Background: Socioeconomic status (SES) has been shown to have an association with patient health outcomes, including risk of hospital readmission. However, most SES data involve self-reported or aggregated information rather than objective individual measures. HOUSES provides an objective individual metric based upon real property data collected from county assessors that has been validated in other [...]

Background: Young adults with special health-care needs is a growing population due to medical advances and improved patient outcomes. [1] Unfortunately, the transition into adult medical care for these young adults is often met with declining health and increasing acute care utilization. [2-5] To redesign care for this growing population, we started the Med-Peds service [...]

Background: The number of survivors of an initial COVID-19 disease hospitalization is growing and further data describing clinical and sociodemographic risk factors for hospital readmissions is needed. The CROSS (COVID-19 Characteristics of Readmissions and Outcomes and Social Determinants of Health Study) Collaborative was developed in July 2020 and is a multidisciplinary, multi-hospital group dedicated to [...]

Background: Historically, patients transferred from one hospital to another are admitted through the emergency department and then placed on the desired unit at the accepting hospital. This practice creates delays for critically ill patients in need of continuous ICU care. A strategy known as the direct admission addresses this issue. With this strategy, transfer patients [...]

Background: Serum levels of pro-B-type natriuretic peptide (BNP) and N-terminal (NT) proBNP are measured at admission to assess likelihood of acutely decompensated heart failure (ADHF). Pro-BNP, released by myocardium due to cardiac wall distention, is cleaved into the active BNP and inactive NT-proBNP forms. Elevated NT-proBNP levels on initial presentation are a reliable marker of [...]

Background: The knowledge regarding the association between increased blood pressure variability (BPV) and risk of subsequent clinical outcomes following acute ischemic stroke is not entirely clear. We constructed a cohort of patients hospitalized for new AIS to examine the effect of systolic BPV (SBPV) on the risk of dependency at discharge and 1 year readmission [...]

Background: Among survivors of ischemic stroke (IS), the cumulative long-term burden of readmissions, determinants of readmission, and clinical consequence of hospital readmission remain poorly understood. we aimed to investigate 1) the cumulative incidence of readmission; 2) at-risk patient for readmission, 3) the effect of readmission on subsequent mortality; and 4) whether the days spent in [...]

Background: Thirty-day readmission rates are increasingly used among hospitals as a quality of care indicator since research has shown that higher than expected readmission rates often lead to poor patient outcomes and high financial costs. Causes of readmission tend to be multifactorial and possibly variable dependent on systems. To investigate predictors of 30-day readmission rates, [...]

Background: Patients with Substance Use Disorder (SUD) are a nationwide concern. They have significant morbidity, mortality & for several reasons, such as comorbid psychiatric conditions, medication noncompliance, low income or poor access to healthcare services, have an increased risk of hospital readmissions. Processes aimed at reducing readmission rates in this population are important for improving [...]

Background: Hospitalizations among patients with opioid use disorder (OUD) have skyrocketed in the past 10 years (1). These patients represent an ever-growing portion of the typical hospital medicine census and often have readmission rates greater than expected for their age and other health status. Discharge against medical advice (AMA) is common in this population, and [...]