ArticleMedical care2021
Psychosocial Determinants of Readmission After Surgery.
Article in Medical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Inequalities in Access to and Outcomes of Cardiac Surgery Among Patients with Mental Health Disorders.Medical sciences (Basel, Switzerland) · 2026Review
- Comparison of Emergency Department Patients with Salpingitis and Oophoritis with and without Documented Social Determinants of Health.The western journal of emergency medicine · 2026Article
- Social Work-Supported Strategies to Reduce Postoperative Readmissions in Orthopedic Surgery: A Narrative Review.Cureus · 2026Review
- Social contributions as risk factors for readmissions after lung transplantation: Clinical and financial implications.JHLT open · 2025Article
- Association of health literacy and general self-efficacy with emergency department visits for unclear abdominal pain after bariatric surgery.Langenbeck's archives of surgery · 2025Article
- Using social risks to predict unplanned hospital readmission and emergency care among hospitalized Veterans.Health services research · 2025Article
- Private-Sector Readmissions for Inpatient Surgery in Veterans Health Administration Hospitals.JAMA network open · 2024Article
- Realizing the potential of social determinants data in EHR systems: A scoping review of approaches for screening, linkage, extraction, analysis, and interventions.Journal of clinical and translational science · 2024Article
- Unpacking the Public Health Triad of Social Inequality in Health, Health Literacy, and Quality of Life-A Scoping Review of Research Characteristics.International journal of environmental research and public health · 2023Article
- Article
- Postsurgical Remote Patient Monitoring Outcomes and Perceptions: A Mixed-Methods Assessment.Mayo Clinic proceedings. Innovations, quality & outcomes · 2022Article
- Geographic Proximity of Family Members and Healthcare Utilization After Complex Surgical Procedures.Annals of surgery · 2022Article
- Article
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundQuality of life and psychosocial determinants of health, such as health literacy and social support, are associated with increased health care utilization and adverse outcomes in medical populations. However, the effect on surgical health care utilization is less understood.
objectiveWe sought to examine the effect of patient-reported quality of life and psychosocial determinants of health on unplanned hospital readmissions in a surgical population. RESEARCH
designThis is a prospective cohort study using patient interviews at the time of hospital discharge from a Veterans Affairs hospital. SUBJECTS: We include Veterans undergoing elective inpatient general, vascular, or thoracic surgery (August 1, 2015-June 30, 2017). MEASURES: We assessed unplanned readmission to any medical facility within 30 days of hospital discharge.
resultsA total of 736 patients completed the 30-day postoperative follow-up, and 16.3% experienced readmission. Lower patient-reported physical and mental health, inadequate health literacy, and discharge home with help after surgery or to a skilled nursing or rehabilitation facility were associated with an increased incidence of readmission. Classification regression identified the patient-reported Veterans Short Form 12 (SF12) Mental Component Score <31 as the most important psychosocial determinant of readmission after surgery.
conclusionsMental health concerns, inadequate health literacy, and lower social support after hospital discharge are significant predictors of increased unplanned readmissions after major general, vascular, or thoracic surgery. These elements should be incorporated into routinely collected electronic health record data. Also, discharge plans should accommodate varying levels of health literacy and consider how the patient's mental health and social support needs will affect recovery.
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