Social determinants of health predict readmission following COVID-19 hospitalization: a health information exchange-based retrospective cohort study.
Front Public Health
; 12: 1352240, 2024.
Article
in En
| MEDLINE
| ID: mdl-38601493
ABSTRACT
Introduction:
Since February 2020, over 104 million people in the United States have been diagnosed with SARS-CoV-2 infection, or COVID-19, with over 8.5 million reported in the state of Texas. This study analyzed social determinants of health as predictors for readmission among COVID-19 patients in Southeast Texas, United States.Methods:
A retrospective cohort study was conducted investigating demographic and clinical risk factors for 30, 60, and 90-day readmission outcomes among adult patients with a COVID-19-associated inpatient hospitalization encounter within a regional health information exchange between February 1, 2020, to December 1, 2022. Results anddiscussion:
In this cohort of 91,007 adult patients with a COVID-19-associated hospitalization, over 21% were readmitted to the hospital within 90 days (n = 19,679), and 13% were readmitted within 30 days (n = 11,912). In logistic regression analyses, Hispanic and non-Hispanic Asian patients were less likely to be readmitted within 90 days (adjusted odds ratio [aOR] 0.8, 95% confidence interval [CI] 0.7-0.9, and aOR 0.8, 95% CI 0.8-0.8), while non-Hispanic Black patients were more likely to be readmitted (aOR 1.1, 95% CI 1.0-1.1, p = 0.002), compared to non-Hispanic White patients. Area deprivation index displayed a clear dose-response relationship to readmission patients living in the most disadvantaged neighborhoods were more likely to be readmitted within 30 (aOR 1.1, 95% CI 1.0-1.2), 60 (aOR 1.1, 95% CI 1.2-1.2), and 90 days (aOR 1.2, 95% CI 1.1-1.2), compared to patients from the least disadvantaged neighborhoods. Our findings demonstrate the lasting impact of COVID-19, especially among members of marginalized communities, and the increasing burden of COVID-19 morbidity on the healthcare system.Key words
Full text:
1
Database:
MEDLINE
Main subject:
Health Information Exchange
/
COVID-19
Limits:
Adult
/
Humans
Country/Region as subject:
America do norte
Language:
En
Year:
2024
Type:
Article