|Title||Social determinants of health affect unplanned readmissions following acute myocardial infarction|
|Publication Type||Journal Article|
|Year of Publication||2021|
|Authors||Hoyler MM, Abramovitz MD, Ma X, Khatib D, Thalappillil R, Tam CW, Samuels JD, White RS|
|Journal||J Comp Eff Res|
|Keywords||cardiovascular disease, clinical outcomes, Healthcare Disparities|
Background: 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.
Materials & methods: A retrospective review of State Inpatient Databases for New York, California, Florida and Maryland, 2007-2014.
Results: 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).
Conclusion: Insurance status and hospital safety-net burden affect readmission odds following acute myocardial infarction.