Abstract | INTRODUCTION: MATERIAL AND METHODS: Data regarding SLE patients whose hospitalization ended up with death were collected and analyzed from the repository of the National Health Insurance Research Database, Taiwan, from 2005 to 2007. RESULTS: A total of 302 subjects were enrolled and the majority of these were young to middle-aged women (45.8 ±18.5 years); only one third of them were treated by rheumatologists. Eight patients (2.6%) with comorbid cancers received hospice care. Sepsis/ bacteremia (42.1%) was the major acute comorbidity. Nephropathy/ nephritis (35.1%) represented the major chronic comorbidity. Among 27 subjects with comorbid cancers, gynecological cancers were the most common (18%). Among the inpatient costs, the cost of prescriptions accounted for the majority (21.7 ±11.5%). Under a multivariate logistic regression, advanced age (≥ 65 years) correlated positively with acute lower respiratory conditions (ALRC) and diabetes mellitus (DM), and male gender correlated negatively with nephropathy/ nephritis. The nephropathy/ nephritis correlated positively with hospital stays > 14 days. The ALRC was closely associated with acute respiratory failure, but not with shock. However, shock was closely associated with hospital stays ≥ 14 days and sepsis/ bacteremia. Cancer development was inversely correlated to nephropathy/ nephritis, acute respiratory failure, and shock (all p < 0.05). CONCLUSIONS:
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Authors | Shih-Chao Kang, Shinn-Jang Hwang, Yu-Sheng Chang, Chung-Tei Chou, Chang-Youh Tsai |
Journal | Archives of medical science : AMS
(Arch Med Sci)
Vol. 8
Issue 4
Pg. 690-6
(Sep 08 2012)
ISSN: 1896-9151 [Electronic] Poland |
PMID | 23056082
(Publication Type: Journal Article)
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