Rural-Dwelling Patients With Rheumatoid Arthritis and Risk of Myocardial Infarction Hospitalization: An Observational Study Using the National Inpatient Sample
Main finding · MI hospitalizationResult — go to the resultAdjusted odds ratio 1.70Authors' 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
| Outcome | aOR | P value |
|---|---|---|
| MI hospitalization by median household income quartile (vs lowest quartile)Second-highest income quartile vs Lowest income quartile | 0.87 | P < 0.001 |
| MI hospitalization by median household income quartile (vs lowest quartile)Highest income quartile vs Lowest income quartile | 0.92 | P = 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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