Ferucci Elizabeth D, Holck Peter
Alaska Native Tribal Health Consortium, Anchorage.
Holck Consulting, Anchorage, Alaska.
ACR Open Rheumatol. 2022 Jun;4(6):520-527. doi: 10.1002/acr2.11429. Epub 2022 Mar 19.
Few studies have evaluated hospitalizations associated with rheumatic disease in Indigenous North American populations. The objective of this study was to determine the characteristics of people hospitalized with rheumatic disease in Alaska, including a comparison of hospitalizations for Alaska Native/American Indian (AN/AI) people in Alaska compared with those of other races.
We used statewide hospital discharge data from the Alaska Health Facilities Data Reporting Program from 2015 to 2018 for this study. Cases were ascertained based on discharge diagnosis (any listed) of a defined set of rheumatic diseases. We determined characteristics associated with rheumatic disease hospitalizations, including age, gender, and race. Using multivariate modeling, we determined risk factors for hospitalization overall, as well as for specific rheumatic diseases. We compared characteristics of hospital encounters for people with or without rheumatic diseases and by race.
We identified 15975 people ever hospitalized with rheumatic disease in the study period and 87138 controls hospitalized but without any rheumatic disease diagnosis. Cases were older than controls and more likely to be female. The three most common types of rheumatic disease associated with hospitalization were osteoarthritis, gout, and rheumatoid arthritis. Compared with other races, AN/AI people were more likely to be hospitalized with rheumatic disease, and this association was true for all specific diseases other than gout.
Hospitalizations associated with rheumatic disease are common in Alaska, with an increased likelihood of hospitalization for AN/AI people. This adds to the literature on health disparities in Indigenous North American populations.
很少有研究评估北美原住民人群中与风湿性疾病相关的住院情况。本研究的目的是确定阿拉斯加风湿性疾病住院患者的特征，包括比较阿拉斯加原住民/美洲印第安人（AN/AI）与其他种族的住院情况。
我们使用了阿拉斯加卫生设施数据报告计划2015年至2018年的全州住院出院数据进行本研究。根据一组特定风湿性疾病的出院诊断（任何列出的诊断）确定病例。我们确定了与风湿性疾病住院相关的特征，包括年龄、性别和种族。使用多变量模型，我们确定了总体住院以及特定风湿性疾病的危险因素。我们比较了有或没有风湿性疾病的患者以及不同种族患者的住院情况特征。
在研究期间，我们确定了15975例曾因风湿性疾病住院的患者以及87138例住院但无任何风湿性疾病诊断的对照。病例比对照年龄更大，且更可能为女性。与住院相关的三种最常见的风湿性疾病类型是骨关节炎、痛风和类风湿关节炎。与其他种族相比，AN/AI人群因风湿性疾病住院的可能性更大，除痛风外，所有特定疾病均如此。
在阿拉斯加，与风湿性疾病相关的住院情况很常见，AN/AI人群住院的可能性增加。这为北美原住民人群健康差异的文献增添了内容。
