Socioeconomic status as an independent risk factor for hospital readmission for heart failure
Section snippets
Patients
This study was approved by the institutional review board of the Massachusetts General Hospital. This was a retrospective analysis of hospital administrative discharge data collected prospectively by New York State Department of Health’s Statewide Planning and Research Cooperative System. This organization systematically archives information on all patients admitted to all nonfederal acute-care hospitals in New York. We included all patients who were discharged ≥1 times during the period from
Patients
A total of 52,010 eligible patients were identified. Of these, 6,116 (11.8%) were excluded because their race was neither African-American nor white, including “unknown” race (2,196 patients), “other” race (3,330), Asian or Pacific Islander (518), and Native American (102). In addition, 3,163 patients (6.1%) were excluded because they died during the index admission. Finally, 955 (1.8%) were excluded because of missing data regarding income. Thus, this study comprised 41,776 African-American or
Discussion
In this study, we examined the influence of income and other sociodemographic and clinical variables on the risk of hospital readmission after inpatient treatment of heart failure. To our knowledge, no previous study of heart failure readmission has attempted to address the multiple and intertwined issues of age-, sex-, race-, insurance-, socioeconomic status-, and geographic-based risk in a single comprehensive analysis. The additional strength of our study was its inclusion of a large number
References (22)
- et al.
Clinical outcomes in heart failurereport from a community hospital-based registry
Am J Med
(1999) - et al.
The influence of race and gender on process of care, resource utilization, and hospital-based outcomes in congestive heart failure
Am J Cardiol
(1998) - et al.
Prediction of hospital readmission for heart failuredevelopment of a simple risk score based on administrative data
J Am Coll Cardiol
(1999) - et al.
Correlates of early hospital readmission or death in patients with congestive heart failure
Am J Cardiol
(1997) - et al.
Influence of payor on use of invasive cardiac procedures and patient outcome after myocardial infarction in the United States
J Am Coll Cardiol
(1998) - et al.
Elderly patients with congestive heart failure under prepaid care
Am J Med
(1991) - et al.
Race-related differences among patients with left ventricular dysfunctionobservations from a large biracial angiographic cohort
J Cardiac Failure
(2000) - et al.
Underuse of coronary revascularization proceduresapplication of a clinical method
J Am Coll Cardiol
(1997) - et al.
Readmission after hospitalization for congestive heart failure among Medicare beneficiaries
Arch Intern Med
(1997) - et al.
Precipitating factors leading to decompensation of heart failuretraits among urban blacks
Arch Intern Med
(1988)
Early readmission of elderly patients with congestive heart failure
J Am Geriatr Soc
Cited by (204)
Predictors of 30-Day Readmission in Patients Hospitalized With Heart Failure as a Primary Versus Secondary Diagnosis
2023, American Journal of CardiologyEffect of Cocaine, Amphetamine, and Cannabis Use Disorders on 30-day Readmissions of Patients with Heart Failure
2023, Current Problems in CardiologyPreviously undiagnosed angina pectoris in individuals without established cardiovascular disease: Prevalence and prognosis in the United States
2022, American Journal of the Medical SciencesLocally weighted factorization machine with fuzzy partition for elderly readmission prediction
2022, Knowledge-Based Systems