Socioeconomic Disadvantage and Heart Failure Admissions
Author Information
Author(s): Dhingra Radha, Xu Hanzhang, Hammill Bradley, Lynch Scott, West Jessica, Green Michael, Dupre Matthew
Primary Institution: Duke University
Hypothesis
Does socioeconomic disadvantage impact the risk of hospital admissions in patients with heart failure?
Conclusion
Area-level socioeconomic disadvantage affects the risk of recurrent hospital admissions in heart failure patients but not the risk of early admissions.
Supporting Evidence
- 71% of patients had at least one admission during the study.
- 40% of patients died over a median follow-up of 5.6 years.
- Patients in high-disadvantaged areas had a higher risk of recurrent admissions.
Takeaway
People living in poorer areas may go to the hospital more often after being diagnosed with heart failure, but it doesn't change how soon they go back after their first visit.
Methodology
The study used multivariable logistic regression models and Prentice, Williams, and Peterson models to assess hospital admissions.
Participant Demographics
Patients aged 65-85 years, 51% female, 67% non-Hispanic White.
Statistical Information
P-Value
P=.371 for early admissions; P<.001 for recurrent admissions
Confidence Interval
HR=1.09 [0.90-1.31] for early admissions; HR=1.11 [1.05-1.16] for recurrent admissions
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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