ORIGINAL ARTICLE |
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Year : 2017 | Volume
: 30
| Issue : 4 | Page : 1210-1213 |
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Hospitalization of systemic lupus patients: Causes and outcomes
Sabry A Shoeib1, Alaa E Elhamid1, Emad M Elshebiny1, Yasser A Shehata2, Amr A Elshormilisy3, Mohammed R Mazen1
1 Internal Medicine Department, Faculty of Medicine, Menoufia university, Menoufia, Egypt 2 Public Health and Community Medicine Department, Faculty of Medicine, Menoufia University, Shebeen Elkom, Menoufia, Egypt 3 Department of Rheumatology and Clinical Immunology, Faculty of Medicine, Helwan University, Cairo Governorate, Egypt
Correspondence Address:
Mohammed R Mazen Ashmoun, Menoufia Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/mmj.mmj_666_16
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Objective
The aim of this study was to describe the most common causes of admission of Egyptian patients with systemic lupus erythematosus (SLE) and the outcomes of these hospitalizations.
Background
SLE is a prototypic multisystem autoimmune disorder with a broad spectrum of clinical presentations. Studying the causes and outcomes of SLE patients will guide rheumatologists in better management of cases to improve outcomes.
Patients and methods
The charts of patients with SLE who were hospitalized at our Department of Internal Medicine during a 10-month period from August 2015 to June 2016 were reviewed in a retrospective manner, and their demographic, clinical, and laboratory data were collected.
Results
There were 85 admissions of 40 patients with SLE. Seventeen (42.5%) patients were admitted twice or more. The mean length of stay for all admissions was 8 days (2–30). The most common cause of admission was active SLE (62 events, 72.9%). SLE was initially diagnosed in 11 (27.5%) patients in our department of internal medicine. Other causes of hospitalization were infections (9.4%), drug complications (2.4%), thromboembolic events (3.5%), and assessment of the disease (10.6%). Three (3.5%) hospitalizations resulted in death.
Conclusion
Our study of this Egyptian SLE population confirms the findings of previous studies suggesting that active SLE and infection remain the most common causes of hospitalization of patients with SLE.
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