Key result
Discharge against medical advice and SDOH diagnoses linked to ~60% higher 30-day readmission risk.
Why the study?
The study was conducted to identify the contribution of demographic and personal health history risk factors to the likelihood of Medicare readmissions within 30 days of discharge.
Do personal and historical factors, including social determinants of health, increase the risk of 30-day readmission in Medicare beneficiaries?
Population
Medicare Fee For Service beneficiaries from a 5% national sample
Comparison
Beneficiaries eligible by age vs disability and presence of specific risk factors
Design
Retrospective cohort analysis of claims data
Follow-up
30 days
Authors
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May flag AMA discharge and SDOH for targeted follow-up in Medicare patients; leaves open need for prospective intervention trials.
Cohort
Yes
Do personal and historical factors, including social determinants of health, increase the risk of 30-day readmission in Medicare beneficiaries?
Effect estimate: RR 1.6
Personal health history and social determinants of health significantly increase the risk of 30-day readmission among Medicare beneficiaries.
Krause et al. (2021) conducted a cohort in Medicare readmissions. Demographic and personal health history risk factors (including SDOH and discharge status) vs. Absence of these risk factors was evaluated on Readmission within 30 days of discharge (RR 1.6). Discharge against medical advice (RR 1.6) and social determinants of health diagnoses significantly increased the risk of 30-day readmission among Medicare beneficiaries.
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