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Disparities in care and mortality among homeless adults hospitalized for cardiovascular conditions

JAMA Internal Medicine Mar 11, 2020

Wadhera RK, Khatana SAM, Choi E, et al. - This study was undertaken to investigate differences in intensity of care and mortality between homeless and nonhomeless individuals hospitalized for cardiovascular conditions (ie, acute myocardial infarction, stroke, cardiac arrest, or heart failure). Between January 1, 2010, and September 30, 2015 Researchers designed a retrospective cross-sectional study enrolling all hospitalizations for cardiovascular conditions among homeless adults (n = 24,890) and nonhomeless adults (n = 1,827,900) 18 years or older in New York, Massachusetts, and Florida. In this study, 24,890 occurred among individuals who were homeless (11 452 women and 13 438 men; mean [SD] age, 65.1 [14.8] years) and 1,827,900 occurred among patients who were not homeless (850,660 women and 977 240 men; mean [SD] age, 72.1 [14.6] years), of the 1,852,790 total hospitalizations for cardiovascular conditions across 525 hospitals. Significant disparities were found in in-hospital care and mortality between homeless and nonhomeless adults with cardiovascular conditions. There is a requirement for public health and policy efforts to help hospitals that care for homeless persons to decrease disparities in hospital-based care and enhance health results for this population.
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