Social Determinants of Health Predict Readmission Following Covid-19 Hospitalization: a Health information Exchange-Based Retrospective Cohort Study

Authors

Micaela N Sandoval
Jennifer L Mikhail
Melyssa K Fink
Guillermo A Tortolero
Tru Cao
Ryan Ramphul
Junaid Husain
Eric Boerwinkle

Publication Date

1-1-2024

Journal

Frontiers in Public Health

Abstract

INTRODUCTION: Since February 2020, over 104 million people in the United States have been diagnosed with SARS-CoV-2 infection, or COVID-19, with over 8.5 million reported in the state of Texas. This study analyzed social determinants of health as predictors for readmission among COVID-19 patients in Southeast Texas, United States.

METHODS: A retrospective cohort study was conducted investigating demographic and clinical risk factors for 30, 60, and 90-day readmission outcomes among adult patients with a COVID-19-associated inpatient hospitalization encounter within a regional health information exchange between February 1, 2020, to December 1, 2022.

RESULTS AND DISCUSSION: In this cohort of 91,007 adult patients with a COVID-19-associated hospitalization, over 21% were readmitted to the hospital within 90  days (

Keywords

Adult, Humans, United States, COVID-19, Patient Readmission, Retrospective Studies, Health Information Exchange, Social Determinants of Health, SARS-CoV-2, Hospitalization