Social vulnerability is associated with increased morbidity following colorectal surgery

Neighborhood measures of social vulnerability encompassing multiple sociodemographic factors can be used to quantify disparities in outcomes. We hypothesize patients with high Social Vulnerability Index (SVI) are at increased risk of morbidity following colectomy. We used local 2012–2017 National Su...

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Veröffentlicht in:	The American journal of surgery 2022-07, Vol.224 (1), p.100-105
Hauptverfasser:	Carmichael, Heather, Dyas, Adam R., Bronsert, Michael R., Stearns, Dorothy, Birnbaum, Elisa H., McIntyre, Robert C., Meguid, Robert A., Velopulos, Catherine G.
Format:	Artikel
Sprache:	eng
Schlagworte:	Access to care Censuses Colectomy Colorectal surgery Complications Demographics Diabetes Emergency general surgery Geographic information systems Health care access Healthcare disparities Hospitals Hypertension Morbidity Mortality Patients Postoperative Postoperative period Quality control Risk analysis Risk factors Sepsis Social vulnerability index Socioeconomic factors Surgery Surgical outcomes
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Zusammenfassung:	Neighborhood measures of social vulnerability encompassing multiple sociodemographic factors can be used to quantify disparities in outcomes. We hypothesize patients with high Social Vulnerability Index (SVI) are at increased risk of morbidity following colectomy. We used local 2012–2017 National Surgical Quality Improvement Program (NSQIP) data to study colectomy patients, examining associations between SVI and postoperative outcomes. We included 976 patients from five hospitals. High SVI (>75th percentile) was associated with increased postoperative morbidity on unadjusted analysis (OR 1.84, 95% CI 1.35–2.52, p
ISSN:	0002-9610 1879-1883
DOI:	10.1016/j.amjsurg.2022.03.010