Key result
Low-income neighborhood residence (HR 1.36; 95% CI 1.08-1.70) and Medicaid coverage (HR 1.21; 95% CI 1.07-1.37) increased the risk of rehospitalization or death after incident heart failure.
Why the study?
Does low neighborhood income or Medicaid coverage increase the risk of rehospitalization or death in patients after an incident heart failure hospitalization?
Cohort
Yes
Does low neighborhood income or Medicaid coverage increase the risk of rehospitalization or death in patients after an incident heart failure hospitalization?
Effect estimate: HR 1.36 (95% CI 1.08 to 1.70)
Low neighborhood income and Medicaid coverage are associated with increased risks of rehospitalization and death after incident heart failure hospitalization, with the effect modified by comorbidity burden.
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Low neighborhood income and Medicaid were associated with higher post-HF risks; hypothesis-generating for equity-focused interventions.
Foraker et al. (2011) conducted a cohort in Heart failure. Low neighborhood median household income and Medicaid status vs. High neighborhood median household income and non-Medicaid status was evaluated on rehospitalization or death (HR 1.36, 95% CI 1.08 to 1.70). Low-income neighborhood residence (HR 1.36; 95% CI 1.08-1.70) and Medicaid coverage (HR 1.21; 95% CI 1.07-1.37) increased the risk of rehospitalization or death after incident heart failure.
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