ArticleAnnals of surgery2026
Language Serving Hospitals and Their Impact on Readmission for Surgical Patients With a Non-English Primary Language: A Retrospective Cohort Study.
Article in Annals of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Language-Serving Hospitals and Seven-Day Readmission Among Patients With a Non-English Primary Language.American journal of public health · 2026Article
- Increased Axillary Nodal Metastasis in Patients with Breast Cancer and Limited English Proficiency.Annals of surgical oncology · 2026Article
- Language concordance in the digital collection of patient-reported outcome measures.JAMIA open · 2026Article
- Association of Emergency Department and Medical-Surgical Nurse Staffing on Patient Departures Against Medical Advice.Journal of emergency nursing · 2026Article
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Authors and funding
13 authors.
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Abstract
objectiveTo assess postoperative readmission for patients with non-English primary language (NEPL) at language-serving hospitals (LSHs) versus non-LSH.
backgroundPatients with NEPL have worse surgical outcomes compared to patients with an English primary language. Hospital-level language access resources vary, potentially leading to disparate health outcomes.
methodsWe performed a retrospective cohort study from 2010 to 2022 using the New Jersey AHRQ-Healthcare Cost and Utilization Project State Inpatient Database. Patients with a primary language variable seen at a hospital that met LSH or non-LSH criteria were identified. Patients with NEPL who underwent appendectomy, breast surgery, cholecystectomy, colectomy, or lower extremity arterial revascularization and were discharged to home were included. LSH are hospitals where the proportion of patients with NEPL served meets or exceeds the proportion of New Jersey's population with limited English proficiency (12.3%). The primary outcome was a 7-day readmission. Multivariable logistic regression was performed, adjusting for patient-level confounders.
resultsWe included 28,157 patients with NEPL and identified 17 LSH and 43 non-LSH. The proportion of patients readmitted (2.6% vs 5.7%, P < 0.001) was lower at LSH compared to non-LSH. Patients discharged from LSH had a 56% lower likelihood of readmission compared to those at non-LSH (adjusted OR: 0.44, 95% CI: 0.39-0.50).
conclusionsSurgical patients with NEPL at LSH were less likely to be readmitted than those at non-LSH. Given that LSH care for more patients with NEPL, they may be better equipped to serve a linguistically diverse population. Elucidating the reasons for readmission rate differences between LSH and non-LSH could inform surgical care for patients with NEPL at all hospitals.
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