Lupus & antiphospholipid syndrome

Using patient-reported measures to predict hospitalisation in a population-based lupus cohort

Lupus Sci MedPublished Retrospective cohort study

Authors' conclusion

This study suggests that patient-reported SLE symptoms and disease activity, specifically certain components of the SLAQ, may be of value in SLE risk management when considering hospitalisation reduction as a treatment goal.

Study context

Population
Population-based SLE cohort (Georgians Organized Against Lupus (GOAL)), Georgia, 2011 to 2013, with yearly self-report surveys (Systemic Lupus Activity Questionnaire (SLAQ)) linked to the Georgia Hospital Discharge Database1,486 surveys
Participants
846 participants
Exposure
Weight loss + severe fatigue + Raynaud's subset vs Overall GOAL vs Lowest-rate subset
Outcome
All-cause hospitalisation
Follow-up
6 months following survey completion
Methodological detailsobservational, population-based, logistic regression and classification and regression tree (CART) models
  • Observational
  • Population-based
  • Logistic regression and classification and regression tree (CART) models

Main finding

As reported in the abstract

All-cause hospitalisation rate by CART subset

Fold rate

2.6

Weight loss + severe fatigue + Raynaud's subset vs Overall GOAL

Fold rate

6.8

Weight loss + severe fatigue + Raynaud's subset vs Lowest-rate subset

Observational data: associations, not effects.

Further findings

Characteristics of hospitalised vs non-hospitalised participants · 6 months after survey completion

Hospitalised participants more likely younger, living in poverty and with more reported SLE symptoms

Original publication

Using patient-reported measures to predict hospitalisation in a population-based lupus cohort. Lupus Sci Med. Published 23 March 2025. doi:10.1136/lupus-2024-001406

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