Social determinants of health and patient-level mortality prediction after trauma.

ABSTRACT:

Background

Social determinants of health (SDOH) impact patient outcomes in trauma. Census data are often used to account for SDOH; however, there is no consensus on which variables are most important. Social vulnerability indices offer the advantage of combining multiple constructs into a single variable. Our objective was to determine if incorporation of SDOH in patient-level risk-adjusted outcome modeling improved predictive performance.

Methods

We evaluated two social vulnerability indices at the zip code level: Distressed Community Index (DCI) and National Risk Index (NRI). Individual variable combinations from Agency for Healthcare Research and Quality's SDOH data set were used for comparison. Patients were obtained from the Pennsylvania Trauma Outcomes Study 2000 to 20

SUBMITTER: Phelos HM 

PROVIDER: S-EPMC8792275 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature