2025 Quality Summit ePoster Presentation -First Place (Non-CE)-2025 Quality Summit ePoster -First Place

Video Transcription

Video Summary

Dr. Ahmad Diab from Washington University presented research on how neighborhood socioeconomic distress impacts outcomes after percutaneous coronary interventions (PCI). Using the Distressed Communities Index (DCI), which combines seven socioeconomic indicators like education, employment, income, and business changes, the study analyzed 1,551 PCI patients at Barnes-Jewish Hospital. Findings showed patients from more distressed neighborhoods—often women, minorities, or uninsured—presented with more acute illness and had higher in-hospital mortality. While the clinical model (PROM) strongly predicted short-term mortality, adding DCI did not improve predictions immediately post-PCI. However, Dr. Diab highlighted the importance of neighborhood context for long-term recovery and outcomes, such as cardiac rehabilitation access and readmissions. Future research aims to explore the influence of socioeconomic distress on longer-term survival and quality of life post-hospitalization. The study underscores the need for healthcare policy to account for social determinants when benchmarking hospitals and treating cardiovascular patients.

Keywords

quality assurance

NCDR physician-level dashboard

PCI patient metrics

radiation dose reduction

continuous quality improvement

Neighborhood socioeconomic distress

Percutaneous coronary interventions

Distressed Communities Index

In-hospital mortality

Social determinants of health