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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.
Citation:

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.