American journal of surgery · 2026
Language matters: Variation in surgical readmissions across non-English language subgroups and hospitals.
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Dacier Brittany M, Mejia Jesus, Jones Alyssa N, Rosario Angel, Allar Benjamin G, Murphy Rachel E, Bergmark Regan W, Patino Stevens, Gershanik Esteban F, Pusic Andrea L, Peck Gregory L, Fernandez Alicia, Bates David W, Ortega Gezzer
Аннотация
BACKGROUND: Patients with Limited English Proficiency (LEP) face poorer surgical outcomes, yet language-access capacity varies by hospital.
OBJECTIVE: Compare 7-day readmission after common surgeries among adult patients with LEP at Language Serving Hospitals (LSH) and non-LSH, stratified by Spanish, Common Non-English, Non-Spanish (NENS) and Rare NENS Languages using the New Jersey State Inpatient Database.
RESULTS: 34,342 adult surgical patients were discharged from LSH with 2.5% readmitted compared to 5.0% of those from non-LSH. Patients from LSH who spoke Spanish, (aOR 0.46, 95% CI 0.40-0.54), Common NENS (aOR 0.49, 95% CI 0.31-0.79), and Rare NENS Languages (aOR 0.50, 95% CI 0.40-0.63) had reduced odds of readmission compared to those from non-LSH.
CONCLUSIONS: Surgical patients with LEP discharged from LSH had lower odds of readmission, suggesting LSH may be better equipped than non-LSH. Worse disparities for Common and Rare NENS Languages suggest the need to expand resources beyond Spanish.
OBJECTIVE: Compare 7-day readmission after common surgeries among adult patients with LEP at Language Serving Hospitals (LSH) and non-LSH, stratified by Spanish, Common Non-English, Non-Spanish (NENS) and Rare NENS Languages using the New Jersey State Inpatient Database.
RESULTS: 34,342 adult surgical patients were discharged from LSH with 2.5% readmitted compared to 5.0% of those from non-LSH. Patients from LSH who spoke Spanish, (aOR 0.46, 95% CI 0.40-0.54), Common NENS (aOR 0.49, 95% CI 0.31-0.79), and Rare NENS Languages (aOR 0.50, 95% CI 0.40-0.63) had reduced odds of readmission compared to those from non-LSH.
CONCLUSIONS: Surgical patients with LEP discharged from LSH had lower odds of readmission, suggesting LSH may be better equipped than non-LSH. Worse disparities for Common and Rare NENS Languages suggest the need to expand resources beyond Spanish.