2016
Accounting For Patients’ Socioeconomic Status Does Not Change Hospital Readmission Rates
Bernheim SM, Parzynski CS, Horwitz L, Lin Z, Araas MJ, Ross JS, Drye EE, Suter LG, Normand SL, Krumholz HM. Accounting For Patients’ Socioeconomic Status Does Not Change Hospital Readmission Rates. Health Affairs 2016, 35: 1461-1470. PMID: 27503972, PMCID: PMC7664840, DOI: 10.1377/hlthaff.2015.0394.Peer-Reviewed Original ResearchConceptsHospital Readmissions Reduction ProgramPatients' socioeconomic statusMedicare's Hospital Readmissions Reduction ProgramLow socioeconomic statusReadmission ratesSocioeconomic statusRisk-standardized readmission ratesHospital readmission ratesReadmissions Reduction ProgramMedicaid Services methodologyReadmission measuresHospital resultsPatientsHospitalSuch hospitalsPayment penaltiesReduction programsStatusCurrent CentersLower proportionLarge proportionPercentAdjustmentProportion
2015
Insurance and Prehospital Delay in Patients ≤55 Years With Acute Myocardial Infarction
Chen SI, Wang Y, Dreyer R, Strait KM, Spatz ES, Xu X, Smolderen KG, Desai NR, Lorenze NP, Lichtman JH, Spertus JA, D'Onofrio G, Bueno H, Masoudi FA, Krumholz HM. Insurance and Prehospital Delay in Patients ≤55 Years With Acute Myocardial Infarction. The American Journal Of Cardiology 2015, 116: 1827-1832. PMID: 26541907, PMCID: PMC5323057, DOI: 10.1016/j.amjcard.2015.09.018.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionPrehospital delayInsurance statusMyocardial infarctionSpanish patientsGender differencesHealth care systemUS patientsProspective studyUS cohortUS womenPatientsUniversal insuranceCare systemWomenSignificant gender differencesInfarctionMenInsurance groupsHoursStatusAssociationLarge proportionDifferencesCohortRacial Differences in Heart Failure Outcomes Evidence From the Tele-HF Trial (Telemonitoring to Improve Heart Failure Outcomes)
Qian F, Parzynski CS, Chaudhry SI, Hannan EL, Shaw BA, Spertus JA, Krumholz HM. Racial Differences in Heart Failure Outcomes Evidence From the Tele-HF Trial (Telemonitoring to Improve Heart Failure Outcomes). JACC Heart Failure 2015, 3: 531-538. PMID: 26160368, PMCID: PMC8635169, DOI: 10.1016/j.jchf.2015.03.005.Peer-Reviewed Original ResearchConceptsPatient-reported health statusKansas City Cardiomyopathy QuestionnaireHeart failureBlack patientsHealth statusHF hospitalizationRacial differencesBaseline KCCQ scoresClinical laboratory valuesPatient-reported outcomesSignificant racial differencesKCCQ scoresHF admissionsPatient demographicsWhite patientsLaboratory valuesPropensity score methodsPatientsHospitalizationOutcome evidenceMonthsLinear mixed modelsBaselineTrialsStatus
2013
Parental Immigration Status is Associated with Children’s Health Care Utilization: Findings from the 2003 New Immigrant Survey of US Legal Permanent Residents
Yun K, Fuentes-Afflick E, Curry LA, Krumholz HM, Desai MM. Parental Immigration Status is Associated with Children’s Health Care Utilization: Findings from the 2003 New Immigrant Survey of US Legal Permanent Residents. Maternal And Child Health Journal 2013, 17: 1913-1921. PMID: 23329165, PMCID: PMC4089976, DOI: 10.1007/s10995-012-1217-2.Peer-Reviewed Original ResearchConceptsHealth care utilizationCare utilizationParental immigration statusAnnual examChild healthChild health care utilizationChild health statusDental careGroup of childrenDental servicesExcellent healthMedical attentionHealth statusLogistic regressionImmigration statusChildrenPermanent residentsHealthNational sampleStatusImmigrant adultsExamParent immigration statusSocioeconomic characteristicsTemporary residents
2010
Racial Disparities in Health Literacy and Access to Care Among Patients With Heart Failure
Chaudhry SI, Herrin J, Phillips C, Butler J, Mukerjhee S, Murillo J, Onwuanyi A, Seto TB, Spertus J, Krumholz HM. Racial Disparities in Health Literacy and Access to Care Among Patients With Heart Failure. Journal Of Cardiac Failure 2010, 17: 122-127. PMID: 21300301, PMCID: PMC3053061, DOI: 10.1016/j.cardfail.2010.09.016.Peer-Reviewed Original ResearchConceptsHeart failure patientsHealth literacyFailure patientsHeart failureInsurance statusWorse health literacyOutpatient medical careRacial differencesImportant racial differencesNoncardiac comorbiditiesUnadjusted analysesBlack raceCare existMedical homePatientsMedical careRacial disparitiesSocioeconomic statusStrong associationPotential mediatorsHealth carePoor accessCareSocial supportStatus
2005
Monitoring clinical changes in patients with heart failure: A comparison of methods
Spertus J, Peterson E, Conard MW, Heidenreich PA, Krumholz HM, Jones P, McCullough PA, Pina I, Tooley J, Weintraub WS, Rumsfeld JS, Consortium F. Monitoring clinical changes in patients with heart failure: A comparison of methods. American Heart Journal 2005, 150: 707-715. PMID: 16209970, DOI: 10.1016/j.ahj.2004.12.010.Peer-Reviewed Original ResearchConceptsClinical changesHeart failureWalk testNew York Heart AssociationHeart failure measuresHealth status instrumentsHighest c-statisticClinical deteriorationWalk distanceClinical statusPatient weightC-statisticHeart AssociationExercise testKCCQIndividual patientsNYHAPatientsDisease statusFunctional classClinical medicineLarge improvementStatusDeteriorationOutpatients
1997
Thrombolytic Therapy for Elderly Patients With Myocardial Infarction-Reply
Krumholz H. Thrombolytic Therapy for Elderly Patients With Myocardial Infarction-Reply. JAMA 1997, 278: 1401-1402. DOI: 10.1001/jama.1997.03550170031017.Peer-Reviewed Original Research
1995
Cholesterol and Coronary Heart Disease Risk in Elderly Patients-Reply
Krumholz H, Seeman T, de Leon C, Vaccarino V, Berkman L. Cholesterol and Coronary Heart Disease Risk in Elderly Patients-Reply. JAMA 1995, 273: 1330-1331. DOI: 10.1001/jama.1995.03520410023011.Peer-Reviewed Original ResearchLow cholesterol levelsCholesterol levelsHealth statusCoronary heart disease riskHeart disease riskOverall health statusPoor health statusAssociation of cholesterolEarly mortalityAdverse outcomesFunctional statusElderly populationPsychosocial supportPotential associationDisease riskCognitive functionPatients' repliesSocioeconomic statusCholesterol groupSignificant differencesAfrican AmericansCholesterolOnly unique featureSubstantial numberStatus