Beyond Composite Indices: Comprehensive Social Determinants Improve Heart Failure Readmission Prediction

Including hundreds of individual SDOH indicators rather than traditional composite indices improves machine learning models' ability to predict 30-day HF readmissions. While performance gains are modest, inclusion of specific environmental factors may provide greater clinical utility and improved equity across racial groups than composite SDOH measures for guiding further research and preventive interventions.

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Publication Details

Journal
Journal of the American Heart Association
Published
2026-03-28
DOI
https://doi.org/10.1161/jaha.125.043735
Primary Topic
Heart Failure Treatment and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Beyond Composite Indices: Comprehensive Social Determinants Improve Heart Failure Readmission Prediction

Joyce C. Ho, Rodrigo M. Carrillo‐Larco, Shivani Anil Patel, Aniruddha Deshpande et al.
Journal of the American Heart Association
Heart Failure Treatment and Management
article

Beyond Composite Indices: Comprehensive Social Determinants Improve Heart Failure Readmission Prediction

Joyce C. Ho, Rodrigo M. Carrillo‐Larco, Shivani Anil Patel, Aniruddha Deshpande, Chase M. Fensore
article en

Abstract

Including hundreds of individual SDOH indicators rather than traditional composite indices improves machine learning models' ability to predict 30-day HF readmissions. While performance gains are modest, inclusion of specific environmental factors may provide greater clinical utility and improved equity across racial groups than composite SDOH measures for guiding further research and preventive interventions.

Journal of the American Heart Association
Emory University (US)
Good health and well-being
Openalex Percentile: Top 3%
Heart Failure Treatment and Management
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