Predictors of All-Cause 30-Day Readmissions in Patients with Heart Failure at an Urban Safety Net Hospital: The Importance of Social Determinants of Health and Mental Health
- Alexandra B. Steverson, MD, MPH
- Paul J. Marano, MD
- Caren Chen, MPH
- Yifei Ma, MS
- Rachel J. Stern, MD
- Jean Feng, MS, PhD
- Efstathios D. Gennatas, MBBS, PhD
- James D. Marks, MD, PhD
- Matthew S. Durstenfeld, MD, MAS
- Jonathan D. Davis, MD, MPHS
- Priscilla Y. Hsue, MD
- Lucas S. Zier, MD, MS
DOIAbstract
Introduction: Heart failure (HF) is a frequent cause of readmissions. Despite caring for underresourced patients and dependence on government funding, safety net hospitals frequently incur penalties for failing to meet pay-for-performance readmission metrics. Limited research exists on the causes of HF readmissions in safety net hospitals. Therefore, we sought to investigate predictors of 30-day all-cause readmission in HF patients in the safety net setting. Methods: We performed a retrospective chart review of patients admitted for HF from October 2018 to April 2019. We extracted data on demographics and medical comorbidities and performed patient-specific review of social determinants and mental health in 4 domains: race/ethnicity, housin...
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