Rheumatoid arthritis

Rural-Dwelling Patients With Rheumatoid Arthritis and Risk of Myocardial Infarction Hospitalization: An Observational Study Using the National Inpatient Sample

J RheumatolPublished Cross-sectional study

Main finding · MI hospitalizationResult — go to the resultAdjusted odds ratio 1.70

Authors' conclusion

Our study findings of rural-urban and socioeconomic status disparities for MI hospitalizations in patients with RA provide policymakers with data and information for action.

Study context

Population
Hospitalized patients with rheumatoid arthritis (RA), 2016–2019 US National Inpatient Sample
Exposure
Rural vs urban residence in patients with RA
Outcome
MI hospitalization
Methodological detailsNational Inpatient Sample 2016-2019, multivariable-adjusted
  • National Inpatient Sample 2016-2019
  • Multivariable-adjusted

Main finding

As reported in the abstract

Adjusted odds ratio

1.70

P < 0.001

Observational data: associations, not effects.

Further findings

Crude rate of MI hospitalization per 100,000 area-specific hospitalizations

P < 0.001

OutcomeaORP value
MI hospitalization by median household income quartile (vs lowest quartile)Second-highest income quartile vs Lowest income quartile0.87P < 0.001
MI hospitalization by median household income quartile (vs lowest quartile)Highest income quartile vs Lowest income quartile0.92P = 0.01
Hospital charges and myocardial infarction (MI) hospitalization costs
P > 0.05
  • MI hospitalization by median household income quartile (vs lowest quartile): 2 highest quartiles; abstract lists aORs 0.87 and 0.92 in this order
  • MI hospitalization by median household income quartile (vs lowest quartile): 2 highest quartiles; abstract lists aORs 0.87 and 0.92 in this order

Hospital charges and MI hospitalization costs

Rural residence not significantly associated with higher hospital charges or MI hospitalization costs

Other factors associated with lower odds of MI hospitalization

Female sex, African American race, elective admission, Medicare payer, government hospital ownership, rural hospital location and small hospital bed size significantly associated with lower odds of MI hospitalization

Original publication

Rural-Dwelling Patients With Rheumatoid Arthritis and Risk of Myocardial Infarction Hospitalization: An Observational Study Using the National Inpatient Sample. J Rheumatol. Published 1 April 2025. doi:10.3899/jrheum.2024-1036

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