Med. Published 24 September 2026. doi:10.1136/lupus-2026-002171

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