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Research Article
13 January 2021

Social determinants of health affect unplanned readmissions following acute myocardial infarction

Authors: Marguerite M Hoyler https://orcid.org/0000-0002-7040-1366 [email protected], Mark D Abramovitz, Xiaoyue Ma, Diana Khatib https://orcid.org/0000-0001-7532-2571, Richard Thalappillil, Christopher W Tam, Jon D Samuels https://orcid.org/0000-0002-7040-1366, and Robert S WhiteAuthor Info & Affiliations
Volume 10, Number 1
https://doi.org/10.2217/cer-2020-0135
PDFFormats

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.

Supplementary Material

File (suppl_file.zip)
File (supplementary table 1.docx)
File (supplementary table 2.docx)

References

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