Hospitalizations Associated With Rheumatic Disease in Alaska, 2015-2018.
Hospitalizations Associated With Rheumatic Disease in Alaska, 2015-2018.
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DOI：
10.1002/acr2.11429
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发表时间：
2022-06
影响因子：
3.4
通讯作者：
Holck, Peter
中科院分区：
文献类型：
--
作者：
Ferucci, Elizabeth D.;Holck, Peter
很少有研究评估北美土著人群中与风湿病相关的住院情况。本研究的目的是确定阿拉斯加风湿病住院患者的特征，包括阿拉斯加原住民/美洲印第安人（AN/AI）与其他种族的住院患者的比较。在这项研究中，我们使用了阿拉斯加卫生设施数据报告项目2015年至2018年的全州医院出院数据。病例是根据出院诊断（任何列出）确定一组风湿病。我们确定了与风湿病住院相关的特征，包括年龄、性别和种族。使用多变量模型，我们确定了总体住院以及特定风湿病的危险因素。我们比较了风湿病患者和非风湿病患者在医院就诊的特点和种族。在研究期间，我们确定了15975名曾因风湿病住院的患者，以及87138名住院但没有任何风湿病诊断的对照组。这些病例的年龄比对照组大，而且更有可能是女性。与住院相关的三种最常见的风湿病类型是骨关节炎、痛风和类风湿性关节炎。与其他种族相比，AN/AI人群更有可能因风湿病住院，这种关联适用于除痛风以外的所有特定疾病。与风湿病相关的住院治疗在阿拉斯加很常见，an /AI患者住院的可能性增加。这增加了关于北美土著人口健康差异的文献。
Few studies have evaluated hospitalizations associated with rheumatic disease in Indigenous North American populations. The objective of this study was to determine the characteristics of people hospitalized with rheumatic disease in Alaska, including a comparison of hospitalizations for Alaska Native/American Indian (AN/AI) people in Alaska compared with those of other races. We used statewide hospital discharge data from the Alaska Health Facilities Data Reporting Program from 2015 to 2018 for this study. Cases were ascertained based on discharge diagnosis (any listed) of a defined set of rheumatic diseases. We determined characteristics associated with rheumatic disease hospitalizations, including age, gender, and race. Using multivariate modeling, we determined risk factors for hospitalization overall, as well as for specific rheumatic diseases. We compared characteristics of hospital encounters for people with or without rheumatic diseases and by race. We identified 15975 people ever hospitalized with rheumatic disease in the study period and 87138 controls hospitalized but without any rheumatic disease diagnosis. Cases were older than controls and more likely to be female. The three most common types of rheumatic disease associated with hospitalization were osteoarthritis, gout, and rheumatoid arthritis. Compared with other races, AN/AI people were more likely to be hospitalized with rheumatic disease, and this association was true for all specific diseases other than gout. Hospitalizations associated with rheumatic disease are common in Alaska, with an increased likelihood of hospitalization for AN/AI people. This adds to the literature on health disparities in Indigenous North American populations.
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