Why the study?
Outcomes after heart failure hospitalizations are poor, and less is known about how an individual's total burden of social determinants of health affects 90-day mortality.
Does the burden of social determinants of health increase 90-day mortality in older adults discharged after a heart failure hospitalization?
Population
690 Medicare beneficiaries aged ≥65 years discharged alive after an adjudicated HF hospitalization in the United States
Comparison
1 or ≥2 SDOH vs 0 SDOH
Design
Cohort study
Follow-up
90 days
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Any SDOH presence signals elevated post-HF mortality risk; leaves open whether cumulative burden adds incremental prognostic value beyond individual factors.
Does the burden of social determinants of health increase 90-day mortality in older adults discharged after a heart failure hospitalization?
Having any social determinant of health markedly increases 90-day mortality risk after heart failure hospitalization, though having multiple SDOH does not confer significantly greater risk than having one.
A 2020 study studied this question.
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