Cardiovascular Diseases in the Patients With Psoriatic Arthritis

There are limited data regarding the burden and trend of cardiovascular diseases (CVD) in psori-atic arthritis (PsA). We analyzed the National Inpa-tient Sample database from January 2005 to December 2018 to examine the hospitalization trends amongst adults with PsA primarily for heart failure (HF), acute myocardial infarction (AMI), and stroke. The primary outcomes of interest included in-hospital mortality, length of stay (LOS), and inflation-adjusted cost. The age-adjusted percentage of HF hospitaliza-tions among PsA patients decreased from 2.5% (2005/ 06) to 1.4% (2011/12; P-trend 0.013) and subsequently increased to 2.0% (2017/18; P-trend 0.044). The age -adjusted percentage of AMI hospitalizations among PsA patients showed a non -statistically significant decreasing trend from 2.1% (2005/06) to 1.7% (2011/12; P-trend 0.248) and showed a non -statisti-cally significant increase to 2.3% (2017/18; P-trend 0.056). The age-adjusted stroke hospitalizations increased from 1.1% (2005/06) to 1.3% (2017/18; P-tr end 0.036). Apart from a decrease in adjusted inflation-adjusted cost among heart failure hospital-izations, there was no significant change in inpatient mortality, length of stay or hospital cost, during the study period. We found an increasing trend of car-diovascular hospitalizations in patients with PsA. These findings will raise awareness and inform fur-ther research and clinical practice for PSA patients with CVD.