{"id":"https://openalex.org/W7220909298","doi":"https://doi.org/10.64898/2026.10.07.26364832","title":"Beyond the Haematoma: Socioeconomic Deprivation and Outcomes in Chronic Subdural Hematoma in a Single-Centre Cohort Study","display_name":"Beyond the Haematoma: Socioeconomic Deprivation and Outcomes in Chronic Subdural Hematoma in a Single-Centre Cohort Study","publication_year":2026,"publication_date":"2026-10-08","ids":{"openalex":"https://openalex.org/W7220909298","doi":"https://doi.org/10.64898/2026.10.07.26364832"},"language":"en","primary_location":{"id":"doi:10.64898/2026.10.07.26364832","doi":"https://doi.org/10.64898/2026.10.07.26364832","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.07.26364832","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://doi.org/10.64898/2026.10.07.26364832","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005028238","display_name":"Emma Cook","orcid":"https://orcid.org/0000-0002-4552-9747","observed_orcids":["https://orcid.org/0000-0002-4552-9747"]},"institutions":[{"id":"https://openalex.org/I1310053265","display_name":"St George's Hospital","ror":"https://ror.org/0001ke483","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1310053265","https://openalex.org/I2801196673"]},{"id":"https://openalex.org/I4401726869","display_name":"City St George's, University of London","ror":"https://ror.org/047ybhc09","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4401726869"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Emma Cook","raw_affiliation_strings":["Department of Psychology and Neuroscience, St George\u2019s School of Health and Medical Sciences, City St George\u2019s, University of London, Cranmer Terrace, London, UK","St George\u2019s Hospital NHS Foundation Trust, St George\u2019s Hospital, London, UK"],"raw_orcid":"https://orcid.org/0000-0002-4552-9747","affiliations":[{"raw_affiliation_string":"Department of Psychology and Neuroscience, St George\u2019s School of Health and Medical Sciences, City St George\u2019s, University of London, Cranmer Terrace, London, UK","institution_ids":["https://openalex.org/I4401726869"]},{"raw_affiliation_string":"St George\u2019s Hospital NHS Foundation Trust, St George\u2019s Hospital, London, UK","institution_ids":["https://openalex.org/I1310053265"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014202313","display_name":"Monica Fisk","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Monica Fisk","raw_affiliation_strings":["South West London and Surrey Neurosciences Network, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"South West London and Surrey Neurosciences Network, UK","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157979188","display_name":"Chloe Raggett","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210111135","display_name":"King's College Hospital NHS Foundation Trust","ror":"https://ror.org/01n0k5m85","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210111135"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Chloe Raggett","raw_affiliation_strings":["King\u2019s College Hospital NHS Foundation Trust, London, UK","South West London and Surrey Neurosciences Network, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King\u2019s College Hospital NHS Foundation Trust, London, UK","institution_ids":["https://openalex.org/I4210111135"]},{"raw_affiliation_string":"South West London and Surrey Neurosciences Network, UK","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029317644","display_name":"Kathryn J Bush","orcid":"https://orcid.org/0000-0002-4422-4749","observed_orcids":["https://orcid.org/0000-0002-4422-4749"]},"institutions":[{"id":"https://openalex.org/I84884186","display_name":"Newcastle University","ror":"https://ror.org/01kj2bm70","country_code":"GB","type":"education","lineage":["https://openalex.org/I84884186"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kathryn Bush","raw_affiliation_strings":["Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK"],"raw_orcid":"https://orcid.org/0000-0002-4422-4749","affiliations":[{"raw_affiliation_string":"Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK","institution_ids":["https://openalex.org/I84884186"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119204125","display_name":"Justin