Spondyloarthritis & psoriatic arthritis

Potentially Avoidable Emergency Department Utilization by Persons With Psoriatic Arthritis and Radiographic Axial Spondyloarthritis: A Population-Based Cohort Study

J RheumatolPublished Population-based retrospective 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

OutcomePsAr-axSpA
Unique ED encounters53,174124,037

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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