Pediatric rheumatology

Socioeconomic Factors Are Associated With Severity of Hospitalization in Pediatric Lupus: An Analysis of the 2016 Kids’ Inpatient Database

Arthritis Care Res (Hoboken)Published Cross-sectional study

Main finding · Hospital LOSResult — go to the resultAdjusted incidence rate ratio 1.12 95% CI 1.02–1.23

Authors' conclusion

Using a nationally representative data set, income level was found to be a statistically significant predictor of LOS in the hospital among those with the lowest reported income, highlighting a potential target population for intervention. Additionally, Black race and public insurance were associated with severe lupus features.

Study context

Population
Lupus hospitalizations (ICD-10 M32) in children aged 2–20 years, 2016 Kids' Inpatient Database
Participants
3,367 participants4,650 weighted hospitalizations
Exposure
Income level, race and ethnicity, and insurance status as predictors of hospital length of stay (LOS) and severe lupus features
Outcome
Hospital LOS and presence of severe lupus features (ICD-10 codes for lupus sequelae, e.g., LN)
Methodological detailsnationally representative database (2016 Kids' Inpatient Database (KID)), multivariate negative binomial regression, multivariate logistic regression
  • Nationally representative database (2016 KID)
  • Multivariate negative binomial regression
  • Multivariate logistic regression

Main finding

Hospital LOS

Adjusted incidence rate ratio

1.12

95% CI 1.02–1.23

Lowest income quartile
adjusted IRR 1.12 (95% CI 1.02–1.23)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Severe lupus features

aOR (95% CI)
Black race1.51 (1.11–2.06)
"Other" race1.61 (1.01–2.55)
Public insurance1.51 (1.17–2.55)

Original publication

Socioeconomic Factors Are Associated With Severity of Hospitalization in Pediatric Lupus: An Analysis of the 2016 Kids’ Inpatient Database. Arthritis Care Res (Hoboken). Published 27 April 2023. doi:10.1002/acr.25121

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