{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T16:49:36Z","timestamp":1784047776853,"version":"3.55.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T00:00:00Z","timestamp":1549843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Lupus"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We sought to describe characteristics of children admitted with pericardial effusion (PCE) and systemic lupus erythematosus (SLE) and determine the association between PCE and outcomes of interest.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a retrospective cohort study of the Pediatric Health Information System (PHIS). Patients were included if they were admitted to a PHIS participating hospital from 2004 to 2015 with a diagnosis of SLE and age \u226418 years. Children with congenital heart disease or who had undergone heart surgery were excluded. PCE was the primary predictor variable; multivariable analysis was used to evaluate the effect of PCE on the following outcomes: mortality, length of stay (LOS), and readmission within 30 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 5679 admissions, of which 705 (12.4%) had PCE. Median age at admission was 15 years (interquartile range: 13\u201317). There were no significant differences for age or sex between patients admitted either with or without PCE. A significantly higher percentage of children in the PCE group were black compared with those without PCE (43% vs. 31%, p\u2009&lt;\u20090.001). In multivariable analysis, the odds of a black patient having PCE were 1.7 higher than non-black patients ( p\u2009&lt;\u20090.001). In-hospital mortality was 2.5 times higher in children with PCE compared with those without PCE ( p\u2009=\u20090.027). Those with PCE also had 1.5 greater odds of readmission within 30 days ( p\u2009&lt;\u20090.001). PCE was not associated with increased LOS (0.99, p\u2009=\u20090.753).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PCE is common in admissions of children with SLE. There are disproportionately more black patients with SLE affected by PCE than non-black. PCE is associated with significantly higher mortality and rates of readmission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0961203319828523","type":"journal-article","created":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T20:51:56Z","timestamp":1549918316000},"page":"389-395","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Effect of pericardial effusion on outcomes in children admitted with systemic lupus erythematosus: a multicenter retrospective cohort study from the United States"],"prefix":"10.1177","volume":"28","author":[{"given":"S T","family":"Dalby","sequence":"first","affiliation":[{"name":"University of Arkansas for Medical Sciences and Arkansas Children's Research Institute, Little Rock AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"X","family":"Tang","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences and Arkansas Children's Research Institute, Little Rock AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J A","family":"Daily","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences and Arkansas Children's Research Institute, Little Rock AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Sukumaran","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences and Arkansas Children's Research Institute, Little Rock AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R T","family":"Collins","sequence":"additional","affiliation":[{"name":"Stanford University and Lucille Packard Children's Hospital, Palo Alto, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6805-2611","authenticated-orcid":false,"given":"E H","family":"Bolin","sequence":"additional","affiliation":[{"name":"University of Arkansas for Medical Sciences and Arkansas Children's Research Institute, Little Rock AR, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,2,11]]},"reference":[{"key":"bibr1-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1097\/01.md.0000091181.93122.55"},{"key":"bibr2-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2010.121"},{"key":"bibr3-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kep067"},{"key":"bibr4-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1136\/ard.40.4.325"},{"key":"bibr5-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2012.03.007"},{"key":"bibr6-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2007.09.019"},{"key":"bibr7-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs372"},{"key":"bibr8-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1186\/s12969-015-0005-0"},{"key":"bibr9-0961203319828523","volume-title":"Best children's hospitals 2018\u201319: honor roll and overview","author":"Harder B","year":"2018"},{"key":"bibr10-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1177\/0961203308100659"},{"key":"bibr11-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1177\/0961203308094763"},{"key":"bibr12-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1191\/0961203305lu2131oa"},{"key":"bibr13-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-016-3373-z"},{"key":"bibr14-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2004.12.045"},{"key":"bibr15-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-017-1762-y"},{"key":"bibr16-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1177\/0961203311412096"},{"key":"bibr17-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1002\/art.34410"},{"key":"bibr18-0961203319828523","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-018-1561-8"}],"container-title":["Lupus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203319828523","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0961203319828523","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0961203319828523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:20:38Z","timestamp":1777677638000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0961203319828523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,11]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1177\/0961203319828523"],"URL":"https:\/\/doi.org\/10.1177\/0961203319828523","relation":{},"ISSN":["0961-2033","1477-0962"],"issn-type":[{"value":"0961-2033","type":"print"},{"value":"1477-0962","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,11]]}}}