Evidence map›Paper›PMID 36424114›Full record

Observational studyBMJ open2022

Factors associated with racial differences in all-cause 30-day readmission in adults with cardiovascular disease: an observational study of a large healthcare system.

Heather R Farmer, Hanzhang Xu, Bradi B Granger, Kevin L Thomas, Matthew E Dupre

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 25% of its field
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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Heather R FarmerDepartment of Human Development and Family Sciences, University of Delaware, Newark, Delaware, USA.ORCID 0000-0003-3889-548X
Hanzhang XuDuke University School of Nursing, Durham, North Carolina, USA.
Bradi B GrangerDuke University School of Nursing, Durham, North Carolina, USA.
Kevin L ThomasDivision of Cardiology, Department of Medicine, Duke University, Durham, North Carolina, USA.
Matthew E DupreDuke Clinical Research Institute, Durham, North Carolina, USA matthew.dupre@duke.edu.
Duke University · USUniversity of Delaware · US

Funding

BEHAVIOR AND PHYSIOLOGY IN AGINGT32AG000029 · NIA · DUKE UNIVERSITY · PI Maria Marquine · 1985 to 2026
$9.3M
Research Project 3U54MD012530 · NIMHD · DUKE UNIVERSITY · PI JOHNSON, KIMBERLY S. · 2017 to 2022
$8.8M
A Patient-Centered Approach for Addressing Access to Care to Improve Outcomes in Heart Failure PatientsR21AG061142 · NIA · DUKE UNIVERSITY · PI DUPRE, MATTHEW E. · 2019 to 2020
$443k
NIA NIH HHS R21 AG061142NIA NIH HHS T32 AG000029NIMHD NIH HHS U54 MD012530
6 · The paper itself

Abstract

objectiveTo examine factors contributing to racial differences in 30-day readmission in patients with cardiovascular disease (CVD).

designPatients were enrolled from 1 January 2015 to 31 August 2017 and data were collected from electronic health records and a standardised interview administered prior to discharge.

settingDuke Heart Center in the Duke University Health System.

participantsPatients aged 18 and older admitted for the treatment of cardiovascular-related conditions (n=734). MAIN OUTCOME AND MEASURES: All-cause readmission within 30 days was the main outcome. Multivariate logistic regression models were used to examine whether and to what extent socioeconomic, psychosocial, behavioural and healthcare-related factors contributed to 30-day readmissions in Black and White CVD patients.

resultsThe median age of patients was 66 years and 18.1% (n=133) were readmitted within 30 days after discharge. Black patients were more likely than White patients to be readmitted (OR 1.62; 95% CI 1.18 to 2.23) and the racial difference in readmissions was largely reduced after taking into account differences in a wide range of clinical and non-clinical factors (OR 1.37; 95% CI 0.98 to 1.91). In Black patients, readmission risks were especially high in those who were retired (OR 3.71; 95% CI 1.71 to 8.07), never married (OR 2.21; 95% CI 1.21 to 4.05), had difficulty accessing their routine care (OR 2.88; 95% CI 1.70 to 4.88) or had been hospitalised in the prior year (OR 1.97; 95% CI 1.16 to 3.37). In White patients, being widowed (OR 2.39; 95% CI 1.41 to 4.07) and reporting a higher number of depressive symptoms (OR 1.07; 95% CI 1.00 to 1.13) were the key factors associated with higher risks of readmission. CONCLUSIONS AND RELEVANCE: Black patients were more likely than White patients to be readmitted within 30 days after hospitalisation for CVD. The factors contributing to readmission differed by race and offer important clues for identifying patients at high risk of readmission and tailoring interventions to reduce these risks.

Indexed as

Cardiovascular DiseasesPatient ReadmissionAdultAgedHealthcare DisparitiesHumansRace FactorsRetrospective StudiesCARDIOLOGYPUBLIC HEALTHSOCIAL MEDICINE

Identifiers

PMID36424114
PMCPMC9693888
OpenAlexW4309892456

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.