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Identifying Risk Factors for Readmission amongst Unhoused Burn Patients
Victoria R Hammond1, Sukruthi Yerramreddy1, Michael E Egger1
1Hiram C. Polk, Jr., MD Department of Surgery, University of Louisville School of Medicine, Louisville, KY, USA.
Summary
Unhoused burn patients face higher readmission risks. Leaving against medical advice, severe burns, and burn location significantly increase readmission likelihood for this vulnerable population.
Area of Science:
- Medical research
- Public health
- Burn injury care
Background:
- Previous studies identified general burn readmission risk factors.
- The specific risk factors for readmission among unhoused burn patients remain under-explored.
Purpose of the Study:
- To identify risk factors for 30-day readmission in unhoused patients with burn injuries.
- To compare readmission rates between housed and unhoused burn patients.
Main Methods:
- Utilized the 2022 Nationwide Readmissions Database.
- Included patients with International Classification of Diseases Version 10 codes for burn or corrosive injury.
- Defined readmission as a subsequent encounter within 30 days with a burn diagnosis.
Main Results:
- Unhoused burn patients had a higher readmission rate (8.6%) compared to housed patients (5.2%).
- Key risk factors for unhoused patients included third-degree burns, leaving against medical advice, and burn location (trunk, upper/lower extremities).
- Mental health and substance abuse diagnoses did not increase readmission risk in this cohort.
Conclusions:
- Unhoused burn patients are at significantly higher risk for readmission.
- Severity, location of burn, and leaving against medical advice are critical factors for readmission in unhoused individuals.
- Interventions addressing 'leaving against medical advice' could mitigate readmission risk.
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