Evidence map›Paper›PMID 41163118›Full record

ArticleJournal of eating disorders2025

Socioeconomic disparities in in-hospital mortality and 30-day hospital readmission rates among people with eating disorders: a retrospective cohort study.

Sakiko Ohashi, S Bryn Austin, Tracy Richmond, Ichiro Kawachi

Abstract read
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Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Sakiko OhashiOkayama University Medical School, 2-5-1 Shikata-cho, Kita-ku, Okayama, 700-8558, Japan. pq2z31rh@s.okayama-u.ac.jp.
S Bryn AustinHarvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.
Tracy RichmondBoston Children's Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA.
Ichiro KawachiHarvard T.H. Chan School of Public Health, 677 Huntington Ave, Boston, MA, 02115, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe sought to examine socioeconomic disparities in 30-day hospital readmissions and in-hospital mortality among admissions of people with eating disorders in a U.S. national sample.

methodsUsing the 2019 Healthcare Cost and Utilization Project Nationwide Readmissions Database (HCUP-NRD), we analyzed data from 13,986 admissions with a primary or secondary diagnosis of eating disorders. Multivariable logistic regression assessed associations between socioeconomic status (SES), insurance status, and 30-day readmission, as well as in-hospital mortality. SES was categorized into quartiles based on neighborhood median income from patients' postal codes. Insurance status included Medicare, Medicaid, private insurance, and other. Generalized Estimating Equations (GEE) accounted for facility clustering.

resultsOf 13,986 admissions, 693 were readmissions. Admissions of people with eating disorders in the highest income quartile had significantly higher odds of readmission (OR = 1.60, 95% CI = 1.23-2.10) compared to those in the lowest quartile. Admissions covered by Medicaid (OR = 0.71, 95% CI = 0.57-0.89) or private insurance (OR = 0.66, 95% CI = 0.53-0.83) had lower odds of readmission compared to admissions covered by Medicare. No significant differences in readmission rates were observed across hospitals located in different geographic areas nor across hospitals with differing ownership. In-hospital mortality was highest among admissions of people with eating disorders insured by Medicare (1.35%) and lowest among those with private insurance (0.39%) (OR = 0.48, 95% CI = 0.27-0.84).

conclusionPeople with eating disorders from higher SES backgrounds had higher readmission rates but lower in-hospital mortality, potentially indicating that these people may be receiving a more intensive level of outpatient care. Higher readmission rates may paradoxically indicate continued engagement in follow-up care. However, this interpretation remains speculative and further research is needed to explore the mechanisms behind these disparities, particularly focusing on access to care for people with eating disorders from lower-income backgrounds.

Indexed as

Eating disordersIncomeIn-hospital mortalityInsurance statusMedicaidMedicareNationwide readmissions databaseReadmissionsSocioeconomic disparitiesSocioeconomic status

Identifiers

PMID41163118
PMCPMC12573812

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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.