Background

Outcomes-based data regarding the management of hospitalized U.S. patients with acute idiopathic pericarditis (AIP) are lacking.

Objectives

This study sought to elucidate the clinical and economic outcomes associated with the inpatient care of AIP.

Methods

Cohort study of adults with AIP; multivariable analyses of clinical and economic outcomes (inpatient mortality, surgical or medical complications, length of stay, and medical charges).

Results

Surgical or medical complications, pericardiocentesis, and pericardiotomy were each independently associated with a significantly higher odds of inpatient mortality (p<0.05). Pericardiocentesis, pericardiotomy, and pericardiectomy were also independently associated with significantly higher odds for complications (p<0.001) and, overall, surgical or medical complications were associated with longer lengths of stay and higher charges (p < 0.001). A higher odds of inpatient mortality was associated with micropolitan or rural patient residence, Medicaid payor, and African American race (p<0.05).

Conclusions

U.S. inpatient cases of AIP are associated with significant use of healthcare resources, disparities, morbidity, and mortality.

中文翻译：

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美国与急性特发性心包炎住院相关的临床和经济结果

背景

缺乏关于美国急性特发性心包炎 (AIP) 住院患者管理的基于结果的数据。

目标

本研究旨在阐明与 AIP 住院治疗相关的临床和经济结果。

方法

成人 AIP 队列研究；临床和经济结果的多变量分析（住院死亡率、手术或医疗并发症、住院时间和医疗费用）。

结果

手术或内科并发症、心包穿刺术和心包切开术均与显着更高的住院死亡率几率独立相关 (p<0.05)。心包穿刺术、心包切开术和心包切除术也与显着更高的并发症发生率独立相关 (p < 0.001)，总体而言，手术或医疗并发症与更长的住院时间和更高的费用相关 (p < 0.001)。较高的住院患者死亡率与小城市或农村患者居住地、医疗补助付款人和非裔美国人种族相关 (p<0.05)。

结论

美国 AIP 住院病例与医疗保健资源的大量使用、差异、发病率和死亡率有关。