Observational studyHealth services research2018
Hospital Readmission and Social Risk Factors Identified from Physician Notes.
Observational study in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 5 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
97 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Applications of Natural Language Processing and Large Language Models for Social Determinants of Health: Systematic Review.Journal of medical Internet research · 2026Pooled it
- Screening Health-Related Social Needs in Hospitals: A Systematic Review of Health Care Professional and Patient Perspectives.Population health management · 2023Pooled it
- Extracting social determinants of health from electronic health records using natural language processing: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2021Pooled it
- Social determinants of health in electronic health records and their impact on analysis and risk prediction: A systematic review.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Use of electronic medical records in development and validation of risk prediction models of hospital readmission: systematic review.BMJ (Clinical research ed.) · 2020Pooled it
- Analyzing pediatric department documentation of patient social needs with ICD-10 Z-codes.BMC health services research · 2026Article
- Accelerating real-world prediction and research in Alzheimer's: The M3AD study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Article
- Development and Validation of a Natural Language Processing Algorithm Using Electronic Health Record Data to Identify Breast Cancer Patients With Low Social Support.JCO oncology advances · 2025Article
- Examining housing insecurity and transportation barriers in pediatric hospital readmissions: insights from structured and unstructured data.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Z-Code Health-Related Social Needs and Their Association with Post-Discharge Healthcare Utilization in Older Adults with Heart Failure and COPD.Journal of general internal medicine · 2025Article
- Predicting Behavioral Determinants of Health from Clinical Text Using Transformer Models and BiLSTM.medRxiv : the preprint server for health sciences · 2025Article
- Identifying Transportation Needs in Ophthalmology Clinic Notes Using Natural Language Processing: Retrospective, Cross-Sectional Study.JMIR medical informatics · 2025Article
- Identification of Social Risk-Related Referrals in Discrete Primary Care Electronic Health Record Data: Lessons Learned From a Novel Methodology.Health services research · 2025Article
- Neural network models for predicting readmission among patients undergoing peripheral vascular intervention using electronic health record data and clinical registry data.BMJ surgery, interventions, & health technologies · 2025Article
- Extracting social support and social isolation information from clinical psychiatry notes: comparing a rule-based natural language processing system and a large language model.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Augmenting the Hospital Score with social risk factors to improve prediction for 30-day readmission following acute myocardial infarction.Medical research archives · 2024Article
- Forecasting Patient Early Readmission from Irish Hospital Discharge Records Using Conventional Machine Learning Models.Diagnostics (Basel, Switzerland) · 2024Article
- Large-scale identification of social and behavioral determinants of health from clinical notes: comparison of Latent Semantic Indexing and Generative Pretrained Transformer (GPT) models.BMC medical informatics and decision making · 2024Article
- Maximizing Readmission Reduction in Colon Cancer Patients.The Journal of surgical research · 2024Article
- Association between the frailty index and readmission risk in hospitalised elderly Chinese patients: a retrospective cohort study.BMJ open · 2024Article
37 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate the prevalence of seven social factors using physician notes as compared to claims and structured electronic health records (EHRs) data and the resulting association with 30-day readmissions. STUDY
settingA multihospital academic health system in southeastern Massachusetts. STUDY
designAn observational study of 49,319 patients with cardiovascular disease admitted from January 1, 2011, to December 31, 2013, using multivariable logistic regression to adjust for patient characteristics. DATA COLLECTION/EXTRACTION
methodsAll-payer claims, EHR data, and physician notes extracted from a centralized clinical registry. PRINCIPAL
findingsAll seven social characteristics were identified at the highest rates in physician notes. For example, we identified 14,872 patient admissions with poor social support in physician notes, increasing the prevalence from 0.4 percent using ICD-9 codes and structured EHR data to 16.0 percent. Compared to an 18.6 percent baseline readmission rate, risk-adjusted analysis showed higher readmission risk for patients with housing instability (readmission rate 24.5 percent; p < .001), depression (20.6 percent; p < .001), drug abuse (20.2 percent; p = .01), and poor social support (20.0 percent; p = .01).
conclusionsThe seven social risk factors studied are substantially more prevalent than represented in administrative data. Automated methods for analyzing physician notes may enable better identification of patients with social needs.
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