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Social determinants of health affect unplanned readmissions following acute myocardial infarction.

TitleSocial determinants of health affect unplanned readmissions following acute myocardial infarction.
Publication TypeJournal Article
Year of Publication2021
AuthorsHoyler MM, Abramovitz MD, Ma X, Khatib D, Thalappillil R, Tam CW, Samuels JD, White RS
JournalJ Comp Eff Res
Volume10
Issue1
Pagination39-54
Date Published2021 Jan
ISSN2042-6313
Abstract

Low socioeconomic status predicts inferior clinical outcomes in many patient populations. The effects of patient insurance status and hospital safety-net status on readmission rates following acute myocardial infarction are unclear. A retrospective review of State Inpatient Databases for New York, California, Florida and Maryland, 2007-2014.  A total of 1,055,162 patients were included. Medicaid status was associated with 37.7 and 44.0% increases in risk-adjusted readmission odds at 30 and 90 days (p < 0.0001). Uninsured status was associated with reduced odds of readmission at both time points. High-burden safety-net status was associated with 9.6 and 9.5% increased odds of readmission at 30 and 90 days (p < 0.0003). Insurance status and hospital safety-net burden affect readmission odds following acute myocardial infarction.

DOI10.2217/cer-2020-0135
Alternate JournalJ Comp Eff Res
PubMed ID33438461