Lupus & antiphospholipid syndrome
Predictors of Thirty‐Day Hospital Readmissions in Systemic Lupus Erythematosus in the United States: A Nationwide Study
Authors' conclusion
In this nationally representative study of SLE readmissions, the strongest risk factors for 30-day readmission were younger age, SLE-related manifestations, and public insurance.
Study context
- Population
- Adults with systemic lupus erythematosus (SLE) discharged from hospital to home, January-November 2016 and 2017, United States88.3% female
- Participants
- 132,400 adults
- Outcome
- 30-day all-cause readmission
- Follow-up
- 30 days
Methodological detailsnationally representative, Nationwide Readmissions Database, multivariable adjusted survey-specific logistic regression
- Nationally representative
- Nationwide Readmissions Database
- Multivariable adjusted survey-specific logistic regression
Main finding
As reported in the abstract
30 days after discharge
Odds ratio (95% CI)
Autoimmune hemolytic anemia
1.86(1.51–2.29)
Glomerular disease
1.27(1.19–1.36)
Pericarditis
1.35(1.14–1.60)
HF
1.34(1.24–1.44)
Age 18-30 yearsvs Age ≥65 years
1.28(1.17–1.41)
Medicare
1.20(1.13–1.28)
Medicaid insurance
1.26(1.18–1.34)
- Readmitted within 30 days of discharge from index hospitalization
- 18,973 (14.3%)
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | |
|---|---|---|
| Factors associated with readmission (multivariable) · 30 daysAge 18-30 yearsvs Age ≥65 years | 1.28 (1.17–1.41) | |
| 0.512Odds ratio (log scale) |
Factors associated with readmission (multivariable) · 30 days
| OR (95% CI) | ||
|---|---|---|
| Medicaid | 1.26 (1.18–1.34) | |
| 0.512Odds ratio (log scale) |
Most common causes of readmission
- Sepsis
- 7.6%
- SLE
- 7.4%
- HF
- 3.5%
- Pneumonia
- 3.2%
Original publication
Predictors of Thirty‐Day Hospital Readmissions in Systemic Lupus Erythematosus in the United States: A Nationwide Study. Arthritis Care Res (Hoboken). Published 8 December 2022. doi:10.
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