In-hospital Mortality, Length of Stay, and Discharge Disposition in a Cohort of Rural and Urban American Indians and Alaska Natives | Zendy

John M. Clements | Zendy; Stephanie Rhynard | Zendy

Open Access

In-hospital Mortality, Length of Stay, and Discharge Disposition in a Cohort of Rural and Urban American Indians and Alaska Natives

Author(s) -

John M. Clements,

Stephanie Rhynard

Publication year - 2018

Publication title -

american indian and alaska native mental health research

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.44

H-Index - 24

ISSN - 0893-5394

DOI - 10.5820/aian.2503.2018.78

Subject(s) - rurality , medicine , depression (economics) , demography , alcohol abuse , cohort , diabetes mellitus , rural population , rural area , population , poison control , injury prevention , substance abuse , gerontology , psychiatry , emergency medicine , environmental health , pathology , sociology , economics , macroeconomics , endocrinology

This study uses data from the 2012 National Inpatient Sample to determine if mortality, length of stay, and discharge disposition are different between rural and urban American Indians and Alaska Natives (AI/ANs) with alcohol abuse, depression, diabetes, and post-traumatic stress disorder. Results show no difference in mortality between groups. Alcohol abuse, depression, and diabetes are less prevalent in rural AI/ANs, and rural patients have shorter lengths of stay and fewer chronic conditions, diagnoses, and procedures. Finally, urban patients are discharged to short-term hospitals or skilled nursing facilities at higher rates. Rural diabetes patients exhibit increased mortality, but there is little evidence that rurality adversely affects the AI/AN population for the conditions we studied.

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