SHM Converge Scientific Abstract ePoster Gallery-Hospitals That Serve Socially Deprived Populations Experience Higher Readmission Rates for These Common Clinical Conditions

Hospitals That Serve Socially Deprived Populations Experience Higher Readmission Rates for These Common Clinical Conditions

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This study examined whether neighborhood social determinants of health (SDOH), measured by the Social Deprivation Index (SDI), are associated with 30-day hospital readmission rates for pneumonia, heart failure (HF), and acute myocardial infarction (AMI). The authors used national data from CMS hospital readmission records (2005–2019), U.S. Census demographic and economic data, Dartmouth Atlas hospital catchment area mappings, and ZIP-code-level SDI estimates. These datasets were merged to assign each hospital an SDI percentile based on the average deprivation of ZIP codes in its service area.<br /><br />Hospitals serving communities in the highest SDI quartile had higher readmission rates than those in the lowest quartile. In unadjusted analyses, readmissions were higher by 1.12% for HF, 0.70% for AMI, and 0.65% for pneumonia. After adjusting for potential confounders, the association remained significant: compared with the lowest SDI quartile, the highest quartile had readmission rates higher by 0.88% for HF, 0.40% for AMI, and 0.55% for pneumonia.<br /><br />The findings suggest that community-level social deprivation is linked to worse hospital readmission outcomes across these common conditions. The study highlights the importance of considering neighborhood SDOH in evaluating hospital performance and designing strategies to reduce readmissions. The authors conclude that interventions addressing social disparities are needed to improve patient outcomes nationwide.

Asset Subtitle

Jacob Maniattu

Meta Tag

Author List Avery Seward, Jacob Maniattu, Julie D. Sill, Rehan Qayyum, Samuel G. Chan

Category Research

Concept Social Determinants of Health

Concept Social Deprivation Index

Concept Hospital Readmission

Concept 90-Day Readmission Rate

Concept Heart Failure

Distinguished Non-Finalist

Presenter Organization Eastern Virginia Medical School

Presenting Author Jacob Maniattu

Track Value in Hospital Medicine

Keywords

social determinants of health

social deprivation index

hospital readmission

pneumonia

heart failure

acute myocardial infarction

neighborhood deprivation

hospital performance

community health

readmission rates

Social Determinants of Health

Social Deprivation Index

Hospital Readmission

90-Day Readmission Rate

Heart Failure