Robert M. Cronin|Jane S. Hankins|Jeannie Byrd|Brandi Pernell|Adetola A. Kassim|Patricia Adams?Graves|Alexis A. Thompson|Karen Kalinyak|Michael R. DeBaun|Marsha Treadwell
Risk factors for hospitalizations and readmissions among individuals with sickle cell disease: results of a U.S. survey study
Vanderbilt University Medical Center|St. Jude Children's Research Hospital|Vanderbilt University Medical Center|Vanderbilt University Medical Center|University of Alabama at Birmingham|Vanderbilt University Medical Center|University of Tennessee Health Science Center|Northwestern University|University of Cincinnati|Vanderbilt University Medical Center|UCSF Benioff Children's Hospital
hospital admissions significant events care individuals sickle cell disease scd due associated costs potential quality life compromisethis crosssectional cohort study evaluated risk factors admissions readmissions october 2014 march 2016 adults scd n 201 caregivers children scd n 330 six centres across us survey items assessed social determinants health eg educational attainment difficulty paying bills depressive symptoms social support health literacy spirituality missed clinic appointments outcomes hospital admissions 30day readmissions previous yeara majority adults 64 almost half children reported caregivers 43 admitted fewer readmitted adults 28 children 9 common reason hospitalization uncontrolled pain admission adults 84 children 69 readmissions adults 83 children 69 children less likely admissionsreadmissions adults admissions 035 95 ci 023052 readmissions 023 013041 participants missing appointments associated admissions 166 107 258 readmissions 268 128 629 depressive symptoms admissions 136 116159 readmissions 124 104 149 adults difficulty paying bills associated admissions 311 147662 readmissions 37 176779 higher spirituality associated fewer readmissions 039 018081missing appointments significantly associated admissions readmissions findings confirm age mental health financial insecurity spirituality clinic attendance modifiable factors associated admissions readmissions addressing could reduce hospitalizations