%0 Journal Article
%T The relationship between neighborhood socioeconomic status and short-term outcomes following colon resection.
%A Weldeslase TA
%A Akinyemi OA
%A Enchill KA
%A Lin A
%A Silvestre J
%A Fullum TM
%A Cornwell EE
%A Nembhard CE
%J Am J Surg
%V 0
%N 0
%D 2024 Jun 17
%M 38908965
%F 3.125
%R 10.1016/j.amjsurg.2024.115803
%X <B>BACKGROUND: </B>This study investigates the association between neighborhood socioeconomic status, measured by the Distressed Communities Index (DCI), and short-term outcomes following colon resection.<BR><B>METHODS: </B>Utilizing the Maryland State Inpatient Sample database (SID 2018-2020), we determined the association between DCI and post-op outcomes following colon resection including length of stay, readmissions, 30-day in-hospital mortality, and non-routine discharges. Multivariate regression analysis was performed to control for potential confounding factors.<BR><B>RESULTS: </B>Of the 13,839 patients studied, median age was 63, with 54.3 ​% female and 64.5 ​% elective admissions. Laparoscopic surgery was performed in 36.9 ​% cases, with a median hospital stay of 5 days. Patients in distressed communities faced higher risks of emergency admission (OR: 1.31), prolonged hospitalization (OR: 1.29), non-routine discharges (OR: 1.36), and readmission (OR: 1.33). Black patients had longer stays than White patients (OR: 1.3). Despite adjustments, in-hospital mortality did not significantly differ among neighborhoods.<BR><B>CONCLUSIONS: </B>Our study reveals that patients residing in distressed neighborhoods face a higher risk of prolonged hospitalization, non-routine discharges, and readmission rate after colon resection.