Patterns and predictors of recurrent acute care use among Medicaid beneficiaries with systemic lupus erythematosus.

ABSTRACT:

Objectives

We aimed to identify longitudinal patterns and predictors of acute care use (emergency department [ED] visits and hospitalizations) among individuals with SLE enrolled in Medicaid, the largest U.S. public insurance.

Methods

Using Medicaid data (29 states, 2000-2010) we identified 18-65-year-olds with SLE (≥3 SLE ICD-9 codes, 3rd code=index date), ≥12 months of enrollment prior to the index date and ≥24 months post. For each 90-day interval post index date, patients were assigned binary indicators (1=≥1 ED visit or hospitalization, 0=none). We used group-based trajectory models to graph patterns of overall and SLE-specific acute care use, and multinomial logistic regression models to examine predictors.

Results

Among 40,381 SLE patients, the mean age was 40.

SUBMITTER: Feldman CH 

PROVIDER: S-EPMC7483304 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature