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One quarter of medicare hospitalizations in patients with systemic lupus erythematosus readmitted within thirty days

Seminars in Arthritis and Rheumatism Feb 24, 2021

Bartels CM, Chodara A, Chen Y, et al. - In this study, adjusted 30-day readmission and mortality were compared among systemic lupus erythematosus (SLE), heart failure (HF), and general Medicare to assess predictors informing readmission prevention. Researchers conducted a database study to use a 20% sample of all US Medicare 2014 adult hospitalizations to match the risk of 30-day readmission and mortality among admissions with SLE, HF, and neither per discharge diagnoses (if both SLE and HF, classified as SLE). In this analysis, SLE admissions (n=10,868) were younger, predominantly female, more likely to be Black, disabled, and have Medicaid or end-stage renal disease (ESRD). It has been reported that 30-day SLE readmissions rivaled HF at 24%. This study’s findings demonstrate that readmission prevention programs should engage young, ESRD patients with SLE and examine potential causal gaps in SLE care and transitions.

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