Spondyloarthritis & psoriatic arthritis
Potentially Avoidable Emergency Department Utilization by Persons With Psoriatic Arthritis and Radiographic Axial Spondyloarthritis: A Population-Based Cohort Study
Authors' conclusion
ED use for less urgent and nonurgent health concerns was frequent for persons with PsA and r-axSpA, particularly in rural settings.
Study context
- Population
- Persons with psoriatic arthritis (PsA) and radiographic axial spondyloarthritis (r-axSpA) in a universal access healthcare setting, Alberta, Canada, fiscal years 2007/2008–2017/2018
- Participants
- 4,984 vs 14,690
- Exposure
- PsA vs r-axSpA
- PsAn = 4,984
- r-axSpAn = 14,690
- Outcome
- ED utilization patterns: yearly ED visit frequency, timing, triage acuity, most responsible diagnoses and disposition
Methodological detailslinked administrative datasets
- Linked administrative datasets
Main finding
As reported in the abstract
ED use
Accessed ED annually (average)
Low acuity encounters (less urgent or nonurgent), % of visits
Presentations for inflammatory arthritis
| Outcome | PsA | r-axSpA |
|---|---|---|
| Unique ED encounters | 53,174 | 124,037 |
Observational data: associations, not effects.
Further findings
Rural vs urban patients
- Rural patients had nearly twice the mean number of visits per year, more frequent less acute presentations and were admitted less often, in both cohorts
Sex differences
- Differential timing of presentation to emergency department (EDs) by sex
- Female patients with PsA had a lower frequency of admission than male patients with PsA
Original publication
Potentially Avoidable Emergency Department Utilization by Persons With Psoriatic Arthritis and Radiographic Axial Spondyloarthritis: A Population-Based Cohort Study. J Rheumatol. Published 15 January 2025. doi:10. 3899/ jrheum. 2024-1113
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