Evidence map›Paper›PMID 37407906›Full record

ArticleClinical rheumatology2023

Polymyositis/dermatomyositis readmissions: analysis of the nationwide readmission database.

Osahon Idolor, Ehizogie Edigin, Christopher Hino, Emily He, Janhavi Rao, Amaka Cynthia Ugoh, Precious Onobraigho, Eugene Omoike, Victory Okpujie, Chinedu James Ezeafulukwe and 3 more

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In one paragraph

Article in Clinical rheumatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 43% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 2 countries.

Osahon IdolorDepartment of Internal Medicine, Piedmont Athens Regional, Athens, GA, USA.
Ehizogie EdiginDivision of Rheumatology, Loma Linda University Health, Loma Linda, USA. ediginehizogie@yahoo.com.ORCID http://orcid.org/0000-0003-1093-1661
Christopher HinoDepartment of Internal Medicine, Loma Linda University Health, Loma Linda, CA, USA.
Emily HeDepartment of Internal Medicine, Loma Linda University Health, Loma Linda, CA, USA.
Janhavi RaoDepartment of Internal Medicine, Riverside University Medical Center, Riverside, CA, USA.
Amaka Cynthia UgohDepartment of Family Medicine, University of Benin Teaching Hospital, Benin, Nigeria.
Precious OnobraighoDepartment of Internal Medicine, University of Benin Teaching Hospital, Benin, Nigeria.
Eugene OmoikeDepartment of Internal Medicine, University of Benin Teaching Hospital, Benin, Nigeria.
Victory OkpujieDepartment of Internal Medicine, University of Benin Teaching Hospital, Benin, Nigeria.
Chinedu James EzeafulukweWindsor University School of Medicine, Saint Kitts & Nevis, USA.
Precious Obehi EseatonFaillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Augustine ManadanDivision of Rheumatology, Rush University Medical Center, Chicago, IL, USA.
Christina DowneyDivision of Rheumatology, Loma Linda University Health, Loma Linda, USA.
Loma Linda University · USUniversity of Benin Teaching Hospital · NGPiedmont Athens Regional · USRush University Medical Center · USThe University of Texas Health Science Center at Houston · USUniversity Medical Center · USWindsor Dermatology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a scarcity of national population-based studies on polymyositis (PM)/dermatomyositis (DM) readmissions in the USA. In this study, we aim to describe the rates, reasons for readmissions, and characteristics of readmissions for adults hospitalized for PM/DM in the USA.

methodsWe analyzed the 2018 Nationwide Readmissions Database (NRD). We included index hospitalizations for all adult DM/PM patients with a principal diagnosis of PM/DM using ICD-10 codes. We excluded elective and traumatic readmissions. Using a "rank" command in STATA, the most common specific principal diagnosis of readmissions was outlined. Chi-square tests were used to compare baseline characteristics between readmissions and index hospitalizations. STATA 16 was used for analysis.

resultsA total of 1610, 1286, and 842 index hospitalizations with a principal diagnosis of PM/DM, that were discharged alive, were included in the 30-, 90-, and 180-day readmission analysis, respectively. Among these, 193 (12%), 276 (21.5%), and 240 (28.5%) were readmitted within 30, 90, and 180 days, respectively. PM and sepsis were the most common reasons for reasons across the 3 timeframes. 30-day readmissions were responsible for an aggregate of 4.1 million US dollars in total hospital cost and 1518 hospital days in 2018. Compared to index hospitalizations, 30-day readmissions have higher Charlson Comorbidity Index scores, severe-extreme loss of function, obesity, and deep venous thrombosis.

conclusionAbout a third of PM/DM hospitalized patients are readmitted within 180 days. Readmissions constitute a significant economic burden to the health care system. PM and sepsis are the main reasons for readmissions. Key points • About a third of polymyositis (PM)/dermatomyositis (DM) hospitalized patients are readmitted within 180 days • PM and sepsis are the main reasons for readmissions. • Readmissions of PM/DM Patients constitute a significant economic burden to the health care system. • Compared to index hospitalizations, 30-day readmissions have higher Charlson comorbidity index scores, severe-extreme loss of function, obesity, and deep venous thrombosis.

Indexed as

DermatomyositisPolymyositisSepsisVenous ThrombosisAdultHumansObesityPatient ReadmissionRetrospective StudiesRisk FactorsCo-morbidityDermatomyositisNationwide readmission databaseObesityPolymyositisReadmissionSepsis

Identifiers

PMID37407906
OpenAlexW4383198449

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.