{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:12:32Z","timestamp":1788873152307,"version":"build-2803163510"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Previous studies have used national data to assess readmission risk factors for patients with burn injury. This study sought to identify risk factors for readmission amongst unhoused burn patients. The 2022 Nationwide Readmissions Database, Healthcare Cost and Utilization Project, Agency for Healthcare Research and Quality, was used for this study. Patients with International Classification of Diseases Version 10 codes for burn or corrosive injury between January 1, 2022, to November 30, 2022, were included in analysis. Readmission was defined as a subsequent encounter within 30\u00a0days with a diagnosis of burn. 18\u2009607 encounters were identified as index admissions, 1130 (6.1%) were unhoused. 8.6% of unhoused patients (n\u2009=\u200997) were readmitted with a diagnosis of burn injury compared to 5.2% (n\u2009=\u2009908) of housed patients (P\u2009&amp;lt;\u2009.001). Risk factors for readmission for unhoused patients included a third-degree burn (OR 2.4, [1.4-4.2], P\u2009&amp;lt;\u2009.001), leaving against medical advice (OR 4.1, [2.6-6.6], P\u2009&amp;lt;\u2009.001), burn of the trunk (OR 1.9, [1.2-3.0], P\u2009&amp;lt;\u2009.001), burn of the upper extremity (OR 1.9, [1.2-3.0], P\u2009&amp;lt;\u2009.001), and burn of the lower extremity (OR 1.6, [1.0-2.6], P\u2009=\u2009.004). Despite higher rates of diagnoses such as schizophrenia, bipolar disorder, alcohol abuse, and\/or substance abuse in the unhoused population, these factors did not increase risk for readmission. Unhoused burn patients were at higher risk of readmission than housed patients, even when adjusting for other risk factors for readmission. Severity of injury, location of injury, and leaving against medical advice were associated with readmission amongst unhoused patients. Leaving against medical advice was a potentially modifiable risk factor identified for readmission risk mitigation in this study.<\/jats:p>","DOI":"10.1093\/jbcr\/irag108","type":"journal-article","created":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T20:04:33Z","timestamp":1782590673000},"page":"1388-1394","source":"Crossref","is-referenced-by-count":0,"title":["Identifying Risk Factors for Readmission amongst Unhoused Burn Patients"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5718-1647","authenticated-orcid":false,"given":"Victoria","family":"R  Hammond","sequence":"first","affiliation":[{"name":"Hiram C. Polk, Jr., MD Department of Surgery, University of Louisville School of Medicine , Louisville, KY 40202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sukruthi","family":"Yerramreddy","sequence":"additional","affiliation":[{"name":"Hiram C. Polk, Jr., MD Department of Surgery, University of Louisville School of Medicine , Louisville, KY 40202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael E","family":"Egger","sequence":"additional","affiliation":[{"name":"Hiram C. Polk, Jr., MD Department of Surgery, University of Louisville School of Medicine , Louisville, KY 40202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason W","family":"Smith","sequence":"additional","affiliation":[{"name":"Hiram C. Polk, Jr., MD Department of Surgery, University of Louisville School of Medicine , Louisville, KY 40202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew C","family":"Bozeman","sequence":"additional","affiliation":[{"name":"Hiram C. Polk, Jr., MD Department of Surgery, University of Louisville School of Medicine , Louisville, KY 40202 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,27]]},"reference":[{"key":"2026090809001311900_ref1","doi-asserted-by":"publisher","first-page":"1071","DOI":"10.1186\/s12889-022-13499-w","article-title":"Unmet health needs and barriers to health care among people experiencing homelessness in San Francisco\u2019s Mission District: A qualitative study","volume":"22","author":"Thorndike","year":"2022","journal-title":"BMC Public Health"},{"key":"2026090809001311900_ref2","doi-asserted-by":"publisher","first-page":"100440","DOI":"10.1016\/j.burnso.2025.100440","article-title":"The unhoused burn patient: An unmet need for prevention, treatment, and recovery","volume":"13","author":"Sen","year":"2026","journal-title":"Burns Open"},{"key":"2026090809001311900_ref3","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1093\/jbcr\/irz045","article-title":"Homelessness and inpatient burn outcomes in the United States","volume":"40","author":"Kiwanuka","year":"2019","journal-title":"J Burn Care Res"},{"key":"2026090809001311900_ref4","doi-asserted-by":"publisher","DOI":"10.1093\/jbcr\/irae036.287","article-title":"The unhoused burn population: An alarming increase of leaving against medical advice","author":"Speiser","year":"2024","journal-title":"J Burn Care Res"},{"key":"2026090809001311900_ref5","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1093\/jbcr\/iraa023","article-title":"The homelessness crisis and burn injuries: A cohort study","volume":"41","author":"Vrouwe","year":"2020","journal-title":"J Burn Care Res"},{"key":"2026090809001311900_ref6","doi-asserted-by":"publisher","first-page":"1237","DOI":"10.1093\/jbcr\/iraf107","article-title":"Impact of housing on burn injury patterns and outcomes: A retrospective cohort study at a Canadian burn Center","volume":"46","author":"Lee","year":"2025","journal-title":"Journal of Burn Care & Research"},{"key":"2026090809001311900_ref7","doi-asserted-by":"publisher","first-page":"616","DOI":"10.1016\/j.burns.2023.10.006","article-title":"A 15-year review of characteristics and outcomes of patients leaving against medical advice","volume":"50","author":"Powell","year":"2024","journal-title":"Burns"},{"key":"2026090809001311900_ref8","doi-asserted-by":"publisher","first-page":"670","DOI":"10.1093\/jbcr\/iry034","article-title":"Variation in National Readmission Patterns after burn injury","volume":"39","author":"Eidelson","year":"2018","journal-title":"J Burn Care Res"},{"key":"2026090809001311900_ref9","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1001\/jamasurg.2025.5282","article-title":"The experience of readmission after trauma among the unhoused","volume":"161","author":"Jachimiak","year":"2025","journal-title":"JAMA Surg"},{"key":"2026090809001311900_ref10","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1080\/09638237.2024.2426986","article-title":"When I can't help, I suffer: A scoping review of moral distress in service providers working with persons experiencing homelessness","volume":"34","author":"Perez","year":"2025","journal-title":"J Ment Health"},{"key":"2026090809001311900_ref11","volume-title":"Project HCaU","author":"Nationwide Readmissions Database","year":"2022"},{"key":"2026090809001311900_ref12","volume-title":"Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality","author":"Introduction to the HCUP Nationwide Readmissions Database (NRD), 2010-2018","year":"2020"},{"key":"2026090809001311900_ref13","doi-asserted-by":"publisher","volume-title":"Agency for Healthcare Research and Quality","author":"HCUP Elixhauser Comorbidity Software Refined for ICD-10-CM, v2021.1. Rockville, MD: Healthcare Cost and Utilization Project (HCUP)","DOI":"10.1080\/10810730.2026.2670324"},{"key":"2026090809001311900_ref14","volume-title":"Agency for Healthcare Research and Quality (AHRQ)","author":"HCUP Clinical Classifications Software Refined (CCSR) for ICD-10-PCS procedures, v2021.1. 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