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. 2025 Feb 1;160(2):227-229.
doi: 10.1001/jamasurg.2024.4744.

Facility Medicaid Burden and Necrotizing Soft Tissue Infection-Related Mortality

Jodi-Ann S Edwards  1 , Sherene E Sharath  1   2   3 , Panos Kougias  1   3
Affiliations

Facility Medicaid Burden and Necrotizing Soft Tissue Infection-Related Mortality

Jodi-Ann S Edwards et al. JAMA Surg. .
No abstract available

Plain language summary

This cohort study examines whether the Medicaid-payer proportion in hospital admissions is associated with in-hospital deaths from necrotizing soft tissue infection.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure.
Figure.. Association Between In-Hospital Necrotizing Soft Tissue Infection (NSTI)–Related Mortality Risk and Facility-Level Medicaid Burden Quintiles in an Adjusted Logistic Regression Model
Adjustment covariates were age, self-identified sex, race and ethnicity, insurance type, Elixhauser Comorbidity Index (score range: 0-38, with the highest score indicating high baseline comorbidity severity), operation year, major amputations, length of stay, median household income, and hospital location or teaching status. Interaction between operation year and Medicaid burden was used to examine whether the risk of NSTI-related mortality changed by both changing facility-Medicaid burden and time (surrogate measure for management and policy changes). Error bars represent 95% CIs. AOR indicates adjusted odds ratio.
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References

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