Boylan-Toomey","orcid":"https://orcid.org/0009-0003-8767-0655","observed_orcids":["https://orcid.org/0009-0003-8767-0655"]},"institutions":[{"id":"https://openalex.org/I87048295","display_name":"Wellcome Trust","ror":"https://ror.org/029chgv08","country_code":"GB","type":"nonprofit","lineage":["https://openalex.org/I87048295"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Justin Boylan-Toomey","raw_affiliation_strings":["Wellcome Trust, London, UK"],"raw_orcid":"https://orcid.org/0009-0003-8767-0655","affiliations":[{"raw_affiliation_string":"Wellcome Trust, London, UK","institution_ids":["https://openalex.org/I87048295"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088604782","display_name":"Michael G. Hart","orcid":"https://orcid.org/0000-0002-1789-2039","observed_orcids":["https://orcid.org/0000-0002-1789-2039"]},"institutions":[{"id":"https://openalex.org/I1310053265","display_name":"St George's Hospital","ror":"https://ror.org/0001ke483","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1310053265","https://openalex.org/I2801196673"]},{"id":"https://openalex.org/I4401726869","display_name":"City St George's, University of London","ror":"https://ror.org/047ybhc09","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4401726869"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Michael G Hart","raw_affiliation_strings":["Department of Psychology and Neuroscience, St George\u2019s School of Health and Medical Sciences, City St George\u2019s, University of London, Cranmer Terrace, London, UK","St George\u2019s Hospital NHS Foundation Trust, St George\u2019s Hospital, London, UK"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychology and Neuroscience, St George\u2019s School of Health and Medical Sciences, City St George\u2019s, University of London, Cranmer Terrace, London, UK","institution_ids":["https://openalex.org/I4401726869"]},{"raw_affiliation_string":"St George\u2019s Hospital NHS Foundation Trust, St George\u2019s Hospital, London, UK","institution_ids":["https://openalex.org/I1310053265"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12622","display_name":"Neurosurgical Procedures and Complications","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12622","display_name":"Neurosurgical Procedures and Complications","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.0012000000569969416,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13323","display_name":"Spinal Hematomas and Complications","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-subdural-hematoma","display_name":"chronic subdural hematoma","score":0.9850000143051147},{"id":"https://openalex.org/keywords/socioeconomic-deprivation","display_name":"socioeconomic deprivation","score":0.984000027179718},{"id":"https://openalex.org/keywords/neighborhood-deprivation","display_name":"neighborhood disadvantage","score":0.7350000143051147},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.902999997138977},{"id":"https://openalex.org/keywords/hospitalization","display_name":"hospitalization","score":0.35899999737739563},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.9200000166893005},{"id":"https://openalex.org/keywords/burr-hole-surgery","display_name":"burr hole surgery","score":0.8629999756813049},{"id":"https://openalex.org/keywords/index-of-multiple-deprivation","display_name":"Index of Multiple Deprivation","score":0.9129999876022339},{"id":"https://openalex.org/keywords/ethnicity","display_name":"ethnicity","score":0.5260000228881836},{"id":"https://openalex.org/keywords/postoperative-outcomes","display_name":"postoperative outcomes","score":0.6019999980926514},{"id":"https://openalex.org/keywords/health-care-equity","display_name":"health care equity","score":0.48500001430511475},{"id":"https://openalex.org/keywords/long-term-morbidity","display_name":"long-term morbidity","score":0.5239999890327454},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.4659999907016754},{"id":"https://openalex.org/keywords/nhs-111","display_name":"NHS 111","score":0.3930000066757202}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.907800018787384},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5845999717712402},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.5662999749183655},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.5543000102043152},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5386999845504761},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.5224999785423279},{"id":"https://openalex.org/C13543017","wikidata":"https://www.wikidata.org/wiki/Q4430231","display_name":"Social