PMID- 32557279
OWN - NLM
STAT- MEDLINE
DCOM- 20211119
LR  - 20221207
IS  - 2196-8837 (Electronic)
IS  - 2197-3792 (Print)
IS  - 2196-8837 (Linking)
VI  - 8
IP  - 2
DP  - 2021 Apr
TI  - Post-Discharge Adverse Events Among African American and Caucasian Patients of an 
      Urban Community Hospital.
PG  - 439-447
LID - 10.1007/s40615-020-00800-z [doi]
AB  - BACKGROUND: Patient safety during the post-discharge period is a major public 
      health concern. Racial differences on incidence and risk factors associated with 
      post-discharge adverse events (AEs) are understudied. The aim of the study was to 
      examine the differences on the incidence of post-discharge AEs and the associated 
      risk factors between African American and Caucasian patients. METHODS: This was a 
      prospective cohort study of patients at risk for post-discharge AEs from December 
      2011 to October 2012. We included 589 patients who were African American or 
      Caucasian and discharged home from an urban community hospital. The patients 
      spoke English and could be contacted after discharge for evaluation. Two nurses 
      performed 30-day post-discharge telephone interviews, and two physicians 
      adjudicated health records to determine AEs using a previously established 
      methodology. RESULTS: African American patients had a slightly higher incidence 
      of post-discharge AEs than Caucasian patients (30.6 vs. 29.9%), although the 
      difference did not show statistical significance. The multivariable logistic 
      regression model indicated that post-discharge AEs were associated with timely 
      follow-up and the number of secondary discharge diagnoses. In subgroup analyses 
      of the risk factors in each racial group separately, only timely follow-up 
      ambulatory visits were associated with post-discharge AEs. CONCLUSION: 
      Post-discharge AEs were experienced by a large proportion of both African 
      American and Caucasian patients, and there was no statistically significant 
      difference in these proportions by race.
FAU - Costello, William G
AU  - Costello WG
AD  - Blue Cross Blue Shield of Michigan, Detroit, MI, USA.
AD  - Department of Family Medicine & Public Health Sciences, Wayne State University 
      School of Medicine, 3939 Woodward Ave, Room 327, Detroit, MI, 48201, USA.
FAU - Zhang, Liying
AU  - Zhang L
AD  - Department of Family Medicine & Public Health Sciences, Wayne State University 
      School of Medicine, 3939 Woodward Ave, Room 327, Detroit, MI, 48201, USA.
FAU - Schnipper, Jeffrey
AU  - Schnipper J
AD  - Division of General Medicine, Brigham and Women's Hospital and Harvard Medical 
      School, Boston, MA, USA.
FAU - Tsilimingras, Dennis
AU  - Tsilimingras D
AUID- ORCID: 0000-0001-5589-1283
AD  - Department of Family Medicine & Public Health Sciences, Wayne State University 
      School of Medicine, 3939 Woodward Ave, Room 327, Detroit, MI, 48201, USA. 
      dtsilimi@med.wayne.edu.
LA  - eng
GR  - R01 HS018694/HS/AHRQ HHS/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
DEP - 20200617
PL  - Switzerland
TA  - J Racial Ethn Health Disparities
JT  - Journal of racial and ethnic health disparities
JID - 101628476
SB  - IM
MH  - Adult
MH  - Black or African American/*statistics & numerical data
MH  - Aged
MH  - Female
MH  - Hospitals, Community
MH  - Hospitals, Urban
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - *Patient Discharge
MH  - Patient Safety/*statistics & numerical data
MH  - Prospective Studies
MH  - Race Factors
MH  - Risk Factors
MH  - United States/epidemiology
MH  - White People/*statistics & numerical data
PMC - PMC7744302
MID - NIHMS1605066
OTO - NOTNLM
OT  - Health disparity
OT  - Patient safety
OT  - Race
OT  - Transitional care
COIS- Conflict of Interest: Mr. Costello declares that he has no conflict of interest. 
      Dr. Zhang declares that she has no conflict of interest. Dr. Schnipper is the 
      recipient of a grant from Sanofi-Aventis for an investigator-initiated study of 
      intensive discharge interventions to improve outcomes in patients with diabetes 
      discharged on insulin. Dr. Tsilimingras declares that he has no conflict of 
      interest.
EDAT- 2020/06/20 06:00
MHDA- 2021/11/20 06:00
PMCR- 2022/04/01
CRDT- 2020/06/20 06:00
PHST- 2019/12/12 00:00 [received]
PHST- 2020/06/08 00:00 [accepted]
PHST- 2020/05/14 00:00 [revised]
PHST- 2020/06/20 06:00 [pubmed]
PHST- 2021/11/20 06:00 [medline]
PHST- 2020/06/20 06:00 [entrez]
PHST- 2022/04/01 00:00 [pmc-release]
AID - 10.1007/s40615-020-00800-z [pii]
AID - 10.1007/s40615-020-00800-z [doi]
PST - ppublish
SO  - J Racial Ethn Health Disparities. 2021 Apr;8(2):439-447. doi: 
      10.1007/s40615-020-00800-z. Epub 2020 Jun 17.