Associations Between Maternal Sociodemographics and Hospital Mortality in Newborns With Prenatally Diagnosed Hypoplastic Left Heart Syndrome

Lopez, Keila N.; Morris, Shaine A.; Krishnan, Anita; Jacobs, Marni; Bhat, Aarti; Chelliah, Anjali; Chiu, Joanne S.; Cuneo, Bettina F.; Freire, Grace; Hornberger, Lisa K.; Howley, Lisa; Husain, Nazia; Ikemba, Catherine; Kavanaugh‐McHugh, Ann; Kutty, Shelby; Lee, Caroline; McBrien, Angela; Michelfelder, Erik C.; Pinto, Nelangi M.; Schwartz, Rachel M.; Stern, Kenan W.D.; Taylor, Carolyn; Thakur, Varsha; Tworetzky, Wayne; Wittlieb-Weber, Carol A.; Woldu, Kris; Donofrio, Mary T.; Peyvandi, Shabnam; Craft, Mary; Gramse, Heather; Moon-Grady, Anita J.; Lee, Wes; Park, Dawn; Wiener, Alysia

doi:10.1161/circulationaha.123.064476

Cited by 7 publications

(2 citation statements)

References 5 publications

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“…The impact of SDOH on surgical and other early-childhood outcomes in CHD is too broad to adequately cover in this review. It is worth noting that there is extensive research into the disparities that exist in a variety of health outcomes, including surgical mortality, medical complications, and neurodevelopmental outcomes for children living with CHD [27][28][29][30][31][32][33][34]. In a broad systematic review of the literature, SDOHs are found to be "significantly associated with adverse outcomes across the lifespan of CHD patients.…”

Section: Sdoh On Surgical and Other Early Childhood Outcomesmentioning

confidence: 99%

Untangling the Complex Associations between Socioeconomic and Demographic Characteristics and Prenatal Detection and Outcomes in Congenital Heart Disease

Klein,

Donofrio

2024

JCDD

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Recent literature has established a strong foundation examining the associations between socioeconomic/demographic characteristics and outcomes for congenital heart disease. These associations are found beginning in fetal life and influence rates of prenatal detection, access to timely and appropriate delivery room and neonatal interventions, and surgical and other early childhood outcomes. This review takes a broad look at the existing literature and identifies gaps in the current body of research, particularly as it pertains to disparities in the prenatal detection of congenital heart disease within the United States. It also proposes further research and interventions to address these health disparities.

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Section: Sdoh On Surgical and Other Early Childhood Outcomesmentioning

confidence: 99%

Untangling the Complex Associations between Socioeconomic and Demographic Characteristics and Prenatal Detection and Outcomes in Congenital Heart Disease

Klein,

Donofrio

2024

JCDD

Self Cite

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“…The intersection between SDOH and disparities by race and ethnicity is rooted in structural racism that results in uneven access to quality schools, good-paying jobs, higher incomes, wealth accumulation, better neighborhoods, health insurance, and quality medical care [8]. Within the CHD population, these associations are notable: mortality outcomes are 1.8 times higher among non-Hispanic Black vs. White infants with HLHS, and most of the association is explained by "unmeasured factors or potentially structural racism" [9]. A less privileged socioeconomic position and lower maternal education explain a large portion of the 1-year death disparity in non-Hispanic Black and Hispanic infants with CHD [10].…”

Section: Lifelong Poorer Sdoh In Chd Populations Stem From Upstream S...mentioning

confidence: 99%

Health Equity and Policy Considerations for Pediatric and Adult Congenital Heart Disease Care among Minoritized Populations in the United States

Lopez,

Allen,

Baker-Smith

et al. 2024

JCDD

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Achieving health equity in populations with congenital heart disease (CHD) requires recognizing existing disparities throughout the lifespan that negatively and disproportionately impact specific groups of individuals. These disparities occur at individual, institutional, or system levels and often result in increased morbidity and mortality for marginalized or racially minoritized populations (population subgroups (e.g., ethnic, racial, social, religious) with differential power compared to those deemed to hold the majority power in the population). Creating actionable strategies and solutions to address these health disparities in patients with CHD requires critically examining multilevel factors and health policies that continue to drive health inequities, including varying social determinants of health (SDOH), systemic inequities, and structural racism. In this comprehensive review article, we focus on health equity solutions and health policy considerations for minoritized and marginalized populations with CHD throughout their lifespan in the United States. We review unique challenges that these populations may face and strategies for mitigating disparities in lifelong CHD care. We assess ways to deliver culturally competent CHD care and to help lower-health-literacy populations navigate CHD care. Finally, we review system-level health policies that impact reimbursement and research funding, as well as institutional policies that impact leadership diversity and representation in the workforce.

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Social Determinants of Health and Health Equity in Pediatric Cardiology Outcomes

Perez-Kersey,

Chan,

Tjoeng

2023

Curr Treat Options Peds

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Associations Between Maternal Sociodemographics and Hospital Mortality in Newborns With Prenatally Diagnosed Hypoplastic Left Heart Syndrome

Cited by 7 publications

References 5 publications

Untangling the Complex Associations between Socioeconomic and Demographic Characteristics and Prenatal Detection and Outcomes in Congenital Heart Disease

Untangling the Complex Associations between Socioeconomic and Demographic Characteristics and Prenatal Detection and Outcomes in Congenital Heart Disease

Health Equity and Policy Considerations for Pediatric and Adult Congenital Heart Disease Care among Minoritized Populations in the United States

Social Determinants of Health and Health Equity in Pediatric Cardiology Outcomes

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