ArticleJournal of the American Heart Association2021
Association of Socioeconomic Disadvantage With Mortality and Readmissions Among Older Adults Hospitalized for Pulmonary Embolism in the United States.
Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 31 citations in OpenAlex.
- Pulmonary Embolism-Attributable Mortality in Patients With Heart Failure in the United States, 2010 to 2020.JACC. Advances · 2026Article
- Household Income Differences and Variations in Management and Outcomes of Patients With Acute Pulmonary Embolism.Journal of the Society for Cardiovascular Angiography & Interventions · 2026Article
- Association of transfer time and delays with outcomes for patients with acute pulmonary embolism requiring interhospital transfer: a retrospective observational study.Annals of medicine · 2025Observational
- Disparities in Current Pulmonary Embolism Management and Outcomes: A Scientific Statement From the American Heart Association.Circulation · 2025Review
- Impact of Social Determinants of Health on Cardiovascular Disease.Journal of the American Heart Association · 2025Review
- Pulmonary Embolism-Related Mortality in Patients With Cancer.JAMA network open · 2025Article
- Temporal trend in venous thromboembolism hospitalization rates in Brazil.Revista da Associacao Medica Brasileira (1992) · 2025Article
- Outcomes of patients with acute pulmonary embolism managed in-house vs those transferred between hospitals: a retrospective observational study.Research and practice in thrombosis and haemostasis · 2024Article
- Relationship between serum uric acid levels and pulmonary embolism: an age-based stratified analysis.Thrombosis journal · 2024Article
- Standardized Data Elements for Patients With Acute Pulmonary Embolism: A Consensus Report From the Pulmonary Embolism Research Collaborative.Circulation · 2024Review
- Syndemics in women's health: poverty, social exclusion, and clustering of thrombotic and hemostasis disorders.Research and practice in thrombosis and haemostasis · 2024Article
- Association of race, ethnicity and insurance status with outcomes for patients with acute pulmonary embolism treated by PERT: a retrospective observational study.Respiratory research · 2024Observational
- Racial and gender disparities in the management of acute pulmonary embolism.Journal of vascular surgery. Venous and lymphatic disorders · 2024Article
- Unchanging Mortality from Pulmonary Embolism in the United States.Annals of the American Thoracic Society · 2023Article
- Mechanical Thrombectomy of a Submassive Pulmonary Embolism in the Second Trimester of Pregnancy.Cureus · 2023Article
- Social determinants of health in pulmonary embolism management and outcome in hospitals: Insights from the United States nationwide inpatient sample.Research and practice in thrombosis and haemostasis · 2023Article
- Article
- Thromboembolic Events in a Socio-Economically Disadvantaged Population with COVID-19 Admitted to a Medicalized Hotel in Madrid.International journal of environmental research and public health · 2022Article
- Association of Socioeconomic Disadvantage With Mortality and Readmissions Among Older Adults Hospitalized for Pulmonary Embolism in the United States.Journal of the American Heart Association · 2021Article
- Home Treatment of Patients with Pulmonary Embolism: A Single Center 10-Year Experience from Ljubljana Registry.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/HemostasisArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Background In the United States, hospitalizations for pulmonary embolism (PE) are increasing among older adults insured by Medicare. Although efforts to reduce health disparities have intensified, it remains unclear whether clinical outcomes differ between socioeconomically disadvantaged and nondisadvantaged Medicare beneficiaries hospitalized with PE. Methods and Results In this study, there were 53 386 Medicare fee-for-service beneficiaries age ≥65 years hospitalized for PE between October 2015 and January 2017. Of these, 5494 (10.3%) were socioeconomically disadvantaged and 47 892 (89.7%) were nondisadvantaged. Socioeconomically disadvantaged adults were of similar age as nondisadvantaged adults (77.1 versus 77.0), more likely to be female (68.5% versus 54.2%), and less likely to receive advanced therapies (11.0% versus 12.1%). After adjustment for demographics, 90-day all-cause mortality rates were similar between disadvantaged and nondisadvantaged adults. In contrast, 1-year mortality rates were higher among socioeconomically disadvantaged adults (hazard ratio [HR], 1.16; 95% CI, 1.10-1.22), although these differences were partially attenuated after additional adjustments for comorbidities and PE severity (HR, 1.09; 95% CI, 1.02-1.16). Risk-adjusted 30-day and 90-day all-cause readmission rates were substantially higher among socioeconomically disadvantaged patients (30-day HR, 1.14 [95% CI, 1.06-1.22]; 90-day HR, 1.18 [95% CI, 1.12-1.25]). In addition, 90-day readmissions attributed to PE, deep vein thrombosis, and/or bleeding were higher among socioeconomically disadvantaged patients (HR, 1.16; 95% CI, 1.02-1.32). Conclusions Socioeconomically disadvantaged older adults hospitalized with PE have higher 1-year mortality rates compared with their nondisadvantaged counterparts. Nearly 1 in 3 socioeconomically disadvantaged older adults was readmitted within 90 days of a hospitalization for PE. Targeted strategies are needed to improve transitional and ambulatory care for this vulnerable population.
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