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Research article
Hayley Drew Germack
University of Pittsburgh School of Nursing
Corresponding Author
ORCiD: https://orcid.org/0000-0002-0035-6301
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Patients with serious mental illness (SMI) are vulnerable to medical-surgical readmissions and emergency department visits. Community socioeconomic disadvantage has been associated with readmission risk in the general population, but its impact on other types of revisits (emergency department visits and observation stays), particularly in patients with SMI, is unknown.
Methods: We used Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project discharge abstracts for 1,914,619 patients with SMI discharged after medical-surgical admissions in Florida and New York between 2012 and 2015 and their revisits to the hospital within 30 days of discharge. We linked this data to the Area Deprivation Index for the communities that patients returned to.
Results: Patients with SMI returning to the most disadvantaged communities had greater adjusted 30-day revisit rates than patients from less disadvantaged communities. Among those that experienced a revisit, patients returning the most disadvantaged communities had 7.3% greater 30-day observation stay revisits.
Conclusion: These results suggest that additional investments are needed to ensure that patients with SMI returning the most socioeconomically disadvantaged communities are receiving appropriate post-discharge care.
Keywords
revisits, readmissions, observation stays, socioeconomic disadvantage, mental illness
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CURRENT STATUS: Published
View the published article at BMC Health Services Research.
Version 1
Posted 19 Oct, 2020
No community comments so far
Editorial decision: Major revision
On 24 Feb, 2021
Review #2 received
Received 18 Feb, 2021
Reviewer #2 agreed
On 08 Feb, 2021
Reviewer #1 agreed
On 08 Nov, 2020
Review #1 received
Received 08 Nov, 2020
Reviewers invited
Invitations sent on 28 Oct, 2020
Editor assigned
On 12 Oct, 2020
Submission checks complete
On 11 Oct, 2020
Editor invited
On 11 Oct, 2020
First submitted
On 05 Oct, 2020
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Learn more about our company.
A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at BMC Health Services Research.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Hayley Drew Germack
University of Pittsburgh School of Nursing
Corresponding Author
ORCiD: https://orcid.org/0000-0002-0035-6301
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Health Services Research.
Version 1
Posted 19 Oct, 2020
No community comments so far
Editorial decision: Major revision
On 24 Feb, 2021
Review #2 received
Received 18 Feb, 2021
Reviewer #2 agreed
On 08 Feb, 2021
Reviewer #1 agreed
On 08 Nov, 2020
Review #1 received
Received 08 Nov, 2020
Reviewers invited
Invitations sent on 28 Oct, 2020
Editor assigned
On 12 Oct, 2020
Submission checks complete
On 11 Oct, 2020
Editor invited
On 11 Oct, 2020
First submitted
On 05 Oct, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Health Services Research.
Background: Patients with serious mental illness (SMI) are vulnerable to medical-surgical readmissions and emergency department visits. Community socioeconomic disadvantage has been associated with readmission risk in the general population, but its impact on other types of revisits (emergency department visits and observation stays), particularly in patients with SMI, is unknown.
Methods: We used Agency for Healthcare Research and Quality Healthcare Cost and Utilization Project discharge abstracts for 1,914,619 patients with SMI discharged after medical-surgical admissions in Florida and New York between 2012 and 2015 and their revisits to the hospital within 30 days of discharge. We linked this data to the Area Deprivation Index for the communities that patients returned to.
Results: Patients with SMI returning to the most disadvantaged communities had greater adjusted 30-day revisit rates than patients from less disadvantaged communities. Among those that experienced a revisit, patients returning the most disadvantaged communities had 7.3% greater 30-day observation stay revisits.
Conclusion: These results suggest that additional investments are needed to ensure that patients with SMI returning the most socioeconomically disadvantaged communities are receiving appropriate post-discharge care.
Figure 1
Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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