Abstract: TH-PO0992
Social Risk Factors and Hospitalization in Patients on Hemodialysis
Session Information
- Diversity and Equity in Kidney Health
November 06, 2025 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Diversity and Equity in Kidney Health
- 900 Diversity and Equity in Kidney Health
Authors
- Rodriguez, Jamilise, Icahn School of Medicine at Mount Sinai, New York, New York, United States
- Yetman, Hailey, Icahn School of Medicine at Mount Sinai, New York, New York, United States
- Wen, Huei Hsun, Icahn School of Medicine at Mount Sinai, New York, New York, United States
- Wang, Lin-Chun, Renal Research Institute, New York, New York, United States
- Dong, Zijun, Renal Research Institute, New York, New York, United States
- Tisdale, Lela, Renal Research Institute, New York, New York, United States
- Foby, Yvette, Renal Research Institute, New York, New York, United States
- Olagoke, Mariam M., Renal Research Institute, New York, New York, United States
- Thijssen, Stephan, Renal Research Institute, New York, New York, United States
- Kotanko, Peter, Renal Research Institute, New York, New York, United States
- Usvyat, Len A., Renal Research Institute, New York, New York, United States
- Nadkarni, Girish N., Icahn School of Medicine at Mount Sinai, New York, New York, United States
- Chan, Lili, Icahn School of Medicine at Mount Sinai, New York, New York, United States
Background
Hemodialysis (HD) patients experience high rates of hospitalization. While social risk (SR) factors are linked to suboptimal health outcomes, the association between hospitalizations and SR in patients treated with HD remains understudied.
Methods
We surveyed HD patients at five dialysis units using the AHC Health-Related Social Needs Screening Tool (AHC-HRSN), evaluating their access to housing, food, transportation, utilities, and safety. The outcome, non-elective hospitalization within 12 months, was determined using hospitalization data from NYS-SPARCS. Between group analysis was completed using Pearson’s chi-square test. The relationship between SR and chance of hospitalization was assessed using a univariate and then a multivariate logistic regression adjusted for patient demographics and comorbidities.
Results
Of 324 surveyed patients, 306 had hospitalization data. 44.4% experienced a non-elective hospitalization within 12 months of being surveyed. Patients that were hospitalized had significantly higher rates of food insecurity and rates of endorsing any unmet SR upon chi-square test (Fig. 1). Endorsing any unmet SR, particularly food insecurity, was significantly associated with increased odds of hospitalization, and the corresponding odds-ratio increased upon adjustment for patient demographics and comorbidities (Table 1).
Conclusion
Unmet SR factors are common in patients on HD and are associated with increased hospitalizations even after accounting for patient demographics and comorbidities. Improved attempts to address unmet SR, particularly food insecurity, may improve hospitalization rates in HD patients.
Funding
- NIDDK Support