Evidence map›Paper›PMID 40325875›Full record

ArticleACR open rheumatology2025

Burden of Emergency Department Visits and Their Outcomes Among Patients With Rheumatoid Arthritis: Insights From the Nationwide Emergency Department Sample.

Vishwesh Bharadiya, Parul Berry, Aman Dev Singh, Dominique Feterman, Grant Hughes, Alison Bays, Rachael Stovall, Rashmi Dhital, Namrata Singh

Abstract read
In one paragraph

Article in ACR open rheumatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Vishwesh BharadiyaDepartment of Medicine, All India Institute of Medical Sciences, New Delhi, India.
Parul BerryMayo Clinic, Rochester, Minnesota.
Aman Dev SinghDepartment of Community Medicine, Government Medical College and Rajindra Hospital, Punjab, India.
Dominique FetermanUniversity of Washington, Seattle.
Grant HughesUniversity of Washington, Seattle.
Alison BaysUniversity of Washington, Seattle.ORCID https://orcid.org/0000-0002-7193-6303
Rachael StovallUniversity of Washington, Seattle.ORCID https://orcid.org/0000-0002-0355-4020
Rashmi DhitalVanderbilt University Medical Center, Nashville, Tennessee.ORCID https://orcid.org/0000-0003-1974-7844
Namrata SinghUniversity of Washington, Seattle.ORCID https://orcid.org/0000-0001-7149-363X

Funding

Improving shared decision-making around the use of disease modifying anti-rheumatic drugs in patients with rheumatoid arthritis and cancerK23AR079588 · NIAMS · UNIVERSITY OF WASHINGTON · PI Namrata Singh · 2022 to 2026
$821k
Impact of rheumatoid arthritis on survival in older adults with cancerR03AG082857 · NIA · UNIVERSITY OF WASHINGTON · PI SINGH, NAMRATA · 2023 to 2024
$289k
NIAMS NIH HHS K23 AR079588NIAMS NIH HHS K23AR079588NIA NIH HHS R03 AG082857NIA NIH HHS R03AG082857
6 · The paper itself

Abstract

objectivePatients with rheumatoid arthritis (RA) frequently visit emergency departments (EDs), but their clinical characteristics and admission factors are poorly understood. Our study investigates the epidemiology and outcomes of ED visits among patients with RA using the Nationwide Emergency Department Sample (NEDS).

methodsThis cross-sectional study used the 2019 NEDS data to identify RA-related ED visits using International Classification of Disease, Tenth Revision codes M05.X or M06.X. RA-related ED visits were defined as encounters in which RA was recorded in any diagnostic position. Demographics, clinical features, and comorbidities were compared between RA and non-RA ED visits. Racial variations were assessed, and multivariable logistic regression identified factors associated with inpatient admission.

resultsWe identified 905,811 (0.8%) ED visits for adults aged ≥18 years with RA. Compared to non-RA visits, RA ED visits had a higher proportion of patients aged ≥65 years, women, White patients, and Medicare-insured individuals with a greater comorbidity burden. Admission rates were 46% for RA visits versus 16% for non-RA visits. Black and Hispanic patients with RA were younger than White patients and more likely to belong to the lowest income quartile. Older age, male sex, and comorbidities were associated with higher admission odds, whereas Black race, lowest income quartile, and Medicaid coverage correlated with lower odds of admission. Septicemia was the most common primary ED diagnosis in patients with RA.

conclusionPatients with RA visiting the ED were older, had a higher comorbidity burden, and were three times more likely to be admitted than patients without RA. Black patients and those in the lowest income quartile had lower odds of admission, highlighting potential disparities and the need for targeted interventions to improve health equity.

Identifiers

PMID40325875
PMCPMC12053071

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