deprivation","level":2,"score":0.5131999850273132},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4927999973297119},{"id":"https://openalex.org/C137403100","wikidata":"https://www.wikidata.org/wiki/Q41710","display_name":"Ethnic group","level":2,"score":0.4406999945640564},{"id":"https://openalex.org/C3017479329","wikidata":"https://www.wikidata.org/wiki/Q3144926","display_name":"Chronic subdural hematoma","level":3,"score":0.42640000581741333},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.39590001106262207},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3698999881744385},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.33869999647140503},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.33160001039505005},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.31929999589920044},{"id":"https://openalex.org/C2777288759","wikidata":"https://www.wikidata.org/wiki/Q4164182","display_name":"Dosing","level":2,"score":0.3125999867916107},{"id":"https://openalex.org/C2777895361","wikidata":"https://www.wikidata.org/wiki/Q1758614","display_name":"Longitudinal study","level":2,"score":0.30970001220703125},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.28630000352859497},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.26440000534057617},{"id":"https://openalex.org/C2779662492","wikidata":"https://www.wikidata.org/wiki/Q468787","display_name":"Hematoma","level":2,"score":0.26170000433921814},{"id":"https://openalex.org/C2781385661","wikidata":"https://www.wikidata.org/wiki/Q4677918","display_name":"Acute care","level":3,"score":0.25440001487731934},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.25119999051094055}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.10.07.26364832","doi":"https://doi.org/10.64898/2026.10.07.26364832","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.07.26364832","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.10.07.26364832","doi":"https://doi.org/10.64898/2026.10.07.26364832","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.10.07.26364832","pdf_url":null,"source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"},{"score":0.7578999996185303,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":36,"referenced_works":["https://openalex.org/W1600293665","https://openalex.org/W2000445173","https://openalex.org/W2013697944","https://openalex.org/W2038933277","https://openalex.org/W2047142410","https://openalex.org/W2139116636","https://openalex.org/W2400503906","https://openalex.org/W2503452049","https://openalex.org/W2541555923","https://openalex.org/W2596986639","https://openalex.org/W2761885641","https://openalex.org/W2790275204","https://openalex.org/W2943977904","https://openalex.org/W3000157901","https://openalex.org/W3008881689","https://openalex.org/W3024833418","https://openalex.org/W3034031275","https://openalex.org/W3037869862","https://openalex.org/W3118355098","https://openalex.org/W3175743453","https://openalex.org/W4225126772","https://openalex.org/W4281251164","https://openalex.org/W4386790761","https://openalex.org/W4401160722","https://openalex.org/W4403067599","https://openalex.org/W4404249159","https://openalex.org/W4408537418","https://openalex.org/W4413168167","https://openalex.org/W4414484245","https://openalex.org/W4415508161","https://openalex.org/W4415668731","https://openalex.org/W4416642010","https://openalex.org/W4416871554","https://openalex.org/W4416889943","https://openalex.org/W7150752316","https://openalex.org/W7153980947"],"related_works":["https://openalex.org/W2503452049","https://openalex.org/W4243297281","https://openalex.org/W4415668731","https://openalex.org/W4394761641","https://openalex.org/W7125924672","https://openalex.org/W4311025557","https://openalex.org/W4403703779","https://openalex.org/W2298547513","https://openalex.org/W2084549354","https://openalex.org/W7094951716"],"abstract_inverted_index":{"ABSTRACT":[0],"Background":[1],"Chronic":[2],"subdural":[3,74],"hematoma":[4,75],"(CSDH)":[5],"is":[6,45,221,251,258,297,321,331,343],"common":[7,260],"and":[8,24,29,34,91,104,127,140,242,264,272,288,314,389],"increasing":[9],"in":[10,108,229,306