Historical Redlining and Heart Failure Outcomes Following Hospitalization in the Southeastern United States.

ABSTRACT:

Background

Historical redlining, a discriminatory lending practice, is an understudied component of the patient risk environment following hospital discharge. We investigated associations between redlining, patient race, and outcomes following heart failure hospitalization.

Methods and results

We followed a hospital-based cohort of Black and White patients using electronic medical records for acute heart failure hospitalizations between 2010 and 2018 (n=6800). Patient residential census tracts were geocoded according to the 1930s Home Owners' Loan Corporation map grades (A/B: best/still desirable, C: declining, D: redlined). We used Poisson regression to analyze associations between Home Owners' Loan Corporation grade and 30-day outcomes (readmissions, mortality, and their c

SUBMITTER: Fields ND 

PROVIDER: S-EPMC11262499 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature