Neighborhood's socioeconomic status tied to readmissions

Neighborhood's socioeconomic status tied to readmissions

(HealthDay)—Neighborhood socioeconomic status (SES) is linked to six-month, all-cause readmission among patients with heart failure, even after adjustment for patient-level factors, according to a study published online July 29 in Circulation: Cardiovascular Quality and Outcomes.

Behnood Bikdeli, M.D., from Yale-New Haven Hospital in Connecticut, and colleagues analyzed data from participants of the Telemonitoring to Improve Heart Failure Outcomes trial (recruited from 33 U.S. internal medicine and cardiology practices). The authors examined the association between neighborhood SES and outcomes of 1,557 patients with (mean age 61.1 years; 42.2 percent women). Census tracts were used as proxies for and SES scores were created that incorporated information about wealth and income, education, and occupation.

The researchers found that 524 of the participants were from low, 516 from medium, and 517 from high SES neighborhoods. Over the study period, 47.8 percent of had one or more readmission and 11.5 percent died. Patients living in low SES neighborhoods were more likely to be readmitted than those living in high SES neighborhoods (odds ratio, 1.35; 95 percent confidence interval [CI], 1.01 to 1.82), but there was no significant difference in mortality rates (odds ratio, 0.78; 95 percent CI, 0.50 to 1.18). After multivariable adjustments for individual demographics, clinical factors, and individual SES, the results were consistent.

"Greater number of events and longer follow-up is required to ascertain the potential effect of neighborhood SES on mortality," the authors write.

Several authors disclosed financial ties to the medical device industry.

More information: Abstract
Full Text

add to favorites email to friend print save as pdf

Related Stories

Improved outcomes seen with ventricular assist devices

Jan 31, 2014

(HealthDay)—Among Medicare patients receiving implantation of ventricular assist devices (VADs) for advanced heart failure, mortality has decreased, but readmission rates did not change, according to research ...

Learned helplessness linked to arthritis disease outcomes

Aug 07, 2012

(HealthDay) -- For patients with inflammatory polyarthritis (IP), learned helplessness (LH) correlates with disease outcomes and seems to mediate the association between socioeconomic status (SES) and disease ...

Recommended for you

Vitamin K antagonist plus clopidogrel feasible for PCI

Sep 19, 2014

(HealthDay)—Vitamin K antagonists (VKA) combined with clopidogrel may be a better alternative to triple anticoagulant therapy in patients on long-term VKA undergoing percutaneous coronary intervention (PCI) ...

How pneumonia bacteria can compromise heart health

Sep 19, 2014

Bacterial pneumonia in adults carries an elevated risk for adverse cardiac events (such as heart failure, arrhythmias, and heart attacks) that contribute substantially to mortality—but how the heart is ...

User comments