ArticleAmerican heart journal2018
Access to routine care and risks for 30-day readmission in patients with cardiovascular disease.
Article in American heart journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
20 citing papers in PubMed, 34 citations in OpenAlex.
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- Racial and Ethnic Disparity in Healthcare Expenditure and Resource Utilization Among Patients with Cardiovascular Diseases.Journal of racial and ethnic health disparities · 2025Article
- Racial and ethnic disparities in longitudinal trajectories of hospitalizations in patients diagnosed with heart failure.American heart journal · 2025Article
- Article
- Neighborhood Socioeconomic Disadvantage and 30-Day Outcomes for Common Cardiovascular Conditions.Journal of the American Heart Association · 2024Article
- Association of Patient-Reported Social Needs with Emergency Department Visits and Hospitalizations Among Federally Qualified Health Center Patients.Journal of general internal medicine · 2024Article
- Article
- Race, ethnicity, sex, and socioeconomic disparities in anticoagulation for atrial fibrillation: A narrative review of contemporary literature.Journal of the National Medical Association · 2023Review
- Observational
- Impact of social determinants of health on improving the LACE index for 30-day unplanned readmission prediction.JAMIA open · 2022Article
- Development and validation of a social vulnerabilities survey for medical inpatients.BMJ open · 2022Article
- Effectiveness of Telemedicine Visits in Reducing 30-Day Readmissions Among Patients With Heart Failure During the COVID-19 Pandemic.Journal of the American Heart Association · 2022Article
- Primary care gap: factors associated with persistent lack of primary care after hospitalisation.BMJ open quality · 2022Article
- Association of Socioeconomic Area Deprivation Index with Hospital Readmissions After Colon and Rectal Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Perceived Versus Actual Risks of 30-Day Readmission in Patients With Cardiovascular Disease.Circulation. Cardiovascular quality and outcomes · 2021Article
- Adequate access to healthcare and added life expectancy among older adults in China.BMC geriatrics · 2020Article
- Personalized medicine and hospitalization for heart failure: if we understand it, we may be successful in treating it.European journal of heart failure · 2019Review
- Age and sex differences in the association between access to medical care and health outcomes among older Chinese.BMC health services research · 2018Article
- Association between influenza infection and cardiovascular diseases: A systematic review and meta-analysis.JRSM cardiovascular diseaseReview
- Association Between Perceived Access to Healthcare and the Perception of Illness Among Peruvian Adults with Chronic Diseases During COVID-19 Pandemic.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundStudies have shown that access to routine medical care is associated with the prevention, diagnosis, and treatment of chronic diseases. However, studies have not examined whether patient-reported difficulties in access to care are associated with rehospitalization in patients with cardiovascular disease.
methodsElectronic medical records and a standardized survey were used to examine cardiovascular patients admitted to a large medical center from January 1, 2015 through January 10, 2017 (n=520). All-cause readmission within 30 days of discharge was the primary outcome for analysis. Logistic regression models were used to examine the association between access to care and 30-day readmission while adjusting for patient demographics, socioeconomic status, healthcare utilization, and health status.
resultsNearly 1-in-6 patients (15.7%) reported difficulty in accessing routine medical care; and those who were younger, male, non-white, uninsured, with heart failure, and had low social support were significantly more likely to report difficulty. Patients who reported difficulty in accessing care had significantly higher rates of 30-day readmission than patients who did not report difficulty (33.3% vs. 17.9%; P=.001); and the risks remained largely unchanged after accounting for nearly two dozen covariates (unadjusted odds ratio [OR]=2.29; 95% CI, 1.46-3.60 vs. adjusted OR=2.17; 95% CI, 1.29-3.66). Risks for readmission were especially high for patients who reported issues with transportation (OR=3.24; 95% CI, 1.28-8.16) and scheduling appointments (OR=3.56; 95% CI, 1.43-8.84), but not for other reasons (OR=1.47; 95% CI, 0.61-3.54).
conclusionsCardiovascular patients who reported difficulty in accessing routine care had substantial risks of readmission within 30 days after discharge. These findings have important implications for identifying high-risk patients and developing interventions to improve access to routine medical care.
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