Evidence map›Paper›PMID 41387919›Full record

ArticleAdvances in rheumatology (London, England)2025

Outcomes and Trends of Pneumocystis Pneumonia in hospitalized patients with autoimmune diseases: Insights from the National Inpatient Sample.

Sopio Motsonelidze, Farhana Alam, Hafiza Mahwish Sadiq, Tarun Parvataneni, Aneta Tarasiuk-Rusek, Khalid Abusaada

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Article in Advances in rheumatology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sopio MotsonelidzeDepartment of Internal Medicine, Aiken Regional Medical Centers, Aiken, SC, USA. Sopio.motsonelidze@uhsinc.com.ORCID https://orcid.org/0009-0009-6918-3769
Farhana AlamDepartment of Internal Medicine, Aiken Regional Medical Centers, Aiken, SC, USA.
Hafiza Mahwish SadiqDepartment of Internal Medicine, Aiken Regional Medical Centers, Aiken, SC, USA.
Tarun ParvataneniDepartment of Internal Medicine, Aiken Regional Medical Centers, Aiken, SC, USA.
Aneta Tarasiuk-RusekDepartment of Internal Medicine, Aiken Regional Medical Centers, Aiken, SC, USA.
Khalid AbusaadaDepartment of Internal Medicine, Aiken Regional Medical Centers, Aiken, SC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPneumocystis jirovecii is an opportunistic fungus that can cause life-threatening Pneumocystis jirovecii pneumonia (PJP) in immunocompromised patients. This study compared the incidence, characteristics, and outcomes of PJP-related hospitalizations in patients with autoimmune rheumatic diseases (ARDs) to those in patients with human immunodeficiency virus (HIV) from 2016 to 2021.

methodsWe identified PJP-related hospitalizations recorded in the National Inpatient Sample (NIS) database between 2016 and 2021. ICD-10 diagnosis codes were used to identify patients with PJP, HIV, ARDs, malignancies, or organ transplants. Patients with both HIV and ARD were classified under the HIV group. This retrospective analysis utilized descriptive statistics and multivariable logistic regression to evaluate the impact of demographics and comorbidities on clinical outcomes.

resultsA total of 10,725 hospitalizations with a principal diagnosis of PJP were identified. Patients with ARDs—without concurrent HIV, malignancy, or organ transplant—accounted for 5.2% of PJP-related hospitalizations. Compared to patients with HIV, those with ARDs had a significantly higher in-hospital mortality rate (24.2% vs. 8.7%, p < 0.001), underwent bronchoscopy more frequently (51.8% vs. 36.6%, p < 0.001), had longer length of stay in the hospital (13.97 days vs. 11.51 days, p < 0.001), and had higher cost of care (196,083US$ vs. 136,978US$ p < 0.001). Non-HIV status remained an independent predictor of poor outcomes even after adjustment for confounders.

conclusionPatients with ARDs face a significantly higher risk of PJP-related mortality and undergo bronchoscopies more frequently compared to those with HIV. Further research is warranted to identify predictive factors and to inform the development of early detection and treatment strategies aimed at improving outcomes in ARD patients with PJP.

Indexed as

Autoimmune DiseasesHIV InfectionsHospitalizationPneumonia, PneumocystisRheumatic DiseasesAdultAgedComorbidityFemaleHospital MortalityHumansImmunocompromised HostIncidenceInpatientsLength of StayMaleAutoimmune rheumatic diseases (ARDs)Human immunodeficiency virus (HIV)National inpatient sample (NIS)Pneumocystis jirovecii pneumonia (PJP)

Identifiers

PMID41387919
PMCPMC13488757

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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.