| 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 |
| Volume | 10 |
| Issue | 1 |
| Pagination | 39-54 |
| Date Published | 01/2021 |
| ISSN | 2042-6313 |
| Keywords | cardiovascular disease, clinical outcomes, Healthcare Disparities |
| Abstract | 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. |
| DOI | 10.2217/cer-2020-0135 |
| PubMed ID | 33438461 |