Causes and Outcomes of Hospitalization among Systemic Lupus Erythematosus Patients in Aseer Central Hospital, Saudi Arabia: A Retrospective Study
Ali Alasmari,, M., Abdullah Alsabaani4, A. (2018). Causes and Outcomes of Hospitalization among Systemic Lupus Erythematosus Patients in Aseer Central Hospital, Saudi Arabia: A Retrospective Study. EKB Journal Management System, 71(1), 2358-2364.
Mansour Somaily,1 Saeed Asiri2, Lamia Aseery,2 Bader Asiri,2 Nora Gammash,2 Razan Alhumayed,2 Ali Alasmari,; Alhusain Asiri,3 Fatema Althabet,2 Abdullah Alsabaani4. "Causes and Outcomes of Hospitalization among Systemic Lupus Erythematosus Patients in Aseer Central Hospital, Saudi Arabia: A Retrospective Study". EKB Journal Management System, 71, 1, 2018, 2358-2364.
Ali Alasmari,, M., Abdullah Alsabaani4, A. (2018). 'Causes and Outcomes of Hospitalization among Systemic Lupus Erythematosus Patients in Aseer Central Hospital, Saudi Arabia: A Retrospective Study', EKB Journal Management System, 71(1), pp. 2358-2364.
Ali Alasmari,, M., Abdullah Alsabaani4, A. Causes and Outcomes of Hospitalization among Systemic Lupus Erythematosus Patients in Aseer Central Hospital, Saudi Arabia: A Retrospective Study. EKB Journal Management System, 2018; 71(1): 2358-2364.

Causes and Outcomes of Hospitalization among Systemic Lupus Erythematosus Patients in Aseer Central Hospital, Saudi Arabia: A Retrospective Study

The Egyptian Journal of Hospital Medicine
Article 21, Volume 71, Issue 1, April 2018, Page 2358-2364  XML PDF (345.09 K)
Document Type: Original Article
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Authors
Mansour Somaily,1 Saeed Asiri2, Lamia Aseery,2 Bader Asiri,2 Nora Gammash,2 Razan Alhumayed,2 Ali Alasmari,1; Alhusain Asiri,3 Fatema Althabet,2 Abdullah Alsabaani42
11 King Khalid University Medical City, King Khalid University, Abha, 2 College of Medicine, King Khalid University, Abha,
23 Ministry of Health, 4 Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha, Saudi Arabia
Abstract
Objective:  To identify frequency, causes and outcomes of hospitalisations among adult patients with systemic lupus erythematosus (SLE).
Methods: A record-based retrospective study was conducted at Aseer Central Hospital for a period of four and half years from January 2012 to June 2016. The study includes adult SLE patients who were diagnosed according to the 1997 SLE criteria. 
Results: A total of 155 patients (8 males and 147 females) with 251 hospital admissions were included. The average admission rate for all cases was about 2.0 ± 1.0 times. The most commonly recorded causes of admissions were SLE nephritis flare (33.9%), and infections (16.3%). Mortality rate for SLE patients is almost 7.7% and the recorded main causes of death were pulmonary hemorrhage (33.3%), sepsis (25%), bilateral massive pulmonary oedema and pneumonia (8.3% for each).
Conclusion: Almost half of adult SLE patients are frequently hospitalized. Female patients and those with associated chronic co-morbidity have more frequent admissions. Consequences of SLE remain the most frequently recorded causes for hospital admission. Pulmonary complications are the main cause for death. Therefore, prompt and aggressive management of pulmonary consequences could markedly reduce disease mortality. Adopting preventive measures such as using prophylactic antibiotics and pneumococcal vaccination, early in the disease course, should be accentuated.
Keywords
Keywords: Systemic lupus erythematosus; Hospitalization; Complications; Saudi Arabia; Retrospective study
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