Birth Location in Infants with Prenatally Diagnosed Hypoplastic Left Heart Syndrome

Patel, Mehul D.; Yu, Sunkyung; Romano, Jennifer C.; Bates, Katherine E.; Uzark, Karen; Schumacher, K.; Balasubramanian, Sowmya; Gelehrter, Sarah

doi:10.1007/s00246-021-02721-y

Cited by 1 publication

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were no significant differences in mortality or length of stay between groups born at varying distances from the hospital; however, patients born less than 5 miles from the surgical center were more likely to be White and less likely to have potentially modifiable presurgical risk factors such as preoperative mechanical ventilation and delayed surgical timing. 20 Purkey et al used data from the Perinatal Quality Care Collaborative to evaluate factors impacting the timing of transfer of newborns with HLHS to a pediatric cardiac center in California and associations with mortality. 21 Delayed transfer to a pediatric cardiac center was associated with low birth weight, US-born Hispanic ethnicity, and Black race; however, late transfer of US-born Hispanic and Black children was not associated with increased mortality in this study.…”

Section: Contributing Factorsmentioning

confidence: 99%

Racial and Ethnic Disparities in U.S Children Undergoing Surgery for Congenital Heart Disease: A Narrative Literature Review

Ross

Latham

Tjoeng

et al. 2022

Semin Cardiothorac Vasc Anesth

View full text Add to dashboard Cite

Congenital Heart Disease (CHD) is a significant source of pediatric morbidity and mortality. As in other fields of medicine, studies have demonstrated racial and ethnic disparities in congenital heart disease outcomes. The cause of these outcome disparities is multifactorial, involving biological, behavioral, environmental, sociocultural, and systemic medical factors. Potential contributors include differences in preoperative illness severity secondary to coexisting medical conditions, differences in the rate of prenatal and early postnatal detection of CHD, and delayed access to care, as well as discrepancies in socioeconomic and insurance status, and systemic disparities in hospital care. Understanding the factors that contribute to these disparities is an essential step towards developing strategies to address them. As stewards of the perioperative surgical home, anesthesiologists have an important role in developing institutional policies that mitigate racial disparities. Here, we provide a thorough narrative review of recent research concerning perioperative factors contributing to surgical outcomes disparities for children of all ages with CHD, examine potentially modifiable contributing factors, discuss avenues for future research, and suggest strategies to address disparities both locally and nationally.

show abstract

Section: Contributing Factorsmentioning

confidence: 99%