Comorbid Conditions are Associated With Emergency Department Visits, Hospitalizations, and Medical Charges of

Guang-Ming Han1, Xiao-Feng Han

  • 1From the *Wuxi Medical School, Jiangnan University, Wuxi, Jiangsu, PR China; †Nebraska Department of Health and Human Services, Lincoln, NE; and ‡Department of Epidemiology, University of Nebraska Medical Center, Omaha, NE.

Insights

Comorbid conditions significantly increase healthcare utilization and medical costs for patients with systemic lupus erythematosus (SLE). Identifying these comorbidities is crucial for managing SLE patient care and reducing healthcare expenses.

Area of Science:

  • Rheumatology
  • Health Services Research
  • Public Health

Background:

  • Comorbidities increase mortality and healthcare costs in systemic lupus erythematosus (SLE).
  • Understanding comorbidities linked to healthcare utilization is vital for SLE patient management.
  • Emergency department visits and hospitalizations significantly impact medical costs for SLE patients.

Purpose of the Study:

  • To investigate the association between comorbidities and healthcare utilization in SLE patients.
  • To examine the relationship between comorbidities and medical charges for SLE patients.

Main Methods:

  • Utilized Nebraska statewide emergency department and hospital discharge data from 2007-2012.
  • Defined SLE using International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) code 710.0.
  • Analyzed comorbid conditions in SLE patients compared to a non-SLE cohort.

Main Results:

  • Patients with SLE exhibited more comorbid conditions than those without SLE.
  • Common comorbidities for emergency department visits included pain, infections, and digestive symptoms.
  • Frequent comorbidities for hospitalizations involved infections, cardiovascular diseases, COPD, and mood disorders.
  • The number of comorbidities correlated significantly with longer hospital stays and increased hospital charges for SLE patients.

Conclusions:

  • Comorbid conditions are demonstrably linked to increased healthcare utilization among SLE patients.
  • Findings highlight the substantial impact of comorbidities on medical charges for SLE patients.
  • This study underscores the importance of managing comorbidities to mitigate healthcare utilization and costs in SLE.
Abstract

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