Effect of family socioeconomic status on the prognosis of complex congenital heart disease in children: an observational cohort study from China

The Lancet Child & Adolescent Health
Li XiangHao Zhang

Abstract

Low socioeconomic status is associated with increased mortality for patients with cardiovascular disease; however, the effect of family socioeconomic status on the prognosis of children with congenital heart disease remains unclear, particularly in low-income and middle-income countries. We aimed to examine the association between family socioeconomic status and postoperative outcomes for paediatric patients with complex congenital heart disease (CCHD). In this observational cohort study, we enrolled children (aged <7 years) who had CCHD surgery at Fuwai Hospital (Beijing, China) between May 1, 2012, and Dec 31, 2015. Patients who were discharged alive were followed up for up to 60 months, until May 4, 2017, for all-cause mortality and unplanned readmission events. Baseline family socioeconomic status was established using a composite of household income in the past year, and occupation and education level of each parent in the family. Cox proportional hazards regression was used to evaluate the relationship between socioeconomic status and prognosis. Of 2555 patients (median age at operation 0·88 years, IQR 0·56-1·92) enrolled, 2485 (97%) were discharged alive and were assessed at a median follow-up of 32·1 months (IQR 19·6-44...Continue Reading

Citations

Dec 4, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Shuang GaoYihua He
Jul 17, 2019·World Journal for Pediatric & Congenital Heart Surgery·James D St LouisJames K Kirklin
Jan 10, 2021·The Journal of Thoracic and Cardiovascular Surgery·Guocheng ShiUNKNOWN National Association of Pediatric Cardiology and Cardiac Surgery Working Group
Aug 11, 2021·Journal of the International Neuropsychological Society : JINS·Wei Gabriel QiYue Hong
Aug 9, 2021·Clinical Transplantation·Angelo L de la RosaMichelle M Kittleson
Jun 7, 2020·Pediatrics·Alireza RaissadatiEero Jokinen

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