Hospital Readmission and Social Risk Factors Identified from Physician Notes.

ABSTRACT:

Objective

To evaluate the prevalence of seven social factors using physician notes as compared to claims and structured electronic health records (EHRs) data and the resulting association with 30-day readmissions.

Study setting

A multihospital academic health system in southeastern Massachusetts.

Study design

An observational study of 49,319 patients with cardiovascular disease admitted from January 1, 2011, to December 31, 2013, using multivariable logistic regression to adjust for patient characteristics.

Data collection/extraction methods

All-payer claims, EHR data, and physician notes extracted from a centralized clinical registry.

Principal findings

All seven social characteristics were identified at the highest rates in physician notes. For example

SUBMITTER: Navathe AS 

PROVIDER: S-EPMC5867172 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature