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Causes, Predictors of Hospital Readmission in SLE
J Rheumatol; ePub 2018 Apr 15; Nangit, et al
One-third of hospitalized patients with systemic lupus erythematosus (SLE) were readmitted within 30 days at a major Los Angeles-based institution, according to a recent study, and researchers identified characteristics of this at-risk population at time of discharge with high specificity, in hopes of reducing this costly outcome. Researchers performed a retrospective case-control study examining all inpatient electronic health records of patients with SLE at Cedars-Sinai Medical Center over a 2.5-year period (2012–2014). Patients were included if they had a diagnosis of SLE and were readmitted within 30 days of their initial hospitalization. Patients with SLE not readmitted during this time period were used as a control group. They found:
- In total, 570 hospitalizations representing 455 unique patients met the inclusion and exclusion criteria.
- Of these, 154 patients (34%) underwent readmission within 30 days of their initial hospitalization.
- Patients in the early readmission group were more likely to have government-sponsored Medicaid insurance and were significantly associated with an increased Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index (SDI), lower serum hemoglobin, and lower serum albumin.
Nangit A, Lin C, Ishimori ML, Spiegel BMR, Weisman MH. Causes and predictors of early hospital readmission in systemic lupus erythematosus. [Published online ahead of print April 15, 2018]. J Rheumatol. doi:10.3899/jrheum.170176.