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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 4 of 4 Research Studies DisplayedRyus CR, Janke AT, Kunnath N
Association of hospital discharge against medical advice and coded housing instability in the US.
This study examined the relationship between discharge type and housing instability, then identified primary reasons for hospitalization among self-discharged patients with housing instability. This cross-sectional, retrospective study analyzed the National Inpatient Sample between January 2017 and December 2019, available from the Agency for Healthcare Research and Quality’s Healthcare Cost and Utilization Project. Among 85,402,831 hospitalizations analyzed, 1.6% resulted in self-discharge. Compared to admissions with planned discharges, self-discharges were more likely to have coded housing instability. Among hospitalizations resulting in self-discharge, admissions with coded housing instability were more likely to result in self-discharge than those without coded housing instability. Relationships between housing instability and self-discharges were found among major medical conditions: septicemia, acute myocardial infarction, and respiratory failure. Alcohol-related disorders and opioid-related disorders were among the highest self-discharge volumes, but relationships were minimal.
AHRQ-funded; HS028963.
Citation: Ryus CR, Janke AT, Kunnath N .
Association of hospital discharge against medical advice and coded housing instability in the US.
J Gen Intern Med 2023 Oct; 38(13):3082-85. doi: 10.1007/s11606-023-08240-1..
Keywords: Healthcare Cost and Utilization Project (HCUP), Hospital Discharge, Social Determinants of Health, Vulnerable Populations, Hospital Readmissions
Rich KM, Guardado R, Bigham ZR
The impact of incarceration on readmissions among patients with inflammatory bowel disease hospitalized at a community hospital.
The purpose of this study was to compare the frequency of readmissions in patients with inflammatory bowel disease (IBD) receiving care at a community hospital who were and were not incarcerated when they were hospitalized. The primary study outcome was all cause readmission at 1 year following an IBD-related admission. The secondary outcomes included 1. all-cause readmission at 30 days, 2. IBD-related readmission at 30 days, and 3. IBD-related readmission at 1 year. The study indicator of interest was incarceration. The study found that individuals who were incarcerated had a greater rate of all-cause readmissions at 1 year than those who were not incarcerated at the time of hospitalization.
AHRQ-funded; HS026008.
Citation: Rich KM, Guardado R, Bigham ZR .
The impact of incarceration on readmissions among patients with inflammatory bowel disease hospitalized at a community hospital.
Gastro Hep Advances 2023; 2(5):660-65..
Keywords: Vulnerable Populations, Hospital Readmissions, Access to Care
Goto T, Faridi MK, Gibo K
Trends in 30-day readmission rates after COPD hospitalization, 2006-2012.
This study investigated trends in 30-day readmission rates after chronic obstructive pulmonary disease (COPD)-related hospitalization. Overall, the 30-day readmission rate for COPD-related hospitalization decreased modestly from 20.0 percent in 2006 to 19.2 percent in 2012. Similar to the overall population, the readmission rate over the 7-year period remained persistently high in most of AHRQ-defined priority populations.
AHRQ-funded; HS023305.
Citation: Goto T, Faridi MK, Gibo K .
Trends in 30-day readmission rates after COPD hospitalization, 2006-2012.
Respir Med 2017 Sep;130:92-97. doi: 10.1016/j.rmed.2017.07.058.
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Keywords: Respiratory Conditions, Healthcare Cost and Utilization Project (HCUP), Hospital Readmissions, Social Determinants of Health, Vulnerable Populations
Saab D, Nisenbaum R, Dhalla I
Hospital readmissions in a community-based sample of homeless adults: a matched-cohort study.
The objective of this study was to compare the hospital readmission rate among individuals experiencing homelessness with that of a low-income matched control group, and to identify risk factors associated with readmission within the group experiencing homelessness. It concluded that homeless patients had nearly four times the odds of being readmitted within 30-days as compared to low-income controls matched on age, sex and primary reason for admission to hospital.
AHRQ-funded; HS014129.
Citation: Saab D, Nisenbaum R, Dhalla I .
Hospital readmissions in a community-based sample of homeless adults: a matched-cohort study.
J Gen Intern Med 2016 Sep;31(9):1011-8. doi: 10.1007/s11606-016-3680-8.
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Keywords: Low-Income, Hospital Readmissions, Vulnerable Populations