Adult Congenital Cardiac Care

Kogon, Brian; Miller, Kati; Miller, Paula; Alsoufi, Bahaaldin; Rosenblum, Joshua M.

doi:10.1177/2150135117690126

Cited by 5 publications

(1 citation statement)

References 7 publications

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“…Although it is estimated that >1.4 million adults with congenital heart disease are living in the United States, fewer than 30% are currently in subspecialty care. 8 Understanding the potential barriers to successful health care transition is critical to designing transition programming to mitigate these factors, thereby increasing the number of patients who have uninterrupted health care from adolescence through adulthood.…”

Section: Socioeconomic Psychosocial and Neurocognitive Considerationsmentioning

confidence: 99%

Advances in Managing Transition to Adulthood for Adolescents With Congenital Heart Disease: A Practical Approach to Transition Program Design: A Scientific Statement From the American Heart Association

John¹,

Jackson²,

Moons³

et al. 2022

JAHA

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It is now expected that most individuals with congenital heart disease will survive to adulthood, including those with complex heart conditions. Maintaining lifelong medical care requires those with congenital heart disease to eventually transfer from pediatric to adult‐oriented health care systems. Developing health care transition skills and gaining independence in managing one’s own health care is imperative to this process and to ongoing medical and psychosocial success. This scientific statement reviews the recent evidence regarding transition and provides resources, components, and suggestions for development of congenital heart disease transition programs with the goals of improving patient knowledge, self‐management, and self‐efficacy skills to the level they are capable to eventually integrate smoothly into adult‐oriented health care. Specifically, the scientific statement updates 3 sections relevant to transition programming. First, there is a review of specific factors to consider, including social determinants of health, psychosocial well‐being, and neurocognitive status. The second section reviews costs of inadequate transition including the public health burden and the impairment in individual quality of life. Finally, the last section discusses considerations and suggestions for transition program design including communication platforms, a family‐centered approach, and individual models. Although this scientific statement reviews recent literature surrounding transitions of care for individuals with congenital heart disease there remain significant knowledge gaps. As a field, we have yet to determine ideal timing and methods of transition, and barriers to transition and transfer remain, particularly for the underserved populations. The consequences of poor health care transition are great and garnering outcomes and information through organized, multifaceted, collaborative approaches to transition is critical to improving the lifelong care of individuals with congenital heart disease.

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Section: Socioeconomic Psychosocial and Neurocognitive Considerationsmentioning

confidence: 99%