Risk factors for 1-year hospital readmissions in patients with systemic lupus erythematosus

Chen，Jinxia1; Zhang，Limin2; Huang，Liutao1; Chen，Shuxian1; Xu，Yongzhi1; Liu，Huafeng1

2022

10.1007/s10238-022-00835-y

CLINICAL AND EXPERIMENTAL MEDICINE   影响因子和分区

1591-8890

1591-9528

To reveal the characteristics of and risk factors for systemic lupus erythematosus (SLE) patients with frequent readmission aiming at intervening early and improve the quality of care during initial hospitalizations. This was a single-center, retrospective case–control study involving 521 hospitalized patients with SLE from January 2014 to December 2016 in the Affiliated Hospital of Guangdong Medical University. A total of 521 patients were enrolled, including 400 patients who were hospitalized once and 121 patients who were hospitalized repeatedly, and 23.2% of the patients were readmitted within 1 year. The results showed that the age of SLE onset (odds ratio [OR] 1.022, 95% confidence interval [CI] 1.007–1.036), serum albumin (OR 0.965, 95% CI 0.942–0.989), and cystatin C (OR 1.404, 95% CI 1.180–1.670) were closely related to readmission. The most common causes of readmission were infections (52 cases, 28.4%), especially respiratory tract infections, and lupus activity or recurrence (45 cases, 24.6%). Special attention should be paid to SLE patients with older age of onset, low serum albumin levels, and high cystatin C levels to avoid infection and recurrence with the aim of reducing the hospital readmission rate.

Cystatin C Infection Lupus erythematosus Patient readmission Risk factors Serum albumin Systemic

SCI

英语

其他

Zhanjiang Science and Technology Project[2019A01027]

Research & Experimental Medicine

Medicine, Research & Experimental

WOS:000805475800001

SPRINGER-VERLAG ITALIA SRL

CLINICAL MEDICINE

2-s2.0-85130811131

Scopus

1.Key Laboratory of Prevention and Management of Chronic Kidney Disease of Zhanjiang City,Affiliated Hospital of Guangdong Medical University,Zhanjiang,57th South Renmin Road, Guangdong,524001,China
2.Department of Nephrology,Longhua Branch of Shenzhen People’s Hospital (The Second Clinical Medical College,Jinan University; The First Affiliated Hospital,Southern University of Science and Technology),Shenzhen,China

Chen，Jinxia,Zhang，Limin,Huang，Liutao,et al. Risk factors for 1-year hospital readmissions in patients with systemic lupus erythematosus[J]. CLINICAL AND EXPERIMENTAL MEDICINE,2022,23(2).

Chen，Jinxia,Zhang，Limin,Huang，Liutao,Chen，Shuxian,Xu，Yongzhi,&Liu，Huafeng.(2022).Risk factors for 1-year hospital readmissions in patients with systemic lupus erythematosus.CLINICAL AND EXPERIMENTAL MEDICINE,23(2).

Chen，Jinxia,et al."Risk factors for 1-year hospital readmissions in patients with systemic lupus erythematosus".CLINICAL AND EXPERIMENTAL MEDICINE 23.2(2022).