,386,398,420],"incidence.":[11],"Short-term":[12],"post-surgical":[13],"outcomes":[14,97,247,282,305,335],"are":[15],"good,":[16],"but":[17,40,157],"longer":[18,177],"term,":[19],"patients":[20,77],"experience":[21],"increased":[22],"morbidity":[23],"early":[25,407],"mortality":[26],"than":[27,184],"controls":[28],"the":[30,46,109,172,180,185,222,322,350,357,391,396,421],"general":[31],"population.":[32],"Deprivation":[33,112,119],"ethnicity":[35,139],"affect":[36,375],"many":[37,307],"health":[38,227,262,304],"conditions,":[39,308],"to":[41,79,197,214,238,243,299,326,409,418],"our":[42],"knowledge,":[43],"this":[44,144,255,317,372],"first":[47,223,323],"UK":[48,224,324],"study":[49,61,225,318,325,373],"investigating":[50],"their":[51],"association":[52],"with":[53,85,154,161,205,302,333,345],"CSDH":[54,183,230,257,363,401],"outcomes.":[55],"Methods":[56],"This":[57,211,220,320],"single-centre":[58,145],"retrospective":[59],"cohort":[60,146],"used":[62],"Secondary":[63],"Uses":[64],"Service":[65],"Admitted":[66],"Patient":[67],"Care":[68],"Spells":[69],"(SUS+":[70],"APCS)":[71],"data.":[72],"Adult":[73],"(SDH)":[76],"admitted":[78],"St":[80],"George\u2019s":[81],"Hospital,":[82],"London":[83],"treated":[84],"burr-hole":[86],"surgery":[87],"between":[88],"April":[89,92],"2022":[90],"2025":[93],"were":[94,98],"included.":[95],"Primary":[96],"initial":[99,125,155],"length":[100],"of":[101,117,147,246,290,312],"stay":[102],"(LoS)":[103],"days":[105,129,347],"spent":[106,130,164,175,207],"hospitalised":[107,131,178,208,348],"subsequent":[110,128,162],"year.":[111],"was":[113,151,158,203,212],"measured":[114],"using":[115],"Index":[116],"Multiple":[118],"(IMD).":[120],"Linear":[121],"regression":[122,170],"models":[123],"estimated":[124],"LoS":[126],"by":[132,367],"category,":[133],"adjusted":[134],"for":[135,216,235,280,400,413],"factors":[136,266,279,394,412],"including":[137,309],"age,":[138,269],"comorbidities.":[141],"Results":[142],"In":[143,166],"449":[148],"patients,":[149],"IMD":[150],"not":[152],"associated":[153,160,204,301,332,344],"LoS,":[156],"significantly":[159],"time":[163,206],"hospitalised.":[165],"a":[167,233,259],"log-transformed":[168],"linear":[169],"model,":[171],"most":[173,422],"deprived":[174,187,423],"4.5-times":[176],"during":[179,349],"year":[181],"after":[182,248,336,353,362],"least":[186],"(fold":[188],"change":[189],"=":[190],"4.45,":[191],"95%":[192],"confidence":[193],"interval":[194],"(95%CI)":[195],"2.20":[196],"9.01).":[198],"Conclusions":[199],"Higher":[200],"neighbourhood-level":[201,329,368],"deprivation":[202,296,330,342],"following":[209],"CSDH.":[210,249,293,337],"robust":[213],"adjustment":[215],"potential":[217],"mediating":[218],"factors.":[219],"demonstrating":[226],"inequalities":[228,397],"outcomes,":[231],"highlighting":[232],"need":[234],"future":[236],"research":[237,381],"gain":[239],"further":[240],"insights,":[241],"improve":[244],"equity":[245],"What":[250,316],"already":[252],"known":[253,298],"on":[254,406],"topic?":[256],"sentinel":[261],"event,":[263],"risk":[265,411],"include":[267,283],"older":[268],"alcohol":[270],"misuse":[271],"taking":[273],"anticoagulant":[274],"or":[275,378],"antiplatelet":[276],"medications.":[277],"Risk":[278],"poor":[281,303],"worse":[284],"pre-morbid":[285],"functional":[286],"status":[287],"features":[289],"more":[291,346],"severe":[292],"Neighbourhood-level":[294],"socioeconomic":[295,369],"be":[300,365],"fractured":[310],"neck":[311],"femur":[313],"stroke.":[315],"adds?":[319],"identify":[327],"that":[328,340,356],"poorer":[334],"We":[338],"show":[339],"greater":[341],"12":[351],"months":[352],"CSDH,":[354],"indicating":[355],"longer-term":[358],"negative":[359],"impacts":[360],"experienced":[361],"may":[364],"exacerbated":[366],"deprivation.":[370],"How":[371],"might":[374],"research,":[376],"practice":[377],"policy":[379],"Future":[380],"should":[382,404],"replicate":[383],"these":[384],"analyses":[385],"other":[387],"regions,":[388],"investigate":[390],"underlying":[392],"causal":[393],"underling":[395],"readmission":[399],"patients.":[402],"Policy":[403],"focus":[405],"intervention":[408],"mitigate":[410],"readmission,":[414],"paying":[415],"particular":[416],"attention":[417],"those":[419],"populations.":[424]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-09T00:00:00"}