Rural-Urban Disparities in cardiovascular disease hospitalizations and its outcomes in gout: a nationwide U.S. study.

IF 4.7 2区医学 Q1 RHEUMATOLOGY

Rheumatology Pub Date : 2025-02-21 DOI:10.1093/rheumatology/keaf112

Jasvinder A Singh, Sumanth R Chandrupatla

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引用次数: 0

Abstract

Objective: To assess whether patient residence is associated with the risk of myocardial infarction (MI) hospitalizations in people with gout.

Methods: We used the 2016-2019 U.S. National Inpatient Sample (NIS) database to assess whether rural patient residence is associated with a higher risk of MI hospitalizations in gout, while adjusting for demographics (age, sex, race), comorbidity, median household income, insurance payer and hospital characteristics (location and teaching status, bed size, hospital control and hospital region). We calculated adjusted odds ratios (aOR) and 95% confidence intervals (CI).

Results: We found that compared with urban residents, people living in the rural areas had higher crude rates of MI, 2,640 vs 3,145 per 100 000 area specific gout hospitalizations. In multivariable-adjusted analyses, compared with urban residents with gout, the rural area residents with gout were significantly more likely to have an MI with an odds ratio of 1.70 (95% CI, 1.61-1.79; p< 0.001). The association was confirmed in multiple sensitivity analyses.

Conclusions: We demonstrated a significant rural-urban disparity in the risk of MI hospitalizations in people with gout. Policymakers and hospital systems need to design and implement interventions to reduce these disparities.

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来源期刊

Rheumatology 医学-风湿病学

CiteScore

9.40

自引率

7.30%

发文量

1091

审稿时长

2 months

期刊介绍： Rheumatology strives to support research and discovery by publishing the highest quality original scientific papers with a focus on basic, clinical and translational research. The journal’s subject areas cover a wide range of paediatric and adult rheumatological conditions from an international perspective. It is an official journal of the British Society for Rheumatology, published by Oxford University Press. Rheumatology publishes original articles, reviews, editorials, guidelines, concise reports, meta-analyses, original case reports, clinical vignettes, letters and matters arising from published material. The journal takes pride in serving the global rheumatology community, with a focus on high societal impact in the form of podcasts, videos and extended social media presence, and utilizing metrics such as Altmetric. Keep up to date by following the journal on Twitter @RheumJnl.