Racial differences in length of stay and readmission for asthma in the all of us research program
Abstract Background This study addresses the limited research on racial disparities in asthma hospitalization outcomes, specifically length of stay (LOS) and readmission, across the U.S. Methods We analyzed in-patient and emergency department visits from the All of Us Research Program, identifying v...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Journal of Translational Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12967-023-04826-9 |
| _version_ | 1797362901688778752 |
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| author | Esteban Correa-Agudelo Yadu Gautam Angelico Mendy Tesfaye B. Mersha |
| author_facet | Esteban Correa-Agudelo Yadu Gautam Angelico Mendy Tesfaye B. Mersha |
| author_sort | Esteban Correa-Agudelo |
| collection | DOAJ |
| description | Abstract Background This study addresses the limited research on racial disparities in asthma hospitalization outcomes, specifically length of stay (LOS) and readmission, across the U.S. Methods We analyzed in-patient and emergency department visits from the All of Us Research Program, identifying various risk factors (demographic, comorbid, temporal, and place-based) associated with asthma LOS and 30-day readmission using Bayesian mixed-effects models. Results Of 17,233 patients (48.0% White, 30.7% Black, 19.7% Hispanic/Latino, 1.3% Asian, and 0.3% Middle Eastern and North African) with 82,188 asthma visits, Black participants had 20% shorter LOS and 12% higher odds of readmission, compared to White participants in multivariate analyses. Public-insured patients had 14% longer LOS and 39% higher readmission odds than commercially insured patients. Weekend admissions resulted in a 12% shorter LOS but 10% higher readmission odds. Asthmatics with chronic diseases had a longer LOS (range: 6–39%) and higher readmission odds (range: 9–32%) except for those with allergic rhinitis, who had a 23% shorter LOS. Conclusions A comprehensive understanding of the factors influencing asthma hospitalization, in conjunction with diverse datasets and clinical-community partnerships, can help physicians and policymakers to systematically address racial disparities, healthcare utilization and equitable outcomes in asthma care. |
| first_indexed | 2024-03-08T16:14:05Z |
| format | Article |
| id | doaj.art-3188856b7d914e3ab3e7beb71d6c7754 |
| institution | Directory Open Access Journal |
| issn | 1479-5876 |
| language | English |
| last_indexed | 2024-03-08T16:14:05Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Translational Medicine |
| spelling | doaj.art-3188856b7d914e3ab3e7beb71d6c77542024-01-07T12:42:09ZengBMCJournal of Translational Medicine1479-58762024-01-0122111010.1186/s12967-023-04826-9Racial differences in length of stay and readmission for asthma in the all of us research programEsteban Correa-Agudelo0Yadu Gautam1Angelico Mendy2Tesfaye B. Mersha3Division of Asthma Research, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of MedicineDivision of Asthma Research, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of MedicineDivision of Epidemiology, Department of Environmental and Public Health Sciences, University of Cincinnati College of MedicineDivision of Asthma Research, Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of MedicineAbstract Background This study addresses the limited research on racial disparities in asthma hospitalization outcomes, specifically length of stay (LOS) and readmission, across the U.S. Methods We analyzed in-patient and emergency department visits from the All of Us Research Program, identifying various risk factors (demographic, comorbid, temporal, and place-based) associated with asthma LOS and 30-day readmission using Bayesian mixed-effects models. Results Of 17,233 patients (48.0% White, 30.7% Black, 19.7% Hispanic/Latino, 1.3% Asian, and 0.3% Middle Eastern and North African) with 82,188 asthma visits, Black participants had 20% shorter LOS and 12% higher odds of readmission, compared to White participants in multivariate analyses. Public-insured patients had 14% longer LOS and 39% higher readmission odds than commercially insured patients. Weekend admissions resulted in a 12% shorter LOS but 10% higher readmission odds. Asthmatics with chronic diseases had a longer LOS (range: 6–39%) and higher readmission odds (range: 9–32%) except for those with allergic rhinitis, who had a 23% shorter LOS. Conclusions A comprehensive understanding of the factors influencing asthma hospitalization, in conjunction with diverse datasets and clinical-community partnerships, can help physicians and policymakers to systematically address racial disparities, healthcare utilization and equitable outcomes in asthma care.https://doi.org/10.1186/s12967-023-04826-9Length of stayReadmissionAsthmaComorbiditiesBayesian mixed-effectsCausal inference |
| spellingShingle | Esteban Correa-Agudelo Yadu Gautam Angelico Mendy Tesfaye B. Mersha Racial differences in length of stay and readmission for asthma in the all of us research program Journal of Translational Medicine Length of stay Readmission Asthma Comorbidities Bayesian mixed-effects Causal inference |
| title | Racial differences in length of stay and readmission for asthma in the all of us research program |
| title_full | Racial differences in length of stay and readmission for asthma in the all of us research program |
| title_fullStr | Racial differences in length of stay and readmission for asthma in the all of us research program |
| title_full_unstemmed | Racial differences in length of stay and readmission for asthma in the all of us research program |
| title_short | Racial differences in length of stay and readmission for asthma in the all of us research program |
| title_sort | racial differences in length of stay and readmission for asthma in the all of us research program |
| topic | Length of stay Readmission Asthma Comorbidities Bayesian mixed-effects Causal inference |
| url | https://doi.org/10.1186/s12967-023-04826-9 |
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