ArticleAmerican journal of nephrology2017
Psychosocial Factors and 30-Day Hospital Readmission among Individuals Receiving Maintenance Dialysis: A Prospective Study.
Article in American journal of nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Psychosocial interventions for preventing and treating depression in dialysis patients.The Cochrane database of systematic reviews · 2019Pooled it
- Prognostication of Mental Health Risk Clusters on Hospitalization and Mortality in Patients With Coexisting Diabetes and Kidney Failure: The Hidden Burden of Loneliness.Kidney medicine · 2025Article
- Structured handoff to improve communication from inpatient to outpatient dialysis units: A quality improvement project.Hemodialysis international. International Symposium on Home Hemodialysis · 2023Article
- The potential of mHealth for older adults on dialysis and their care partners: What's been done and where do we go from here?Frontiers in nephrology · 2022Article
- Prediction of Readmission in Geriatric Patients From Clinical Notes: Retrospective Text Mining Study.Journal of medical Internet research · 2021Article
- How to tackle health literacy problems in chronic kidney disease patients? A systematic review to identify promising intervention targets and strategies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021Article
- Development and Implementation of a Complex Health System Intervention Targeting Transitions of Care from Hospital to Post-acute Care.Journal of general internal medicine · 2021Article
- Association of short-term exposure to ambient PMBMJ open · 2020Article
- Community Racial Composition and Hospitalization Among Patients Receiving In-Center Hemodialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020Article
- Long-term outcomes among Medicare patients readmitted in the first year of hemodialysis: a retrospective cohort study.BMC nephrology · 2019Article
- Association of social worker-assessed psychosocial factors with 30-day hospital readmissions among hemodialysis patients.BMC nephrology · 2018Article
- The association of discharge decisions after deceased donor kidney transplantation with the risk of early readmission: Results from the deceased donor study.Clinical transplantation · 2018Article
- Association of Kidney Disease Quality of Life (KDQOL-36) with mortality and hospitalization in older adults receiving hemodialysis.BMC nephrology · 2018Article
- Discharge service as a determinant of 30-day readmission in a cohort of maintenance hemodialysis patients: a retrospective cohort study.BMC nephrology · 2017Article
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4 authors at 2 institutions in 1 country.
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Abstract
backgroundThirty-day hospital readmissions are common among maintenance dialysis patients. Prior studies have evaluated easily measurable readmission risk factors such as comorbid conditions, laboratory results, and hospital discharge day. We undertook this prospective study to investigate the associations between hospital-assessed depression, health literacy, social support, and self-rated health (separately) and 30-day hospital readmission among dialysis patients.
methodsParticipants were recruited from the University of North Carolina Hospitals, 2014-2016. Validated depression, health literacy, social support, and self-rated health screening instruments were administered during index hospitalizations. Multivariable logistic regression models with 30-day readmission as the dependent outcome were used to examine readmission risk factors.
resultsOf the 154 participants, 58 (37.7%) had a 30-day hospital readmission. In unadjusted analyses, individuals with positive screening for depression, lower health literacy, and poorer social support were more likely to have a 30-day readmission (vs. negative screening). Positive depression screening and poorer social support remained significantly associated with 30-day readmission in models adjusted for race, heart failure, admitting service, weekend discharge day, and serum albumin: adjusted OR (95% CI) 2.33 (1.02-5.15) for positive depressive symptoms and 2.57 (1.10-5.91) for poorer social support. The area under the receiver operating characteristic curve (AUC) of the multivariable model adjusted for social support status was significantly greater than the AUC of the multivariable model without social support status (test for equality; p value = 0.04).
conclusionPoor social support and depressive symptoms identified during hospitalizations may represent targetable readmission risk factors among dialysis patients. Our findings suggest that hospital-based assessments of select psychosocial factors may improve readmission risk prediction.
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