Amol S. Navathe|Feiran Zhong|Victor Lei|Frank Chang|Margarita Sordo|Maxim Topaz|Shamkant B. Navathe|Roberto A. Rocha|Li Zhou
Hospital Readmission and Social Risk Factors Identified from Physician Notes
University of Pennsylvania|Philadelphia VA Medical Center|Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|Mass General Brigham|Mass General Brigham|Brigham and Women's Hospital|Harvard University|Brigham and Women's Hospital|Harvard University|Georgia Institute of Technology|Mass General Brigham|Brigham and Women's Hospital|Harvard University|Mass General Brigham|Brigham and Women's Hospital|Harvard University
objective evaluate prevalence seven social factors using physician notes compared claims structured electronic health records ehr data resulting association 30day readmissions study setting multihospital academic health system southeastern massachusetts study design observational study 49319 patients cardiovascular disease admitted january 1 2011 december 31 2013 using multivariable logistic regression adjust patient characteristics data collectionextraction methods allpayer claims ehr data physician notes extracted centralized clinical registry principal findings seven social characteristics identified highest rates physician notes example identified 14872 patient admissions poor social support physician notes increasing prevalence 04 percent using icd 9 codes structured ehr data 160 percent compared 186 percent baseline readmission rate riskadjusted analysis showed higher readmission risk patients housing instability readmission rate 245 percent p lt 001 depression 206 percent p lt 001 drug abuse 202 percent p 01 poor social support 200 percent p 01 conclusions seven social risk factors studied substantially prevalent represented administrative data automated methods analyzing physician notes may enable better identification patients social needs