Multiple Chronic Conditions and Disparities in 30-Day Hospital Readmissions Among Nonelderly Adults

The Journal of Ambulatory Care Management
Jayasree BasuSiran M Koroukian

Abstract

This study examines the patterns of 30-day hospital readmissions by race/ethnicity and multiple chronic conditions (MCC) burden among nonelderly adult patients. We used hospital discharge data of patients in the 18- to 64-year age group in 5 US states, California, Florida, Missouri, New York, and Tennessee, for 2009 from the Healthcare Cost and Utilization Project State Inpatient Database (HCUP-SID) of the Agency for Healthcare Research and Quality, linked to contextual and provider data from the Health Resources and Services Administration. A multilevel logistic regression model was used for data pooled over 5 states, adjusting for patient, hospital, and community characteristics. Controlling for other covariates, the study found that a higher MCC burden was associated with a higher all-cause 30-day readmission risk. We found considerable heterogeneity in levels of readmission risk among racial/ethnic subgroups stratified by chronic conditions. Among patients with a lowest MCC burden, African Americans had the highest risk of readmission, but with a higher MCC burden, the risk of readmission increased most for Hispanics.

References

Oct 13, 1994·The New England Journal of Medicine·E S FisherS M Sharp
Mar 26, 2003·Health Services Research·David C GoodmanHenry J Carretta
Oct 30, 2003·Medical Care·Anita L Stewart, Anna M Nápoles-Springer
Jun 7, 2005·Journal of Health Care for the Poor and Underserved·Jayasree Basu
Aug 25, 2005·American Journal of Public Health·H Joanna JiangBernard Friedman
Jan 25, 2006·Annals of Surgery·F L LucasJohn D Birkmeyer
Nov 2, 2006·American Journal of Public Health·Amy M KilbourneMichael J Fine
Feb 13, 2009·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Bernard FriedmanAnne Elixhauser
Apr 3, 2009·The New England Journal of Medicine·Stephen F JencksEric A Coleman
Feb 18, 2011·JAMA : the Journal of the American Medical Association·Karen E JoyntAshish K Jha
Oct 8, 2011·Diseases of the Colon and Rectum·Samantha HendrenJustin Dimick
Dec 13, 2012·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Bernard FriedmanJohn Bott
Apr 27, 2013·Preventing Chronic Disease·Richard A GoodmanHoward K Koh

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.