PT  - JOURNAL ARTICLE
AU  - Nour Zleik
AU  - Mohanad M. Elfishawi
AU  - Zoran Kvrgic
AU  - Clement J. Michet Jr.
AU  - Cynthia S. Crowson
AU  - Eric L. Matteson
AU  - Tim Bongartz
TI  - Hospitalization Increases the Risk of Acute Arthritic Flares in Gout: A Population-based Study over 2 Decades
AID  - 10.3899/jrheum.171320
DP  - 2018 Aug 01
TA  - The Journal of Rheumatology
PG  - 1188--1191
VI  - 45
IP  - 8
4099  - http://www.jrheum.org/content/45/8/1188.short
4100  - http://www.jrheum.org/content/45/8/1188.full
SO  - J Rheumatol2018 Aug 01; 45
AB  - Objective. To assess in-hospital gout flares in patients with gout.Methods. Hospitalizations were evaluated for gout flares in a cohort of Olmsted County, Minnesota, residents with incident gout in 1989–1992 or 2009–2010.Results. There were 429 patients followed up to 5 years. Of these, 169 patients experienced 454 hospitalizations. Hospitalization rates increased without reaching statistical significance from 1989–1992 to 2009–2010 [rate ratio (RR) 1.19, 95% CI 0.98–1.45]. The gout flare rate increased significantly during hospitalization (RR 10.2, 95% CI 6.8–14.5). In-hospital gout flare increased the average hospital stay by 1.8 days (p < 0.001).Conclusion. Hospitalization increased the risk of gout flares 10-fold. In-hospital gout flares were associated with longer hospitalization.