Evidence map›Paper›PMID 33161734›Full record

ArticleCirculation. Heart failure2020

Excess 30-Day Heart Failure Readmissions and Mortality in Black Patients Increases With Neighborhood Deprivation.

Shivani A Patel, Maya Krasnow, Kaitlyn Long, Theresa Shirey, Neal Dickert, Alanna A Morris

Abstract read
In one paragraph

Article in Circulation. Heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  20. Race-ethnicity, age, and heart failure in ischemic stroke.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Shivani A PatelEmory Rollins School of Public Health, Atlanta, GA (S.A.P., K.L.).
Maya KrasnowUniversity of Chicago Pritzker School of Medicine, Chicago, IL (M.K.).
Kaitlyn LongEmory Rollins School of Public Health, Atlanta, GA (S.A.P., K.L.).
Theresa ShireyDepartment of Medicine, (T.S.), Emory University, Atlanta, GA.
Neal DickertDivision of Cardiology, (N.D., A.A.M.), Emory University, Atlanta, GA.
Alanna A MorrisDivision of Cardiology, (N.D., A.A.M.), Emory University, Atlanta, GA.

Funding

Translational Research Core - Engagement and Behavior ChangeP30DK111024 · NIDDK · EMORY UNIVERSITY · PI Mohammed Kumail Ali · 2016 to 2026
$13.4M
Integrating Costs Into Shared Decision-Making for Heart Failure with Reduced Ejection FractionR01HS026081 · AHRQ · EMORY UNIVERSITY · PI DICKERT, NEAL WORKMAN · 2018 to 2022
$1.9M
Understanding Racial Differences in Vascular Function and Ventricular-Vascular Coupling in Heart Failure with Preserved Ejection FractionR03HL146874 · NHLBI · EMORY UNIVERSITY · PI MORRIS, ALANNA AMYRE · 2019 to 2020
$156k
AHRQ HHS R01 HS026081NHLBI NIH HHS R03 HL146874NIDDK NIH HHS P30 DK111024
6 · The paper itself

Abstract

backgroundLongstanding racial disparities in heart failure (HF) outcomes exist in the United States, in part, due to social determinants of health. We examined whether neighborhood environment modifies the disparity in 30-day HF readmissions and mortality between Black and White patients in the Southeastern United States.

methodsWe created a geocoded retrospective cohort of patients hospitalized for acute HF within Emory Healthcare from 2010 to 2018. Quartiles of the Social Deprivation Index characterized neighborhood deprivation at the census tract level. We estimated the relative risk of 30-day readmission and 30-day mortality following an index hospitalization for acute HF. Excess readmissions and mortality were estimated as the absolute risk difference between Black and White patients within each Social Deprivation Index quartile, adjusted for geographic clustering, demographic, clinical, and hospital characteristics.

resultsThe cohort included 30 630 patients, mean age 66 years, 48% female, 53% Black. Compared with White patients, Black patients were more likely to reside in deprived census tracts and have higher comorbidity scores. From 2010 to 2018, 29.4% of Black and 23.0% of White patients experienced either a 30-day HF readmission or 30-day death (

conclusionsExcess 30-day HF readmissions and mortality are present among Black patients in every neighborhood strata and increase with progressive neighborhood socioeconomic deprivation.

Indexed as

Black or African AmericanHealth Status DisparitiesPovertyAgedBiomarkersFemaleGeorgiaHeart FailureHospitalizationHumansMalePatient ReadmissionRetrospective StudiesSocial Determinants of HealthUnited StatesBiomarkersheart failurehospitalizationpatientsresidential characteristicssocial determinants of health

Identifiers

PMID33161734
PMCPMC8164383

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.