{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T10:07:17Z","timestamp":1788516437750,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K24\u2010AR\u2010074534"],"award-info":[{"award-number":["K24\u2010AR\u2010074534"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["P30\u2010AR\u2010070155"],"award-info":[{"award-number":["P30\u2010AR\u2010070155"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006260","name":"Rheumatology Research Foundation","doi-asserted-by":"publisher","award":["Investigator Award"],"award-info":[{"award-number":["Investigator Award"]}],"id":[{"id":"10.13039\/100006260","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006260","name":"Rheumatology Research Foundation","doi-asserted-by":"publisher","award":["Marshall J. Schiff, MD Memorial Fellow Research Aw"],"award-info":[{"award-number":["Marshall J. Schiff, MD Memorial Fellow Research Aw"]}],"id":[{"id":"10.13039\/100006260","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate independent risk factors for readmission and to determine the major reasons for readmission in a nationally representative sample of patients with systemic lupus erythematosus (SLE).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used the Nationwide Readmissions Database to identify adults with SLE who were discharged from hospital to home during January\u2013November of 2016 and 2017. Thirty\u2010day all\u2010cause readmissions were identified. A multivariable adjusted survey\u2010specific logistic regression model was used to identify factors associated with readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 132,400 hospitalized adults with SLE were discharged home during the study period; 88.3% were female, with a median age of 51.0\u2009years (interquartile range 38.7\u201361.9 years). Of these, 18,973 individuals (14.3%) were readmitted within 30\u2009days of discharge from their index hospitalization. In multivariable analyses, the factors associated with the highest odds for readmission were autoimmune hemolytic anemia (odds ratio [OR] 1.86 [95% confidence interval (95% CI) 1.51\u20132.29]), glomerular disease (OR 1.27 [95% CI 1.19\u20131.36]), pericarditis (OR 1.35 [95% CI 1.14\u20131.60]), heart failure (OR 1.34 [95% CI 1.24\u20131.44]), age 18\u201330\u2009years (OR 1.28 [95% CI 1.17\u20131.41] versus age\u2009\u2265\u200b65 years), and Medicare (OR 1.20 [95% CI 1.13\u20131.28]) and Medicaid insurance (OR 1.26 [95% CI 1.18\u20131.34]). Sepsis (7.6%), SLE (7.4%), heart failure (3.5%), and pneumonia (3.2%) were among the most common causes for readmission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this nationally representative study of SLE readmissions, the strongest risk factors for 30\u2010day readmission were younger age, SLE\u2010related manifestations, and public insurance. These results identify patient groups with SLE that would benefit from postdischarge interventions designed to reduce hospitalizations and improve health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.24900","type":"journal-article","created":{"date-parts":[[2022,4,19]],"date-time":"2022-04-19T13:54:38Z","timestamp":1650376478000},"page":"989-997","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Predictors of <scp>Thirty\u2010Day<\/scp> Hospital Readmissions in Systemic Lupus Erythematosus in the United States: A Nationwide Study"],"prefix":"10.1002","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9214-521X","authenticated-orcid":false,"given":"Rayan","family":"Najjar","sequence":"first","affiliation":[{"name":"University of Washington  Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swetha A.","family":"Alexander","sequence":"additional","affiliation":[{"name":"University of Connecticut  Storrs"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grant C.","family":"Hughes","sequence":"additional","affiliation":[{"name":"University of Washington  Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3508-4094","authenticated-orcid":false,"given":"Jinoos","family":"Yazdany","sequence":"additional","affiliation":[{"name":"University of California  San Francisco"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7149-363X","authenticated-orcid":false,"given":"Namrata","family":"Singh","sequence":"additional","affiliation":[{"name":"University of Washington  Seattle"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0803563"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-138-3-200302040-00007"},{"key":"e_1_2_6_4_1","unstructured":"Agency for Healthcare Research and Quality.About AHRQ. 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