Evidence map›Paper›PMID 41658273›Full record

ArticleAmerican heart journal plus : cardiology research and practice2026

Social determinants of health and hospitalization risk in heart failure: A Retrospective analysis.

Alisha A Crump, Milan Bimali, Sanchia McCall, Pearman Parker, Taren Massey-Swindle, Kevin Wayne Sexton, Emel Seker, Maryam Y Garza, Tremaine B Williams

Abstract read
In one paragraph

Article in American heart journal plus : cardiology research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Alisha A CrumpDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.
Milan BimaliDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.
Sanchia McCallDepartment of Pediatrics, University of Arkansas for Medical Sciences, Arkansas Children's Research Institute, Arkansas Children's Nutrition Center, Little Rock, AR, United States of America.
Pearman ParkerCollege of Nursing, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.
Taren Massey-SwindleDepartment of Pediatrics, University of Arkansas for Medical Sciences, Arkansas Children's Research Institute, Arkansas Children's Nutrition Center, Little Rock, AR, United States of America.
Kevin Wayne SextonDepartment of Surgery, Vanderbilt University Medical Center, Nashville, TN, United States of America.
Emel SekerDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.
Maryam Y GarzaDepartment of Population Health Sciences, University of Texas Health Science Center at San Antonio, San Antonio, TX, United States of America.
Tremaine B WilliamsDepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, United States of America.

Funding

Equitable Standards of Care Delivery in Team-based Risk Stratification of African Americans with Congestive Heart FailureR21NR021063 · NINR · UNIV OF ARKANSAS FOR MED SCIS · PI WILLIAMS, TREMAINE · 2024 to 2024
$407k
NINR NIH HHS R21 NR021063
6 · The paper itself

Abstract

Background: Heart failure affects over 6.5 million Americans and accounts for substantial healthcare utilization, with social determinants of health (SDOH) increasingly recognized as critical factors influencing patient outcomes. The present study aims to examine the relationships among specific SDOH (food insecurity risk, financial resource strain, and medical transportation needs) with subsequent hospitalization risk among patients with heart failure. Methods: This retrospective cross-sectional study analyzed electronic health record data from the Arkansas Clinical Data Repository for 2494 patients with heart failure hospitalized between January 2014 and December 2023 at the University of Arkansas for Medical Sciences. Quantile regression on the median was used to analyze the data. Results: Study population descriptive results demonstrated moderate hospitalization risk (average score 40.3). The population was predominantly older adults (mean age ∼ 65), female (55.8%), non-Hispanic (98.3%) and White (54.3%). In fully adjusted models, all three social determinants remained significant predictors of increased subsequent hospitalization risk: food insecurity was associated with a 9.37-point increase (95% CI: 4.83-13.90, Conclusions: Food insecurity risk, financial resource strain, and medical transportation needs are associated with increased future hospitalization risk among patients with heart failure. These findings support the integration of social determinant screening into clinical risk stratification and the development of targeted interventions addressing these modifiable social factors to potentially reduce healthcare utilization and improve outcomes for vulnerable populations with heart failure.

Indexed as

Cardiovascular diseaseFinancial strainFood insecurityHeart failureHospitalization riskRural healthSocial determinants of healthTransportation barriers

Identifiers

PMID41658273
PMCPMC12874339

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.