The Impact of Environmental Health Factors on Rates of Hospital Readmission
DOI:
https://doi.org/10.56294/hl2023302Keywords:
Hospital Readmission, Environmental Health, Air Quality, Water Quality, Urban DensityAbstract
Introduction: readmissions to the hospital are a key indicator of both the quality of care and how much it costs. However, external health factors that affect return rates have not been studied much. This study tries to fill in that gap by looking at how certain surrounding factors affect how often people have to go back to the hospital.
Method: a retrospective cohort study was done using data from 10,000 hospital patients over five years. Environmental data, such as air quality, water quality, and population density, were combined with hospital discharge records. Multivariable logistic regression models were used to account for factors that could affect the results, such as age, gender, illnesses, and the reason for the first hospitalisation.
Findings: the results show a strong link between bad air quality and more people having to go back to the hospital (OR=1,45, 95 % CI 1,22-1,73). In the same way, lower water quality was linked to a higher chance of being readmitted, especially for heart and lung diseases. Different health results were not always affected by the amount of people living in cities.
Conclusion: environmental health issues, especially the quality of the air and water, have a big impact on the number of times people have to go back to the hospital. These findings show how important it is for healthcare policies to include environmental health knowledge and measures to lower avoidable readmissions. This will improve patient results and lower the cost of running healthcare systems.
References
1. Smaller, L.; Batra, M.; Erbas, B. The Effect of Outdoor Environmental Exposure on Readmission Rates for Children and Adolescents with Asthma—A Systematic Review. Int. J. Environ. Res. Public Health 2022, 19, 7457.
2. Erbas, B.; Jazayeri, M.; Lambert, K.A.; Katelaris, C.H.; Prendergast, L.A.; Tham, R.; Parrodi, M.J.; Davies, J.; Newbigin, E.; Abramson, M.J.; et al. Outdoor pollen is a trigger of child and adolescent asthma emergency department presentations: A systematic review and meta-analysis. Allergy 2018, 73, 1632–1641.
3. Gantt, B.; McDonald, K.; Henderson, B.; Mannshardt, E. Incorporation of remote PM(2.5) concentrations into the downscaler model for spatially fused air quality surfaces. Atmosphere 2020, 11, 103.
4. Baek, J.; Kash, B.A.; Xu, X.; Benden, M.; Roberts, J.; Carrillo, G. Effect of ambient air pollution on hospital readmissions among the pediatric asthma patient population in South Texas: A case-crossover study. Int. J. Environ. Res. Public Health 2020, 17, 4846.
5. McCaul, K.A.; Wakefield, M.A.; Roder, D.M.; Ruffin, R.E.; Heard, A.R.; Alpers, J.H.; Staugas, R.E. Trends in hospital readmission for asthma: Has the Australian National Asthma Campaign had an effect? Med. J. Aust. 2000, 172, 62–66.
6. Shin, S.; Bai, L.; Burnett, R.T.; Kwong, J.C.; Hystad, P.; van Donkelaar, A.; Lavigne, E.; Weichenthal, S.; Copes, R.; Martin, R.V.; et al. Air pollution as a risk factor for incident chronic obstructive pulmonary disease and asthma. A 15-year population-based cohort study. Am. J. Respir. Crit. Care Med. 2021, 203, 1138–1148.
7. Satya Vardhan Tiwari, Saket Ranjan Praveer, Ashok Kumar Chandra, Raunak Tamrakar. (2015). “Present Status of Food Processing Industry in Central India: A study in Chhattisgarh”. International Journal on Research and Development - A Management Review, 4(4), 13 - 18.
8. K. K. Das, Priyanka Tripathy. (2015). Consumer Perception Towards Retail Store Image: A Study of the Emerging Retail Formats in Urban Odisha. International Journal on Research and Development - A Management Review, 4(4), 31 - 38.
9. K. K. Das, Priyanka Tripathy. (2015). Impact of Socio-Economic and Demographic Profile on Consumer Preferences of Retail Formats in Urban Odisha. International Journal on Research and Development - A Management Review, 4(4), 39 - 43.
10. Culqui Lévano, D.R.; Díaz, J.; Blanco, A.; Lopez, J.A.; Navas, M.A.; Sánchez-Martínez, G.; Luna, M.Y.; Hervella, B.; Belda, F.; Linares, C. Mortality due to COVID-19 in Spain and its association with environmental factors and determinants of health. Environ. Sci. Eur. 2022, 34, 39.
11. Santos, U.D.P.; Arbex, M.A.; Braga, A.L.F.; Mizutani, R.F.; Cancado, J.E.D.; Terra-Filho, M.; Chatkin, J.M. Environmental air pollution: Respiratory effects. J. Bras. Pneumol. 2021, 47, e20200267.
12. McKeon, T.P.; Vachani, A.; Penning, T.M.; Hwang, W.T. Air pollution and lung cancer survival in Pennsylvania. Lung Cancer 2022, 170, 65–73.
13. So, R.; Andersen, Z.J.; Chen, J.; Stafoggia, M.; de Hoogh, K.; Katsouyanni, K.; Vienneau, D.; Rodopoulou, S.; Samoli, E.; Lim, Y.-H.; et al. Long-term exposure to air pollution and mortality in a Danish nationwide administrative cohort study: Beyond mortality from cardiopulmonary disease and lung cancer. Environ. Int. 2022, 164, 107241.
14. Aix, M.L.; Petit, P.; Bicout, D.J. Air pollution and health impacts during the COVID 19 lockdowns in Grenoble, France. Environ. Pollut. 2022, 303, 119134.
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Copyright (c) 2023 Mukesh Sharma, Sujayaraj Samuel Jayakumar, S.K. Pawar, Pallavi Prakash Chandra, Samir Ranjan Jena (Author)
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