Thirty-Day Hospital Readmissions for Acute Gout in the United States

Kichloo, Asim; Edigin, Ehizogie; Jamal, Shakeel; El-Amir, Zain; Aucar, Maria Isabel; Wani, Farah; Eseaton, Precious Obehi; Annapureddy, Narender; Cabling, Marven G; Manadan, Augustine

doi:10.1097/rhu.0000000000001761

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…Detailed information and access to the NRD are available at https://hcup-us.ahrq.gov/nrdoverview.jsp [ 8 ]. The description of the NRD aligns with that of a previous study [ 9 ].…”

Section: Methodsmentioning

confidence: 62%

Thirty-Day Readmissions After Hospitalization for Psoriatic Arthritis

Uwumiro,

Anighoro,

Ajiboye

et al. 2024

Cureus

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Background Psoriatic arthritis (PsA) is correlated with higher rates of major adverse cardiovascular events and autoimmune disorders than the general population, leading to more frequent hospitalizations. This study assessed the rates and characteristics of index and 30-day readmissions among adults hospitalized for PsA and evaluated the indications and predictors of 30-day readmissions across the United States. Methodology We analyzed the 2020 Nationwide Readmissions Database for adult PsA hospitalizations using the International Classification of Diseases, Tenth Revision, Clinical Modification codes. To compare baseline characteristics between index admissions and readmissions, we used chi-square tests. We used ranking commands to identify the most common indications for readmissions and multivariable Cox regression analysis to identify the predictors of readmissions. The primary endpoints were the rates and characteristics of index and 30-day readmissions. The secondary endpoint was the predictors of readmission within 30 days of index hospital discharge. Results Approximately 842 index hospitalizations for PsA were analyzed. Of these, 244 (29%) resulted in 30-day readmissions, with the primary causes being acute kidney failure, major depression, and heart failure. Readmitted patients had a mean age of 48.2 years (SD = 6.4 years) compared with 54.6 years (SD = 2.2 years) in index hospitalizations (p = 0.147). More readmitted patients were uninsured than index hospitalizations (18.6% vs. 4.4%; p = 0.015). The mean length of stay for readmissions was 7.2 days compared with 3.9 days for index admissions. The mean total hospital costs were US$31,424 for index admissions and US$60,147 for readmissions (p < 0.001). Significant differences in comorbidities such as hypertension (24.8% vs. 40.1%, p = 0.032), liver disease (29% vs. 7.9%, p = 0.020), uveitis (9.4% vs. 4.5%, p < 0.001), inflammatory bowel disease (8.6% vs. 3.8%, p < 0.001), and alcohol use disorder (29% vs. 7.8%, p = 0.002) were observed between readmissions and index admissions. Age <40 years (adjusted hazard ratio (AHR) = 2.35; p = 0.047), home healthcare (AHR = 5.87; p = 0.035), residence in the same state as the hospital (AHR = 1.24; p = 0.018), and secondary diagnoses of inflammatory bowel disease (AHR = 2.33; p < 0.001) or deep venous thrombosis (AHR = 3.80; p = 0.007) were correlated with an increased likelihood of readmission. Conclusions About one in three hospitalizations for PsA result in readmission within 30 days of initial discharge. Age <40 years, discharge to home healthcare, and a secondary diagnosis of inflammatory bowel disease or deep venous thrombosis were correlated with an increased likelihood of readmission.

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“…Detailed information and access to the NRD are available at https://hcup-us.ahrq.gov/nrdoverview.jsp [ 8 ]. The description of the NRD aligns with that of a previous study [ 9 ].…”

Section: Methodsmentioning

confidence: 62%

Thirty-Day Readmissions After Hospitalization for Psoriatic Arthritis

Uwumiro,

Anighoro,

Ajiboye

et al. 2024

Cureus

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Polymyositis/dermatomyositis readmissions: analysis of the nationwide readmission database

Idolor,

Edigin,

Hino

et al. 2023

Clin Rheumatol

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Gout and Hospital Admission for Ambulatory Care–Sensitive Conditions: Risks and Trajectories

2022

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Objective To investigate the risks and trajectories of hospital admission for ambulatory care sensitive conditions (HACSCs) in gout. Methods Among individuals aged 35-85 years residing in Skåne, Sweden, in 2005, those with no doctor-diagnosed gout during 1998–2005 (n=576,700) were followed from January 1st 2006 until an HACSC, death, relocation outside Skåne, or December 31st 2016. Treating a new gout diagnosis (ICD 10 code: M10) as a time-varying exposure, we used Cox proportional and additive hazard models to estimate the effects of gout on HACSCs. We investigated the trajectory of HACSCs from 3 years before to 3 years after gout diagnosis using generalized estimating equations and group-based trajectory modelling in an age- and sex-matched cohort study. Results Gout was associated with 41% increased rate of HACSCs (hazard ratio 1.41; 95% CI: 1.35, 1.47), corresponding to 121 (104, 138) more HACSCs per 10,000 person-years compared with those without gout. Our trajectory analysis showed that higher rates of HACSCs among persons with gout were observed from 3 years before to 3 years after diagnosis with the highest prevalence rate ratio (2.22, 95% CI: 1.92, 2.53) at the 3-month period after diagnosis. We identified three classes with distinct trajectories of HACSCs among gout persons: almost none (88.5%), low-rising (9.7%), and moderate-sharply rising (1.8%). Charlson comorbidity index was the most important predictor of trajectory class membership. Conclusion Increased risk of HACSCs in gout highlights the need for better management of the disease at outpatient care, especially among foreign-born older patients with comorbidities.

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Thirty-Day Hospital Readmissions for Acute Gout in the United States

Cited by 3 publications

References 16 publications

Thirty-Day Readmissions After Hospitalization for Psoriatic Arthritis

Thirty-Day Readmissions After Hospitalization for Psoriatic Arthritis

Polymyositis/dermatomyositis readmissions: analysis of the nationwide readmission database

Gout and Hospital Admission for Ambulatory Care–Sensitive Conditions: Risks and Trajectories

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