Social Determinants of Health and Risk-Adjusted Sepsis Mortality in the Nationwide Veterans Affairs Healthcare System.

ABSTRACT:

Importance

Traditional risk prediction and risk adjustment models have focused on clinical characteristics, but accounting for social determinants of health (SDOH) and complex health conditions could improve understanding of sepsis outcomes and our ability to predict outcomes, treat patients, and assess quality of care.

Objective

To evaluate the impact of SDOH and health scales in sepsis mortality risk prediction and hospital performance assessment.

Design

Observational cohort study.

Setting

One hundred twenty-nine hospitals in the nationwide Veterans Affairs (VA) Healthcare System between 2017 and 2021.

Participants

Veterans admitted through emergency departments with community-acquired sepsis.

Exposures

Individual- and community-level SDOH (race

SUBMITTER: Seelye S 

PROVIDER: S-EPMC11618254 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature