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Vol. 17. Issue 8.
Pages 471-474 (October 2021)
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Vol. 17. Issue 8.
Pages 471-474 (October 2021)
Brief Report
DOI: 10.1016/j.reumae.2020.04.009
Reasons for hospitalisation in patients with systemic lupus erythematosus in a university hospital in Buenos Aires
Causas de internación en pacientes con lupus eritematoso sistémico en un hospital universitario de Buenos Aires
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Natalia Perrotta, María José López Meiller
Corresponding author
majocontact@gmail.com

Corresponding author.
, Verónica Malah, Diana Dubinsky
Hospital de Clínicas José de San Martín, Buenos Aires, Argentina
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Tables (2)
Table 1. Demographic data and activity measured by SLEDAI of the patients admitted.
Table 2. Reasons for hospitalization.
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Abstract
Objective

To determine the reasons for hospitalisation in patients with systemic lupus erythematosus (SLE) admitted to the Hospital de Clínicas "José de San Martín" Buenos Aires, Argentina.

Methods

We retrospectively analysed the clinical histories of SLE patients (SLICC 2012) during or prior to hospitalisation, from 1-2014 to 12-2017. Demographic data, reasons for hospitalisation, treatments, SLEDAI-2 K and comorbid conditions.

Results

121 hospitalisations corresponding to 72 patients, 25 patients (34.7%) were hospitalised more than once. Females (83.3%), the median length of disease until admission was 5 years. There was more than one reason for hospitalisation in 32, a total of 164 reasons. The main reason was relapse of disease (52.4%). The most frequent manifestations were renal involvement, serositis and pulmonary involvement. Infections were the second reason for hospitalisation (26.8%); urinary tract, pneumonia and soft tissue. Cardiovascular involvement 4.9%. Hospitalisation in a closed unit 14.05%, mortality 2.48%.

Conclusion

Relapse of disease and infections were the main reasons for hospitalisation; admission secondary to infection was higher than that reported in other series.

Keywords:
Reasons for hospitalisation
Systemic lupus erythematosus
Hospitalization
Resumen
Objetivo

Determinar causas de hospitalización en pacientes con lupus eritematoso sistémico (LES) internados en Hospital de Clínicas “José de San Martín” Buenos Aires, Argentina.

Métodos

Se analizaron retrospectivamente historias clínicas de pacientes LES (SLICC 2012) durante o previo a la internación, desde 1-2014 hasta 12-2017. Datos demográficos, motivos de hospitalización, tratamientos, SLEDAI 2 K y condiciones comórbidas.

Resultados

121 hospitalizaciones correspondientes a 72 pacientes, 25 pacientes (34,7%) tuvieron más de una hospitalización. Mujeres (83,3%), mediana de duración de la enfermedad hasta la admisión 5 años. Más de una causa de internación en 32, total de 164 motivos. La principal causa fue recaída de la enfermedad (52,4%). La manifestación más frecuente fue compromiso renal, serositis y compromiso pulmonar. Las infecciones fueron la segunda causa de hospitalización (26,8%); tracto urinario, neumonía y partes blandas. Compromiso cardiovascular 4,9%. Hospitalización en unidad cerrada 14,05%, mortalidad 2,48%.

Conclusión

Recaída de la enfermedad e infecciones, fueron las principales causas de hospitalización; la admisión secundaria a infección fue superior a la reportada en otras series.

Palabras clave:
Causas internación
Lupus eritematoso sistémico
Hospitalización

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